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Disaster Management: Mitigating Risks and Ensuring Resilience, Study notes of Physiotherapy

A comprehensive overview of disaster management, covering key concepts such as hazards, risks, and vulnerabilities. It delves into the different types of disasters, their causes, and the goals of disaster management. The crucial stages of disaster management, including mitigation, preparedness, response, and recovery, highlighting the importance of each phase in minimizing the impact of disasters. It also explores the role of physiotherapists in disaster management, focusing on victim evacuation techniques, cardiopulmonary resuscitation (cpr), and their involvement in medical centers for specific injuries like spinal cord injuries and amputations. This document serves as a valuable resource for understanding the multifaceted nature of disaster management and the various strategies and interventions employed to enhance community resilience.

Typology: Study notes

2017/2018

Uploaded on 08/02/2024

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DISASTER MANAGEMENT
Disaster has been defined by the UN as a serious disruption of the
functioning of a community or a society involving widespread human,
material, economic or environmental losses and impacts, which exceeds
the ability of the affected community or society to cope using its own
resources.
Hazard: It is a dangerous phenomenon or a physical condition that has
the potential to cause fatalities, injuries, property damage, loss of
livelihoods and services, social and economic disruption, or environmental
damage.
Risk: Likelihood Consequences (Therefore by decreasing either likelihood
or consequences incurred we may reduce the probable risk)
Vulnerability: The extent to which a community, structure, service,
and/or geographical area is likely to be damaged or disrupted by the
impact of particular hazard, depending on their nature, construction and
proximity to a disaster-prone
area.
TYPES OF DISASTER
1) Depending upon its nature of occurring
Natural Disaster: Result of natural phenomena Further classified on the
basis of origin.
Anthropogenic Disaster: Result of man's interaction with artificial
environment
Hybrid Disaster: Arises from linkage of man-made and natural events
2) Depending on the basis of onset
Sudden onset
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DISASTER MANAGEMENT

Disaster has been defined by the UN as a serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts, which exceeds the ability of the affected community or society to cope using its own resources. Hazard : It is a dangerous phenomenon or a physical condition that has the potential to cause fatalities, injuries, property damage, loss of livelihoods and services, social and economic disruption, or environmental damage. Risk : Likelihood Consequences (Therefore by decreasing either likelihood or consequences incurred we may reduce the probable risk) Vulnerability : The extent to which a community, structure, service, and/or geographical area is likely to be damaged or disrupted by the impact of particular hazard, depending on their nature, construction and proximity to a disaster-prone area. TYPES OF DISASTER 1 ) Depending upon its nature of occurring Natural Disaster : Result of natural phenomena Further classified on the basis of origin. Anthropogenic Disaster: Result of man's interaction with artificial environment Hybrid Disaster: Arises from linkage of man-made and natural events 2) Depending on the basis of onset Sudden onset

Rapid onset: Little or no warning Slow onset Damaging effects sustained Within hours or days Effects can persist for months Geological and Climatic Hazards: Earthquake, volcanic eruptions Creeping onset Slow onset Effects can persist for months Environmental Hazards: Drought, Famines CAUSES OF DISASTER

  • Geological or Climatic Changes
  • Poverty
  • Population Growth Rapid Urbanization
  • Transitions in Cultural Practices
  • Environmental Degradation
  • Lack of Awareness and Information
  • War and Civil Strife
  • Technology

MITIGATION :

  • Mitigation refers to all actions taken before a disaster to reduce its impacts on nation or community.
  • Mitigation = Prevention + Preparedness
  • Four vital tools that could be used to prevent or mitigate disaster  Hazard management and vulnerability reduction  Economic diversification  Political intervention and commitment  Public awareness PREPAREDNESS :
  • Preparedness refers to pre-disaster activities that are undertaken within the context of disaster risk management and are based on sound risk analysis. • It includes –  Emergency exercises / training  Emergency communication systems  Emergency personnel or contact lists o Warning systems  Evacuation plans and training  Mutual aid agreements  Public information / education  Disaster drills / Mock tests: Well planned, organized and coordinated. It can be scheduled periodic or unannounced. RESPONSE:
  • Disaster response is the sum total of actions taken by people and institutions in the face of disaster.
  • The focus is on meeting the basic needs of people until more permanent and sustainable solutions can be found.
  • Main Goal – Promotion of sustainable livelihood and their protection so as to enhance the capacity of the affected to deal with disasters and promote a rapid and long-lasting recovery.
  • Aims –  Survival of maximum number of victims

The word Triage is of French origin which means selection or categorization • Triage consists of rapidly classifying the injured on the basis of severity and likelihood of their survival with prompt medical intervention. Aim of Triage -  To identify priority cases  To organize, streamline case management  To minimize complications, and save limbs and organs  To utilize resources effectively

  • Components o Personnel: Responsible, knowledgeable, critical thinking, physical assessment skills - Physician, surgeon, nurses, physiotherapist, auxiliary staff. o Space requirement: Large enough to hold supplies, equipment and patients. It should be easily accessible. o Equipment and supplies: Tailor made for specific triage treatment protocol, should even include diagnostic assessment tools. o Communication and information: Direct link between incoming ambulances and emergency vehicles, closed circuit TV monitoring, computerized information storage, important phone numbers. o Documentation: Patients complaints, history, objective assessment, vital findings. Acuity rating-life threatening, urgent, semi-urgent, referral. ROLE OF PHYSIOTHERAPY IN DISASTER MANAGEMENT INTRODUCTION: Physiotherapists are well placed and have ideal qualificat i ons and training to optimize health and function in vulnerable populations thereby increasing their adaptability in adverse conditions during disaster. Physiotherapist can be a valuable asset not just in rehabilitation but also in mitigation and response stage too. VICTIM EVACUATION TECHNIQUES: Required to evacuate injured person from an emergency scene to a location of safety. Types of Lifts, Carries and Drags: One person  Tied Hands Crawl  One Person Arm Carry

 One Person Pack Strap Carry  Fireman’s Carry  Ankle Pull/Drag  Clothes Drag  Shoulder Pull Two person  Blanket Drag  Two Person Carry  Chair Carry  Two Handed Seat Carry  Four Handed Seat Carry  Human Crutch Three or more person  Three Person Carry  Improvised Stretcher Blanket Stretcher CARDIOPULMONARY RESUSCITATION (CPR) 2010 AHA guidelines for CPR: Consists of these main parts  Chest compressions  Airway  Breathing  Defibrillation PHYSIOTHERAPISTS ROLE IN MEDICAL CENTER IN CASE OF SCI (Tertiary care)  Reassure person with SCI and their family (Give them hope)  Tell them importance of breathing exercises  Encourage to stay active and use UL actively  Passive ROM of LL, ankle mobility to prevent DVT  Learn to handle LL with active use of UL  Educate caregivers about 2 hourly change in position to prevent bed sores  Guide for long sitting and high sitting  Teach bed side transfers, level transfers posteroanterior, lateral, pivot transfers, wheelchair transfers.