Emergency Surgery Workshop Davos 2011: Presentation by Johan von Schreeb, MD, Senior Researcher in Disaster Medicine, Karolinska Institute and Co-Founder & Former President, MSF Sweden, Stockholm, Sweden
PRIORITIES AND NEEDS IN DISASTER MANAGEMENTLy Nguyen
The Central Committee for Natural Disaster Prevention and Control presents on the priorities and needs in disaster management at the DIPECHO 17-year review conference.
The document discusses various topics related to risk assessment and reduction. It notes that disaster losses have been increasing significantly in recent decades. Some key points made include: hazard x vulnerability = risk; risk is determined by the probability of an event and its consequences; vulnerability depends on factors like exposure, resilience, and coping capacity; and perceptions of risk can differ from actual measured risks.
Thailand Business Risk Assessment for Disaster Management, Patcharavadee THAM...Global Risk Forum GRFDavos
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
Limitations and unexpected issues encountered when deploying telehealth in a global health setting - from the Telehealth Failures & Secrets To Success Conference: vsee.com/telehealth-failures-conference
The document discusses UNFPA's response to providing reproductive health services and supplies to populations affected by humanitarian crises. It outlines that RH needs increase during emergencies due to risks like sexual violence, disease transmission, and complications during pregnancy and childbirth without access to care. UNFPA responds in acute emergencies by deploying RH kits, funding, and technical support. It also provides longer-term assistance to refugees, internally displaced people, and communities recovering from conflict through rebuilding healthcare infrastructure and training. Effective response requires addressing logistical challenges of transporting and distributing time-sensitive medical supplies.
The document discusses setting up mobile emergency/neurosurgical units (MEU/MNU) that can rapidly deploy to disaster sites to provide urgent medical care. It proposes having MEU/MNUs located near disaster-prone regions that can reach sites within 24 hours using transport helicopters. The units would include a portable operating room, imaging equipment, generators and supplies to perform neurosurgery and treat trauma patients. The World Federation of Neurosurgical Societies could establish and support several MEU/MNU sites around the world. Telemedicine capabilities would allow remote consultation with specialists during disasters.
PRIORITIES AND NEEDS IN DISASTER MANAGEMENTLy Nguyen
The Central Committee for Natural Disaster Prevention and Control presents on the priorities and needs in disaster management at the DIPECHO 17-year review conference.
The document discusses various topics related to risk assessment and reduction. It notes that disaster losses have been increasing significantly in recent decades. Some key points made include: hazard x vulnerability = risk; risk is determined by the probability of an event and its consequences; vulnerability depends on factors like exposure, resilience, and coping capacity; and perceptions of risk can differ from actual measured risks.
Thailand Business Risk Assessment for Disaster Management, Patcharavadee THAM...Global Risk Forum GRFDavos
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
5th International Disaster and Risk Conference IDRC 2014 Integrative Risk Management - The role of science, technology & practice 24-28 August 2014 in Davos, Switzerland
Limitations and unexpected issues encountered when deploying telehealth in a global health setting - from the Telehealth Failures & Secrets To Success Conference: vsee.com/telehealth-failures-conference
The document discusses UNFPA's response to providing reproductive health services and supplies to populations affected by humanitarian crises. It outlines that RH needs increase during emergencies due to risks like sexual violence, disease transmission, and complications during pregnancy and childbirth without access to care. UNFPA responds in acute emergencies by deploying RH kits, funding, and technical support. It also provides longer-term assistance to refugees, internally displaced people, and communities recovering from conflict through rebuilding healthcare infrastructure and training. Effective response requires addressing logistical challenges of transporting and distributing time-sensitive medical supplies.
The document discusses setting up mobile emergency/neurosurgical units (MEU/MNU) that can rapidly deploy to disaster sites to provide urgent medical care. It proposes having MEU/MNUs located near disaster-prone regions that can reach sites within 24 hours using transport helicopters. The units would include a portable operating room, imaging equipment, generators and supplies to perform neurosurgery and treat trauma patients. The World Federation of Neurosurgical Societies could establish and support several MEU/MNU sites around the world. Telemedicine capabilities would allow remote consultation with specialists during disasters.
Neurosurgical Service for Disasters. Prof. Dr. Leonidas Quintana Marínriverospintone
The document discusses setting up mobile emergency/neurosurgical units (MEU/MNU) that can rapidly deploy to disaster sites to provide urgent medical care. It proposes having MEU/MNUs located near disaster-prone regions that can reach sites within 24 hours using transport helicopters. The units would include a portable operating room, imaging equipment, generators and supplies to perform neurosurgery and treat trauma patients. The World Federation of Neurosurgical Societies could establish and support several MEU/MNU sites around the world. Telemedicine capabilities would allow remote consultation with specialists during disasters.
At TED, InSTEDD spoke about what has happened since Larry Brilliant's original TED prize with in 2006. You can catch up on the video here: http://www.youtube.com/watch?v=MNhiHf84P9c&p=10B65227B128E216&playnext=1&index=1
Presentation from the European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE), published by the European Centre for Disease Prevention and Control (ECDC)
Presentation at the Health Consumers Council Patient Experience Week Events, by Dr Carmel Crock and Ms Anita Deakin.
The Emergency Medicine Events Register is an "adverse event and near-miss reporting system that is peer-led, online, anonymous and confidential. It is a means of supporting improvement in safety and quality in emergency medicine by understanding of contributing factors and how the risk of harm to patients can be minimised or prevented."
See http://www.emer.org.au/
Israel has developed robust hospital surge capacity through centralized coordination of resources, standardized procedures, and regular drills. Key aspects of their system include nationally monitoring capacity, designating expandable facilities, coordinating EMS with hospitals, and clearing emergency departments promptly. While the US has made efforts to coordinate response through frameworks and organizations, it faces unique challenges due to its federal system, staffing shortages, and lack of national surge monitoring.
This document summarizes key aspects of providing medical care during and after disasters and complex emergencies. It outlines the timeline of needs from initial search and rescue through longer-term care. It describes how needs evolve from emergency surgery to rehabilitation, medicine for chronic diseases, addressing communicable diseases and public health issues. It emphasizes integrating health care with public health priorities around water, sanitation, nutrition and shelter. The document stresses considering patients' long-term needs beyond surgery and preparing for varying types and intensities of disasters while remembering that communities persevere.
This document discusses lessons learned from the 2014-2016 Ebola outbreak in West Africa. It provides background information on Ebola virus disease, including its symptoms, transmission, and history of outbreaks. It notes that while many countries committed to preparing for pandemics under the WHO International Health Regulations, few were fully prepared when Ebola emerged. The document discusses the roles of various organizations in responding to the outbreak, including militaries, NGOs, the UN, and clusters. It outlines strengths and weaknesses of military involvement in humanitarian aid. Finally, it quotes Bill Gates recommending that countries and alliances like NATO identify military resources available for future epidemics.
The document discusses sexual exploitation and abuse of children by UN peacekeepers and humanitarian workers. It describes the establishment of Keeping Children Safe, an organization committed to child safeguarding standards. While the UN has policies against sexual exploitation and abuse, cases continue to be reported in peacekeeping missions. Fully addressing the problem requires cooperation between the UN, troop contributing countries, and organizations to prevent abuse and support victims.
This document provides a summary of the existing literature on livelihoods, basic services, and social protection in South Sudan. It describes the devastating impact of the decades-long civil war, which killed millions and displaced many more. As a result, the new country faces immense challenges in rebuilding livelihoods and basic infrastructure. The summary reviews evidence on how the conflict affected livelihoods, health, education, and social services. It also identifies gaps in data and evidence that future research could address to help inform policies around recovery, development, and building state legitimacy in South Sudan.
This document discusses violence against healthcare workers in emergency departments. It notes that nursing staff in emergency departments face a greater risk of harm from violence than those in other clinical areas. Violent incidents can have rippling psychological and professional effects, including post-traumatic stress disorder, burnout, and nurses leaving the profession. While there is no absolute definition, violence generally presents as physical or non-physical acts. Contributing factors include long wait times, mental illness, and alcohol. The document recommends training programs in de-escalation, communication, and security measures to help address this issue.
Maureen Bisognano, President and CEO, Institute for Health Care Improvement.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Michael Fagan is a registered vascular ultrasound technologist with over 7 years of experience providing safe, high-quality patient care. He has expertise in vascular ultrasound exams and physiologic studies using equipment from Philips, Unetixs, and Parks. Fagan is skilled in diffusing difficult situations and presenting a calm demeanor. He seeks opportunities to provide coverage for critical functions and increase his learning.
Chapter 18
Legal Reporting Requirements
Learning Objectives
Describe various forms of child abuse, how to recognize it, and reporting requirements.
Describe various forms of elder abuse, how to recognize it, and reporting requirements.
Explain why it is important to report communicable diseases, adverse drug reactions, & infectious diseases.
Learning Objectives (cont’d)
Discuss the importance of reporting births and deaths.
Explain how & why physician incompetency is reported.
Understand the importance of incident reporting, sentinel events, & the purpose of root cause analyses.
Abuse
Abuse in the healthcare setting often occurs to those who are most vulnerable and dependent on others for care.
Abuse can take many forms, such as physical, psychological, medical, and financial.
Abuse is not always easy to identify because injuries can often be attributed to other causes.
Child Abuse
Intentional serious mental, emotional, sexual, &/or physical injury inflicted by family or other person responsible for care.
Child Abuse Prevention & Treatment Act (CAPTA)
Minimum standards states must incorporate in their statutory definitions of child abuse and neglect.
Child Abuse
Who Should Report
Healthcare setting
Administrators, physicians, interns, registered nurses, chiropractors, social service workers, psychologists, dentists, osteopaths, optometrists, podiatrists, mental health professionals, & volunteers in residential facilities
Penalties for failure to report
States vary on penalties
Child Abuse
How to Detect
Indicators of abuse and maltreatment that appear to be part of a pattern
Physical indicators
Bruises
Sprains
Fractures
Cigarette burns
Child Abuse
How to Detect (cont’d)
Behavioral indicators
Diminished psychological or intellectual functioning
Failure to thrive
No control of aggression
Self-destructive impulses
Decreased ability to think and reason
Acting out and misbehavior, or habitual truancy
Child Abuse (cont’d)
Good faith reporting
Psychologist Immune to Liability
Failure to report child abuse
Psychologist’s Failure to Report Abuse
Nurse’s Failure to Document and Report
Physician Entitled to Immunity
Child Abuse Can Be Elusive
Senior Abuse
Mistreatment: Results in Harm or Loss
It can involve
Physical & Sexual Abuse
Domestic & Psychological Abuse
Financial abuse
Neglect
Failure to provide needed care
Senate Select Committee on Aging
Less Likely to be Reported than Child Abuse
Most Instances of Senior Abuse
Repeated Events
Not One-Time Occurrences
Senate Select Committee on Aging (cont’d)
Victims are often 75 years of age or older, & women more likely to be abused than men.
Seniors often ashamed to admit their loved ones abuse them.
may fear reprisals if they complain.
Family members are resentful of a frail & dependent senior parent.
Majority of abusers are relatives.
Signs of Senior Abuse
Unexplained or Unexpected Death
Development of “Pressure S ...
Cardinal Tien Hospital is a teaching hospital with 1800 beds located in Xindian, Taipei. It focuses on medicine, teaching, and research and provides holistic care for patients' physical, mental, and spiritual needs through various services including preventative care, treatment for acute/chronic illnesses, long-term care, and hospice care.
Cathay General Hospital is a 826-bed medical center and teaching hospital in Taipei specializing in treating acute/severe diseases and cancer. It conducts clinical research and education to develop new medical technologies while supporting underserved areas.
The document provides an overview of two major hospitals in Taipei, Cardinal Tien Hospital and Cathay General Hospital,
This document discusses efforts to address mental illness, substance abuse, and homelessness in Bexar County, Texas. It outlines collaborative initiatives between various community agencies and stakeholders to divert individuals from the criminal justice system into treatment services through programs like the Crisis Care Center. Data is presented showing improvements in wait times and reductions in emergency room utilization and associated cost savings since implementing these diversion and jail diversion programs.
Wilderness Medicine in the Neotropics discusses the challenges of providing medical care in tropical developing countries. It notes limited local medical services and infrastructure. Outdoor groups must thoroughly research available evacuation options and be self-sufficient due to delays. Tropical diseases spread by mosquitoes, flies, parasites and water pose risks and require prevention strategies like insect protection and water treatment. Tropical wounds are common and can become infected. Venomous snakes, spiders and insects as well as water creatures also present risks. Staff require specialized tropical medicine and language training while carrying supplemental medical kits. Groups must effectively prepare clients through education and vaccinations. Being informed and respectful of the local environment and inhabitants is important for safe exploration.
The document outlines the administrative structure and emergency preparedness activities for hospitals responding to disasters. It describes the federal disaster response system and how hospitals fit within the incident command system (ICS). The key points are that hospitals should have an emergency operations plan (EOP) that delineates the six critical function areas of response, as well as annexes for specific hazards. The EOP and training staff in ICS roles are vital for ensuring an effective response.
2 fingers
below nipple line
Compression
rate
100-120/min
Compression
depth
At least 2 inches (5 cm)
Compression
release
Allow complete chest recoil after each compression
Compression
ventilation
ratio
30:2
Compression
only CPR
For lone rescuer when
airway, breathing,
circulation are
compromised
intermammary line
At least 1/3
anterior-posterior
diameter of chest
(about 1 1/2 inches
[4 cm])
At least 1/3 anteriorposterior diameter of
chest (about 1 1/2
inches [4 cm])
This document provides background information on disasters and the role of nurses in disaster response. It discusses how disasters have increased globally in recent decades, particularly impacting developing nations. Nurses are often first responders during disasters and play vital roles in areas like triage, care provision, and counseling. However, nurses need disaster-specific competencies to effectively respond. The International Council of Nurses aims to clarify the disaster nursing role and support training through a new framework of competencies described in this document.
This document defines human trafficking and discusses the role of healthcare providers. It begins by defining trafficking as involving force, fraud or coercion for the purpose of exploitation. Trafficking can involve labor or sex. Healthcare providers may encounter trafficking victims since around 28-50% of victims will see a provider while still captive. The document recommends screening patients privately for signs of trafficking such as untreated infections, injuries or confusion/fear. The Affordable Care Act supports screening and treatment that can help identify and support victims.
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
Disaster risk reduction and nursing - human science research the view of surv...Global Risk Forum GRFDavos
6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
More Related Content
Similar to Assessment for possible intervention in the disaster area
Neurosurgical Service for Disasters. Prof. Dr. Leonidas Quintana Marínriverospintone
The document discusses setting up mobile emergency/neurosurgical units (MEU/MNU) that can rapidly deploy to disaster sites to provide urgent medical care. It proposes having MEU/MNUs located near disaster-prone regions that can reach sites within 24 hours using transport helicopters. The units would include a portable operating room, imaging equipment, generators and supplies to perform neurosurgery and treat trauma patients. The World Federation of Neurosurgical Societies could establish and support several MEU/MNU sites around the world. Telemedicine capabilities would allow remote consultation with specialists during disasters.
At TED, InSTEDD spoke about what has happened since Larry Brilliant's original TED prize with in 2006. You can catch up on the video here: http://www.youtube.com/watch?v=MNhiHf84P9c&p=10B65227B128E216&playnext=1&index=1
Presentation from the European Scientific Conference on Applied Infectious Disease Epidemiology (ESCAIDE), published by the European Centre for Disease Prevention and Control (ECDC)
Presentation at the Health Consumers Council Patient Experience Week Events, by Dr Carmel Crock and Ms Anita Deakin.
The Emergency Medicine Events Register is an "adverse event and near-miss reporting system that is peer-led, online, anonymous and confidential. It is a means of supporting improvement in safety and quality in emergency medicine by understanding of contributing factors and how the risk of harm to patients can be minimised or prevented."
See http://www.emer.org.au/
Israel has developed robust hospital surge capacity through centralized coordination of resources, standardized procedures, and regular drills. Key aspects of their system include nationally monitoring capacity, designating expandable facilities, coordinating EMS with hospitals, and clearing emergency departments promptly. While the US has made efforts to coordinate response through frameworks and organizations, it faces unique challenges due to its federal system, staffing shortages, and lack of national surge monitoring.
This document summarizes key aspects of providing medical care during and after disasters and complex emergencies. It outlines the timeline of needs from initial search and rescue through longer-term care. It describes how needs evolve from emergency surgery to rehabilitation, medicine for chronic diseases, addressing communicable diseases and public health issues. It emphasizes integrating health care with public health priorities around water, sanitation, nutrition and shelter. The document stresses considering patients' long-term needs beyond surgery and preparing for varying types and intensities of disasters while remembering that communities persevere.
This document discusses lessons learned from the 2014-2016 Ebola outbreak in West Africa. It provides background information on Ebola virus disease, including its symptoms, transmission, and history of outbreaks. It notes that while many countries committed to preparing for pandemics under the WHO International Health Regulations, few were fully prepared when Ebola emerged. The document discusses the roles of various organizations in responding to the outbreak, including militaries, NGOs, the UN, and clusters. It outlines strengths and weaknesses of military involvement in humanitarian aid. Finally, it quotes Bill Gates recommending that countries and alliances like NATO identify military resources available for future epidemics.
The document discusses sexual exploitation and abuse of children by UN peacekeepers and humanitarian workers. It describes the establishment of Keeping Children Safe, an organization committed to child safeguarding standards. While the UN has policies against sexual exploitation and abuse, cases continue to be reported in peacekeeping missions. Fully addressing the problem requires cooperation between the UN, troop contributing countries, and organizations to prevent abuse and support victims.
This document provides a summary of the existing literature on livelihoods, basic services, and social protection in South Sudan. It describes the devastating impact of the decades-long civil war, which killed millions and displaced many more. As a result, the new country faces immense challenges in rebuilding livelihoods and basic infrastructure. The summary reviews evidence on how the conflict affected livelihoods, health, education, and social services. It also identifies gaps in data and evidence that future research could address to help inform policies around recovery, development, and building state legitimacy in South Sudan.
This document discusses violence against healthcare workers in emergency departments. It notes that nursing staff in emergency departments face a greater risk of harm from violence than those in other clinical areas. Violent incidents can have rippling psychological and professional effects, including post-traumatic stress disorder, burnout, and nurses leaving the profession. While there is no absolute definition, violence generally presents as physical or non-physical acts. Contributing factors include long wait times, mental illness, and alcohol. The document recommends training programs in de-escalation, communication, and security measures to help address this issue.
Maureen Bisognano, President and CEO, Institute for Health Care Improvement.
See more on the 2013 NHSScotland Event website http://www.nhsscotlandevent.com/resources/resources2013/resources
Michael Fagan is a registered vascular ultrasound technologist with over 7 years of experience providing safe, high-quality patient care. He has expertise in vascular ultrasound exams and physiologic studies using equipment from Philips, Unetixs, and Parks. Fagan is skilled in diffusing difficult situations and presenting a calm demeanor. He seeks opportunities to provide coverage for critical functions and increase his learning.
Chapter 18
Legal Reporting Requirements
Learning Objectives
Describe various forms of child abuse, how to recognize it, and reporting requirements.
Describe various forms of elder abuse, how to recognize it, and reporting requirements.
Explain why it is important to report communicable diseases, adverse drug reactions, & infectious diseases.
Learning Objectives (cont’d)
Discuss the importance of reporting births and deaths.
Explain how & why physician incompetency is reported.
Understand the importance of incident reporting, sentinel events, & the purpose of root cause analyses.
Abuse
Abuse in the healthcare setting often occurs to those who are most vulnerable and dependent on others for care.
Abuse can take many forms, such as physical, psychological, medical, and financial.
Abuse is not always easy to identify because injuries can often be attributed to other causes.
Child Abuse
Intentional serious mental, emotional, sexual, &/or physical injury inflicted by family or other person responsible for care.
Child Abuse Prevention & Treatment Act (CAPTA)
Minimum standards states must incorporate in their statutory definitions of child abuse and neglect.
Child Abuse
Who Should Report
Healthcare setting
Administrators, physicians, interns, registered nurses, chiropractors, social service workers, psychologists, dentists, osteopaths, optometrists, podiatrists, mental health professionals, & volunteers in residential facilities
Penalties for failure to report
States vary on penalties
Child Abuse
How to Detect
Indicators of abuse and maltreatment that appear to be part of a pattern
Physical indicators
Bruises
Sprains
Fractures
Cigarette burns
Child Abuse
How to Detect (cont’d)
Behavioral indicators
Diminished psychological or intellectual functioning
Failure to thrive
No control of aggression
Self-destructive impulses
Decreased ability to think and reason
Acting out and misbehavior, or habitual truancy
Child Abuse (cont’d)
Good faith reporting
Psychologist Immune to Liability
Failure to report child abuse
Psychologist’s Failure to Report Abuse
Nurse’s Failure to Document and Report
Physician Entitled to Immunity
Child Abuse Can Be Elusive
Senior Abuse
Mistreatment: Results in Harm or Loss
It can involve
Physical & Sexual Abuse
Domestic & Psychological Abuse
Financial abuse
Neglect
Failure to provide needed care
Senate Select Committee on Aging
Less Likely to be Reported than Child Abuse
Most Instances of Senior Abuse
Repeated Events
Not One-Time Occurrences
Senate Select Committee on Aging (cont’d)
Victims are often 75 years of age or older, & women more likely to be abused than men.
Seniors often ashamed to admit their loved ones abuse them.
may fear reprisals if they complain.
Family members are resentful of a frail & dependent senior parent.
Majority of abusers are relatives.
Signs of Senior Abuse
Unexplained or Unexpected Death
Development of “Pressure S ...
Cardinal Tien Hospital is a teaching hospital with 1800 beds located in Xindian, Taipei. It focuses on medicine, teaching, and research and provides holistic care for patients' physical, mental, and spiritual needs through various services including preventative care, treatment for acute/chronic illnesses, long-term care, and hospice care.
Cathay General Hospital is a 826-bed medical center and teaching hospital in Taipei specializing in treating acute/severe diseases and cancer. It conducts clinical research and education to develop new medical technologies while supporting underserved areas.
The document provides an overview of two major hospitals in Taipei, Cardinal Tien Hospital and Cathay General Hospital,
This document discusses efforts to address mental illness, substance abuse, and homelessness in Bexar County, Texas. It outlines collaborative initiatives between various community agencies and stakeholders to divert individuals from the criminal justice system into treatment services through programs like the Crisis Care Center. Data is presented showing improvements in wait times and reductions in emergency room utilization and associated cost savings since implementing these diversion and jail diversion programs.
Wilderness Medicine in the Neotropics discusses the challenges of providing medical care in tropical developing countries. It notes limited local medical services and infrastructure. Outdoor groups must thoroughly research available evacuation options and be self-sufficient due to delays. Tropical diseases spread by mosquitoes, flies, parasites and water pose risks and require prevention strategies like insect protection and water treatment. Tropical wounds are common and can become infected. Venomous snakes, spiders and insects as well as water creatures also present risks. Staff require specialized tropical medicine and language training while carrying supplemental medical kits. Groups must effectively prepare clients through education and vaccinations. Being informed and respectful of the local environment and inhabitants is important for safe exploration.
The document outlines the administrative structure and emergency preparedness activities for hospitals responding to disasters. It describes the federal disaster response system and how hospitals fit within the incident command system (ICS). The key points are that hospitals should have an emergency operations plan (EOP) that delineates the six critical function areas of response, as well as annexes for specific hazards. The EOP and training staff in ICS roles are vital for ensuring an effective response.
2 fingers
below nipple line
Compression
rate
100-120/min
Compression
depth
At least 2 inches (5 cm)
Compression
release
Allow complete chest recoil after each compression
Compression
ventilation
ratio
30:2
Compression
only CPR
For lone rescuer when
airway, breathing,
circulation are
compromised
intermammary line
At least 1/3
anterior-posterior
diameter of chest
(about 1 1/2 inches
[4 cm])
At least 1/3 anteriorposterior diameter of
chest (about 1 1/2
inches [4 cm])
This document provides background information on disasters and the role of nurses in disaster response. It discusses how disasters have increased globally in recent decades, particularly impacting developing nations. Nurses are often first responders during disasters and play vital roles in areas like triage, care provision, and counseling. However, nurses need disaster-specific competencies to effectively respond. The International Council of Nurses aims to clarify the disaster nursing role and support training through a new framework of competencies described in this document.
This document defines human trafficking and discusses the role of healthcare providers. It begins by defining trafficking as involving force, fraud or coercion for the purpose of exploitation. Trafficking can involve labor or sex. Healthcare providers may encounter trafficking victims since around 28-50% of victims will see a provider while still captive. The document recommends screening patients privately for signs of trafficking such as untreated infections, injuries or confusion/fear. The Affordable Care Act supports screening and treatment that can help identify and support victims.
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6th International Disaster and Risk Conference IDRC 2016 Integrative Risk Management - Towards Resilient Cities. 28 August - 01 September 2016 in Davos, Switzerland
The Children are very vulnerable to get affected with respiratory disease.
In our country, the respiratory Disease conditions are consider as major cause for mortality and Morbidity in Child.
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
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“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Debunking Nutrition Myths: Separating Fact from Fiction"AlexandraDiaz101
In a world overflowing with diet trends and conflicting nutrition advice, it’s easy to get lost in misinformation. This article cuts through the noise to debunk common nutrition myths that may be sabotaging your health goals. From the truth about carbohydrates and fats to the real effects of sugar and artificial sweeteners, we break down what science actually says. Equip yourself with knowledge to make informed decisions about your diet, and learn how to navigate the complexities of modern nutrition with confidence. Say goodbye to food confusion and hello to a healthier you!
Nutritional deficiency Disorder are problems in india.
It is very important to learn about Indian child's nutritional parameters as well the Disease related to alteration in their Nutrition.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)MuskanShingari
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Ageing, the Elderly, Gerontology and Public Health
Assessment for possible intervention in the disaster area
1. Assessment for possible intervention in the disaster area Johan von Schreeb MD, PhD, Specialist general surgery Divisionen for Global Health (IHCAR), Karolinska Institutet, Stockholm, Sweden