WFNS Educational Course HISTORY

Neurosurgical Services For DisasterProf Yoko KatoDept. Of NeurosurgeryFujita Health UniversityJapan.

Natural DisasterTsunami 2004--IndiaLandslide 2007- Indonesia

Man Made DisasterRail Accident 2005-JapanBombing World Trade Centre. 1993 & 9/11

How to manage disaster?Example:

Wenchuan Earthquake (China)

Earth quakes500,000 earthquakes /year. Significant morbidity and mortality. More frequent than before . Eg: Wenchuan , Haiti , Chile

Head trauma : 2nd most common type of injury.Head injury : major cause of mortality.

8.0 on the Richter scale .Sichuan Province on May 12, 2008.

Caused Grave loss and deaths

More than 80,000 killed andover 3,00,000 injured.

GCS in 1281 cases

Waiting for rescue and transfer

Field hospital in Mianzhu

Temporary wards in Mianyang hospital

Temporary wards in Deyang hospital

After the earthquake, many patients escaped from the buildings in hospital.

Many victims were transferred to hospitals in Chengdu.

How to manage disaster?Pre disaster planningDisaster Mitigation Disaster preparednessNo role for a Neurosurgeon in this.

Post disaster management

How to Rescue?Domestic and

International aid

for the relief. (WHO, Red Cross, NGOs..)

Rescue Organization- Team workGOVERNMENTTROOPSMEDICAL TEAMSRESCUERSVOLUNTEERS

How to manage Patients?Triage To find patients who require most attentionTo refer to appropriate medical facility.

Classification:Lightly InjuredSeriously InjuredCritically injured

Role of a NeurosurgeonFirst line of management :

Categorize the patients

How to use man power?Head of the Department supervises

3 units

Experiences from Wenchuan earthquake1 frontline medical stations: first aid

2 medical team or local hospital: basic treatment triage, observation, patient transfer, tackle emergency.

3 tertiary hospitals : comprehensive therapy ( antibiotics, fluid therapy, surgical therapy and physiological interventions )

EducationPre disaster MOCK DRILLSWFNS , FIENS and other courses.Online symposiums - skypePost DisasterTelemedicine / telesurgery Young Neurosurgeons a big role.Volunteer for working.

Conclusion Team work- Network- Domestic & InternationalEfficient use of manpower.Every hospital should have a disaster management plan.

PREVENTION IS ALWAYS BETTER.

Chart1911611029

Number (%)

Sheet1Number (%)GCS 3-891GCS9-12161GCS 13-151029To resize chart data range, drag lower right corner of range.