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INTRODUCTION Natural disasters provide a constant reminder of the power and capricious nature of our planet. The depletion of the ozone layer and global warming mean that the future may hold in store calamitous events with even greater magnitude than those ...

Learning objectives To recognise and understand: The common features of various disasters • The principles behind the organisation of the relief effort • and of triage in treatment and evacuation Learning objectives To recognise and understand: The common feat...

Limb salvage The Mangled Extremity Severity Score (MESS) and its modi - fications are useful in deciding about limb salvage. Extensive tissue loss, neurovascular damage and loss of long fragments of bone are traditionally indications for amputation. Curr ently...

Management in the field Field hospitals principally function in three main areas ( Table 33.2 ). Summary box 33.4 Essentials of casualty evacuation /uni25CF /uni25CF /uni25CF /uni25CF /uni25CF Retriage to upgrade priorities among the injured Select appropriate ...

Mobilising resources The next step is mobilisation of human and material resources appropriate to the extent of the disaster. Although all modes of transport need to be considered, helicopters provide the quick est access for the first responders ( Figure 33....

Necrotising fasciitis Necrotising fasciitis is a rapidly spreading infection that produces necrosis of the subcutaneous tissues and overlying skin. It is caused by β -haemolytic streptococci and, occasionally , Staphylococcus aureus , but may take the form of...

Organisation of emergency services Emergency services such as the fire brigade, police and ambu lance service must have defined roles and areas of responsibility to ensure a coordinated response during a crisis. Members of these teams must be included in the pl...

Rescue operation Early coordination of the rescue e ff ort allows optimal use of resources. The first priority is to prevent further damage from occurring, both to people and to the infrastructure. The types of injuries encountered by rescue workers depend on ...

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