Emergency Department Samoa Tsunami 2009 a Victorian ... · Queensland Urban Search and Rescue ... General ED . Emergency Department ... EMA DoH National ...

Emergency Department

Samoa Tsunami 2009

a Victorian perspective

Joanne Grindlay


Samoan Tsunami

What happened

What we did

• Medical

• Logistical

What we learnt


29 September 2009

0648 : 8.3 earthquake

190 km SW of Samoa.

0719: 6m Tsunami

waves hit Samoa

20,000 people

affected along a 40km

stretch

163 Deaths –

particularly children


Impact areas

Southern Upolo South Eastern Upolo


Australian Response

Department of Foreign Affairs and Trade

AusAid

Emergency Management Australia

Queensland Urban Search and Rescue

SA, QLD, NSW and Victorian Health

Departments

• Medical, nursing and paramedic staff


AUSMAT Philosophy

Respect for the roles and views of the

locals

Support and teach and not take over

Operation does not impose views and plans

where possible

Awareness of issue of long-term sustainability

after the support is withdrawn

Empowering the local people to be part of the

immediate solution as well as the long-term

management

Maintaining the AUSMAT team’s own health and

well-being


Search


Field work

Emergency Department Hospital


Victoria Team

Paramedic Paramedic

Emergency Team

1 Paramedic

3 ED nurses

2 Emergency Physicians

Surgical Team

1 Paramedic

3 ED Nurses

2 Trauma Surgeons

Team Leader

DHS


Team

Function

Emergency Department Team Flexibility



850 presentations over 7 days

1060 during the Australian involvement


ED Wound Clinic


General ED


Procedural Sedation and Analgesia

Ketamine

Intranasal fentanyl


Respiratory

Emergency Department Surgical Team

Assisted in 101

operations

Wounds and

fractures

Emergency Department Wounds

Emergency Department Support


Logistics

Transport

Communication

Shelter

Food and water

Sanitation

Clothing/ PPE

Medical equipment

Emergency Department Accommodation

Emergency Department Accommodation


Food and water

Emergency Department But not all the time


Sanitation

Hand Gel

Emergency Department Clothing

Identification

Protection

Fit

Climate

Emergency Department Communications

Mobile phones

Local mobile

Satellite phones


Certification / Documentation

Passport

Registration

Insurance

Vaccination

Costs

Customs and

quarantine


Transport

Emergency Department Transport


Equipment


Equipment

Emergency Department Equipment


Looking forward

Emergency Department What else could have we taken?

Methoxyflurane

More fentanyl nasal atomisers

An anaesthetist

More hand gel

(and after yesterday – a dental kit)

Checklist personal equipment

Checklist medications and equipment


Extras


Training

Courses

APLS

EMST

MIMMS

USAR

AUSMAT

Agencies

EMA

DoH

National Critical Care

and Trauma

Response Centre


Recovery


Make

Connections

Emergency Department APLS Samoa


References / Links

Personal kit for deployment. Andrew Pearce, Annette

Holian, Robert Atkinson & Paul Lukin

http://www.surgeons.org/media/13937/Personal_kit

_for_deployment_R.Atkisnon_et_al_28.11.06.pdf

EMA: www.ema.gov.au/

AUSMAT: http://www.health.sa.gov.au

http://www.nationaltraumacentre.nt.gov.au/disaster/2011-

ausmat-courses

MIMMS

http://www.nationaltraumacentre.nt.gov.au/disaster/2011-ausmat-courses






Vaccinations

Diphtheria/Tetanus

Hepatitis A and B,

Measles/Mumps/Rubella,

Polio

Annual influenza

+/- Annual TB clearances


Questions?

Emergency Department Samoa Tsunami 2009 a Victorian ... · Queensland Urban Search and Rescue ... General ED . Emergency Department ... EMA DoH National ...

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