DISASTER MANAGMENT,By Dr Milind kahile,History &

Introduction to disaster management with role of physiotherapy, community base rehabilitation frame work

1. DISASTER MANAGEMENT Dr. Milind Kahile community(PT) DIS :=BAD ASTER:=STAR

2. Porpose of study At the end of lecture student should know, disaster definition, types of disaster, strategic plan to deal with disaster and role of physiotherapy during disaster.

3. LEARNING OBJECTIVE Sr no Learning objective domen Level criteria 1 Definition of disaster cognitive Must know ALL 2 Types of disaster cognitive Must know All 3 Strategy to deal with disaster Cognitive and psychomotor Must know All 4 Role of physiotherapy in disaster management cognitive and psychomotor Must know All

4. DEFINITION WHO ‘s Definition of disaster is ”any occurrence that causes damage ,economic disruption , loss of human life or deterioration of health services on a scale sufficient to warrant an extra ordinary response from outside the affected community or area PREVENTIVE AND SOCIAL MEDCINE. K.PARK 21 st edition

5. DISASTER: Means catastrophe mishap ,calamity or grave occurrence in any area ,arising from natural or man made causes or by accident or negligence which results in substantial loss of life or human suffering or damage to property or damage to degradation of environment and is of such a nature magnitude as to beyond the coping capacity of the community of the affected area TEXTBOOK OF COMMUNITY MEDICINE BY SUNDAR ET AL

6. DEFINATION Disaster is a crisis situation that for exceeds the capabilities QUARENTLLY (1985)

7. INTRODUCTION Statistical gathered data since 1969 shows rise in the number of people Affected by disaster. Disasters are not confined to a particular part of the world they can occur any where at any time. Emergency and disasters do not only affect the health and wellbeing of

8. people Frequently large number of people are displaced , killed or injured or subjected to a greater risk of epidemic . Disaster cause a great harm to the existing infrastructure and threaten the future of sustainable development .

9. IINTRODUCTION The whole morbidity which results from the disaster situation can be classified into four types : Injuries emotional stress Epidemic disease Increase in indigenous(native) disease

10. TYPES OF DISASTERS 1)NATURAL DISASTER : earthquakes, cyclones, floods, tidal waves, land slides, volcanic eruption, tornadoes', fires ,hurricanes ,snow storm , severe air pollution ,heat waves 2)MAN MADE DISASTER : Release of hazardous substances ,civil wars, building collapse , nuclear reactors ,railway accidents , mine accidents STUDY BY QUARENTELLY

11. FLOWCHART

12. ROLE OF PHISIOTHERAPIST Primary Role : ACUTE ORTHOPEDIC TRAUMA RESPIRATORY CARE WARD SETTING STUDY BY ROSALIND M. HARRISONS

13. Physiotherapist is an interagralpart of an interdicipliniery team Quick assessment b)Safe evacuation& transportation to nearest medical center c)Liaising with medical team and family for monitoring healing and progress d)Educating local health care workers---teaching and training. f)At all stages boosting morale of person who has sustained injury ,persons, family and care givers

14. TRIAG The process of triage is used to segregate patients into categories. Highest priority Secondary priority Least priority Respiratary arrest ,airway obstruction,sever breathing diffculties . Sever burns Minor bleeding Cardiac arrest( respiratory arrest detect first) Injuries to spine Minor fracture and minor soft tissue injuries Uncontrolled sever bleeding Moderate bleeding Moderate and minor burns Sever head injuries Conscious patent with head injuries Burn Open chest wounds Multiple fracture Obvious death Open abdominal wounds Handling body parts,immoblizing injuried parts, Sever shock trans technique to tOrthosis and splint Burns involving the respiratory tract Sound transfer trechnique to transfer SI,fracture Stroke, myocardial infraction,poisoning Unconciousness .

15. Physiotherapy in spinal cord injuryacute /sub acute Physiotherapist as part of disaster management make a rapid evaluation of vital signs, level of consciousness, immobilizations of the spine to preserve neurological function Doing log roll and turn person side by sides. put fir board along the spine, Preventing a spine getting flexed Apply steady, but gentle traction to head and neck, with hands on each side of jaws. A stiff rack is better than soft stretcher.

16. Man injuries times incomplete spinal cord become complete spinal cord injuries by improper handling, especially, flexing body and transporting in autos ar small vehicles where body is flexed avoid bending neck and back at all cost.

17. Key principles for inclusive risk management 1. Disability is a transversal criterion. Inclusion of disability can only be achieved through a holistic “vulnerability” analysis of the entire society. The aim is to build an inclusive equitable society in which all people are included in mainstream development and not targeted as vulnerable. 2. Awareness raising about disability issues 3. Non-discrimination 4. Accessibility 5. Involving people with disabilities and their organizations 6. Community Based Rehabilitation: 7. One size does not fit all.

18. Awareness raising People with disabilities are generally not considered, especially not in a situation of poverty and or disaster. Lack of awareness about disability issues makes people with disabilities invisible for those who plan for the reduction of community vulnerability to natural hazards

19. Non discrimination People with disabilities must have the same opportunities to benefit from programs, services, and activities as people without disabilities.

20. Involve people with disabilities & their organizations in all stages of disaster management People with disabilities are the most knowledgeable about their own needs & are generally the best source of expertise on what does and does not work for them.

21. Community Based Rehabilitation CBR programs strengthen local capacity to act and ensures that people with disabilities are involved in all disaster related activities plans, implementation, monitoring and evaluation.

22. One size does not fit all People with disabilities do not all have the same needs and require the same assistance. • Different types of functional limitations affect people in different ways. • Different functional limitations require different solutions: e.g. some individuals will need mobility aids, others medication or portable medical equipment, some a caregiver, service animals, or information in alternate formats.

23. summary As we know managing a disaster is a complex task so it will be easy if we have comprehensive approach. Toady we have seen definition of disaster with its different types like man made and natural. tailored approach to manag disaster with triage in which they explain about different priorities. Specific roll of physiotherapist during disaster managment assessment segeration ortopedic trauma, ward setting last but not least key principle managment

24. Conclusion • Most major disasters happens in remote areas of low income countries • Standardized data collection • Inclusive risk management • Prepare civil society for emergencies • Link short term with long-term development • Use Information & Technology • Strengthen & reinforce relevant laws • Strengthen Inclusive Research

25. REFERENCES Prevention practices and community physiotherapy by dr bharti vijay bellare David Werner: disabled village children: a guide for community health workers David Warner where there is no doctor a village health care hand book Lavnya bachwal , gur g ray residential interior design for elderly

26. EVERY YEAR SECOND WEDNESDAY OF OCTOBER HAS BEEN DESIGNATED AS WORLD DISASTER REEDUCATION DAY… THANK YOU !!!!!