Oconnell sci rehab in post eq haiti crdr.disaster.symp.isprm11

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  • Rapid identification of injury patterns and available resources, led by experts in rehabilitation, is an effective method to inform and direct urgent and emergent care needs.
  • Oconnell sci rehab in post eq haiti crdr.disaster.symp.isprm11

    1. 1. SCI Rehabilitation in Post Earthquake HaitiEarly Responses, Critical Successes, and Longer Term Challenges<br />Haiti SCI Working Group<br />International Spinal Cord Society Disaster Committee<br />
    2. 2. Haiti January 11, 2010<br />No national data on SCI/disability<br />No national rehabilitation plan<br />No inpatient SCI facilities or surgical capacity for spinal cord injuries<br />Limited inpatient rehabilitation capacity – MSF, HAS<br />Outpatient rehabilitation provided by non-government aid organizations<br />
    3. 3.
    4. 4.
    5. 5. Rapid Assessment<br />
    6. 6. Patterns of Injury<br />
    7. 7.
    8. 8. Urgent and Emergent<br /><ul><li>Who/where capacity for acute care
    9. 9. Transportation issues
    10. 10. Coordination system - referrals
    11. 11. Supplies – orthoses, hardware, fluroscopy, seating, catheters, medications….
    12. 12. HR – surgical, wound care, SCI expertise</li></li></ul><li>Urgent and Emergent<br />Nutrition, hydration, pressure, pain, bowel<br />
    13. 13. Urgent and Emergent<br />Development of acute and longer term rehabilitation plan<br />
    14. 14. Critical Successes<br /><ul><li>Early establishment of SCI sites
    15. 15. “Emergent” training of local care providers
    16. 16. Identification and support of local experts
    17. 17. Collaborative network “Haiti SCI Working Group”
    18. 18. Registry database</li></li></ul><li>Critical Successes<br /><ul><li>Early establishment of SCI sites
    19. 19. “Emergent” training of local care providers
    20. 20. Identification and support of local experts
    21. 21. Collaborative network “Haiti SCI Working Group”
    22. 22. Registry database</li></li></ul><li>Critical Successes<br /><ul><li>Early establishment of SCI sites
    23. 23. “Emergent” training of local care providers
    24. 24. Identification and support of local experts
    25. 25. Collaborative network “Haiti SCI Working Group”
    26. 26. Registry database</li></li></ul><li>Critical Successes<br /><ul><li>Early establishment of SCI sites
    27. 27. “Emergent” training of local care providers
    28. 28. Identification and support of local experts
    29. 29. Collaborative network “Haiti SCI Working Group”
    30. 30. Registry database</li></li></ul><li>Critical Successes<br /><ul><li>Early establishment of SCI sites
    31. 31. “Emergent” training of local care providers
    32. 32. Identification and support of local experts
    33. 33. Collaborative network “Haiti SCI Working Group”
    34. 34. Registry database</li></li></ul><li>Critical Early Successes<br /><ul><li>Early establishment of SCI sites
    35. 35. “Emergent” training of local care providers
    36. 36. Identification and support of local experts
    37. 37. Collaborative network “Haiti SCI Working Group”
    38. 38. Registry database</li></li></ul><li>Opportunities<br /><ul><li>Ongoing capacity for SCI care
    39. 39. Ongoing education and training opportunities
    40. 40. Formal SCI rehabilitation inpatient and outpatient facilities and programs
    41. 41. New national recognition of needs and value of persons with SCI</li></li></ul><li>Opportunities<br /><ul><li>Ongoing capacity for SCI care
    42. 42. Ongoing education and training opportunities
    43. 43. Formal SCI rehabilitation inpatient and outpatient facilities and programs
    44. 44. New national recognition of needs and value of persons with SCI</li></li></ul><li>Opportunities<br /><ul><li>Ongoing capacity for SCI care
    45. 45. Ongoing education and training opportunities
    46. 46. Formal SCI rehabilitation inpatient and outpatient facilities and programs
    47. 47. New national recognition of needs and value of persons with SCI</li></li></ul><li>Opportunities<br /><ul><li>Ongoing capacity for SCI care
    48. 48. Ongoing education and training opportunities
    49. 49. Formal SCI rehabilitation inpatient and outpatient facilities and programs
    50. 50. New national recognition of needs and value of persons with SCI</li></li></ul><li>Challenges<br />Human resources<br />Community reintegration<br />Financial <br />National rehabilitation plan<br />Materials and supplies<br />Surgical and acute care capacity<br />

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