Response of dhulikhel hospital during earthquake in nepal, 2015
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It is the presentation about what was the response and how we managed the earthquake victims during the devastating earthquake 2015!
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Response of dhulikhel hospital during earthquake in nepal, 2015
- 1. Response of Dhulikhel Hospital during devastating earthquake 2015 Dhulikhel Hospital Nurses
- 2. DHULIKHEL HOSPITAL Based on the principle of social equity and quality health care Established in 1996
- 3. •Independent, not for profit, non-government institution. •Covers the population of approximately 1.9 million people from Kavrepalanchowk, Sindhupalchowk, Dolakha, Sindhuli, Ramechap, Bhaktapur and others. Dhulikhel Hospital
- 6. April 25th 2015, The First Day
- 7. Treatment started as soon as possible.
- 8. All possible spaces were used.
- 9. Free treatment provided for all earthquake victims
- 13. Volunteers
- 14. Work Division More than 3,000 patients were treated 500+ Major Operation 2000+ Minor Procedures
- 15. Triage of the victims
- 16. Color Coding of Survivors
- 17. Children were the most vulnerable
- 18. Utilization of Hospital Grounds Green Zone Patients
- 22. Upper extremities & closed fractures - splinted with plaster cast.
- 23. Lower extremities fractures and children - kept on priority after open fractures.
- 25. Ex-fix - stabilize the # as a damage control and wound management.
- 26. External Fixator
- 27. Flap Surgery and Skin grafting
- 29. 12 May 2015, Aftershock 7.3
- 31. 141 140 91 68 59 50 1st Week 2nd Week 3rd Week 4th Week 5th Week 6th & 7th Week Number of Operation Performed: 549
- 32. 322 152 19 9 47 Distribution of operated cases according to the district
- 33. 72 95 75 73 82 75 77 < or = 10 11 - 20 Years 21 - 30 Years 31 - 40 Years 41 - 50 Years 51 - 60 Years > 60 Years Age wise classificationof the operated cases: 549
- 34. 136 87 55 30 13 20 86 122 Classificationof the Injuries sustained
- 37. 0 50 100 150 200 250 300 350 400 450 500 25th April 2015 26th April 2015 27th April 2015 28th April 2015 29th April 2015 30th April 2015 1st May 2015 2nd May 2015 3rd May 2105 4th May 2015 5th May 2015 6th May 2015 NUMBEROFINJURED* * Number of Patients till 6th May 2015
- 40. Steps of Hand Washing Posted on the Walls in Wards
- 42. Physiotherapy to injured patients
- 43. Food Provision to the Patient & Family
- 44. Food Provision to the Patient & Family
- 45. Cleanliness of Surroundings and Hospital
- 46. Follow Up Cases
- 47. RELIEF PACKAGE • TARPAULIN • MATTRESS • BLANKET • COOKING UTENSILS • PLASTIC BUCKET • PLATE, DRINKING GLASS • RICE • LENTILS • SPICES • SALT SUGAR • VEGETABLE OIL • NOODLES • TRACK SUIT • SANDAL • TOWEL • HYGIENE SET (TOOTHPASTE, TOOTHBRUSH, COMB, SOAP) • OTHER ITEMS: GLUCOSE. BISCUITS, BEATEN RICE, SANITARY PADS
- 50. Manekharka 63 km / 5 hrs Manekharka
- 52. 2014 2015
- 53. Hindi Health Center 78 km from Dhulikhel Hindi Dhulikhel
- 54. Hindi Health Centre Inaugurated on 28. November 2011
- 57. Dhading Outreach
- 59. "This is a war without enemy which caused widespread loss of lives and destruction” says Vice Chancellor of Kathmandu University. It is now time to rally around and bounce back. We need to take charge and change where and when we can. Prof. Dr Ram Kantha Makaju Shrestha Vice Chancellor, KU
- 61. We feel proud & happy to save these lives and bring smiles to their innocent faces.
- 62. ACKNOWLEDGEMENT THE GOVERNMENT OF NEPAL MINISTRY OF HEALTH AND POPULATION, NEPAL NEPAL ARMY NEPAL POLICE DISTRICT ADMINISTRATIVE OFFICE, KAVRE DISTRICT POLICE OFFICE, KAVRE DHULIKHEL COMMUNITY NATIONAL AND INTERNATIONAL MEDIA NATIONAL AND INTERNATIONAL SUPPORTERS
- 63. THANK YOU!
Editor's Notes
- 2
- Nepal was hit by a devastating earthquake on 25th April 2015 (7.8 magnitude). On 12th May again 7.3 Magnitude
- Affected more than 8 million people and Killed more than eight thousand and eight hundred.
- The first day of the earthquake was on Saturday when most of the staffs were on holiday. As soon as we knew about the condition of the hospital, we rushed to there, leaving our families at the safe place in the local community, under the tents. Once we got to the hospital, we could see the crowd of the victims, lying on the emergency beds, corridors and even on the hospital grounds.
- Soon after the first earthquake, the patients started to come to the hospital for the treatment. All the beds in the emergency department were occupied. Finally we had to treat patient on the ground on the mattresses. Hospital commenced free medical services immediately after the earthquake and varieties of injuries, trauma, wound, and factures have been treated here.
- The means of the transporting patients were not as usual. The victims were carried on different means whichever was available such as truck, mini trucks, vans, buses etc.
- Even the helicopters were used to transport the victims. There were many people volunteering to transport the patients and saving their lives.
- Different means transportation made up of the local resources were also used to transport the patients.
- Among the volunteers, the Nepal Army and Police people were the great help for us. They helped in transporting patients to the treatment area, investigation area, to the operation theatre and blood bank.
- As planned the group leaders were selected to organize the triage system for the victims and team of doctors, nurses, paramedics and students were mobilized in a better way.
- All five theatres were run for the surgery of the earthquake trauma cases for almost 24 hours a day for more than a week.
- Despite suffering damage to their own homes and losses and injuries amongst their families, the staffs were working day and night without any complaints because saving the lives of the people was the only goal at that moment.
- You can see here, the staffs were sitting on the floor to have rest for a few hours.
- and discharged for definitive management at later date.
- Closed femur fractures and hemodynamically stable pelvic fractures needing definitive surgery were stabilized with skeletal traction.
- For open fractures of tibia, fibula and in case of unstable pelvic fractures,
- Similarly, many debridement, flap surgeries and skin grafting were also performed for the better management of the open wound.
- The fractures those were operated were mostly the open # and in contamination Tibia # was the highest in number (136 cases) Crush Injuries:
- Proper nursing care was provided by nurses along with help of students and faculty teachers to the increased number of patients.
- Patients came with mud on their body, head and torn clothes so the nurses were very busy making them clean and feel comfortable.
- Hand Disinfection Solution was made available at many places to prevent the contamination and was broadly used.
- Only trauma management of the earthquake victims was not enough. They also needed good nutrition to meet their physiological needs and wound healing. Three meals were provided for the victims and their family members free of cost for two months.
- This was possible with the great support and helping hands from local community people and student volunteers from schools and university at Dhulikhel.
- Cleanliness is equally essential for the healthy environment. Hospital staffs themselves along with hygienic team helped to prevent the infection by prioritizing cleanliness within hospital and surroundings.
- This is the picture of our another outreach center at the place called Dhading.
- We would like to thank all the national and international friends and supporters who have helped us in this difficult times. We have been able to provide effective medical treatment and relief aid to the earthquake survivors and we will continue to do so. Your valuable support is making all the differences.