CONF-24-Bart-Debeir.pdf

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1、BEFAST EMT initiativeMission Kirikan,TurkeyIntroductionHistoryuEarthquake in Hati u200000 deaths in a few secondsuDifficult organizationuDangerous uCountry without rulesProblemsuChaosThe entire world was sending helpFieldhospital african priestProblems:food/water/sleeping/.uNo rulesuNo accountabilit

2、yuNo pt.FileuQuality?uDegree in medicine?WHO SolutionEMTuEmergency medical teamsu911 for the worlduRules for dissastersRulesuRegistrationuMaterials and peopleuQualitielabel,JCI for fieldhospitalsuTestuLicenseuPT registrationuChecklist+inform consentuMedical file uArchiveBelgian EMT 2 Fieldhospitalu2

3、0 bedsuStaff:120 people(dokters,nurses,engineers,logisticians,uEmergencie departementuOR+SterilisationuICUuRXuLABuMaternity+pediatricsuBurnunituInfection controlLogistieksuMedical suplysuWateruFooduSleepinguElectricityuSatelite connectionuTriageSPOEDRXAPOTHEEKGYNOBVPE VPERECOVERYOKSTERIOPDOPD OPD PE

4、DOmkleedEarthquake turkeyStatisticsu50,096 deathsu115000 injuredu345000 flats distroyedu164000 houses distroyedu2,7 miljoen people homelessEMT StartsuBelgium goverment sends a fieldhospitaluVolunteers are calleduReconnaissance team flys to TurkeyuKirikanLogistical nightmareuIncomplete hospitaluNo me

5、dical supplysuNever testeduNever transported beforeuFirst flight in 2 daysMobilisation of BelguimuDefence fortransportationuPublic healt for suplysuHomeaffairs fortesting,packing,uPrivate sectoru.ResultuFirst plane left after 2 daysu1 plane a day,9 daysuHospital operational after 10 daysKirikanuCity

6、 of 60000 peopleulargest hospital in the areauTemperature at night-6uNo wateruNo electricityType pathologieuFirst rotation 1600 ptu160 surgical pt.uBurns,childerenuFractureuLaparatomieuC-sectionuWond infectionsuScabies,.SterilizationSterilizationHatiSterilization EMT fieldhospitalProblems to solveuN

7、othing was testeduNo Sterile setsuno consumbles(papier,soap,products,peelpack,)uNo staffuWe had to start operathing from day 1SolutionsuMedical emergency team from defenceuConsumbles for 3 daysuSterile instruments for 5 operationsu2 nurses and logisticien used to work in the fieluSingle use instrume

8、ntsuManuals to read in the planeuIndustryMurphys lawMurphyuAutoclave crashed with first bowie and dick testuWashing machine 1 hour lateru-5 in the sterilizationuBack up autoclave was between Brussel and TurkeySolutionsuHeating in the sterilisation 24/24uCalled a technician in BelgiumuStarted in a ha

9、ve day with theafricain autoclaveRobustex autoclaafAfrica autoclaveAdvantages/disadvantagesuIt works on electricity,gas,wood,oil,uEasy uManuallyuTime consuminguNo safety protocoluNo Quality protocoluNo peal packProcedureBelgian breweryuOthers made fun of our installationuTried to shut us downu.ResultuAl our test were gooduOnly country without sterilization problemsuAsked for helpTurkey in numbersuFieldhospital worked for 22 daysu3503 patintsu200 operationsu8 birthsuUsed 9 plainsuTransported 180tons medicalequipment