Building awareness – be ready to strengthen national response mechanism: different actor’s lessons with experiences to improve preparedness - PART 2
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Building awareness – be ready to strengthen national response mechanism: different actor’s lessons with experiences to improve preparedness - PART 2
- 1. INSARAG Medical considerations O. Hagon MD INSARAG Medical Working Group member
- 2. INSARAG • UNITED NATIONS • High international reputation • Well established (1991) • Well organized (Regional groups, focus point…) • Existing guidelines (languages) • Classification process (Peer review) (IEC;IER) • Pre-assessment and assessment • Mentoring system • Ongoing Working groups (Training, Medical…) • INSARAG community • “Successful story” ( XX teams classified)
- 3. INSARAG: Entry point • countries to require support of the international community Challenge: • Level of “emergency medicine included prehospital ” • Baseline = foundation
- 4. INSARAG Structure Management Search Rescue Logistic Medical
- 5. Medical supplement F11 INSARAG Guidelines • Improvement of quality for the victims and staff • Increase the requirements • Increase human resources and skills • Increase cost Decrease access for organizations to international deployment
- 6. Requirements (medical unit) • Organization • Human resources • Skills • Materiel and equipment • Training • Logistic
- 7. Organization • Military or paramilitary organization (army, Civil defence) • “Strong”organization • Logistic powerful • Hierarchy issues • Challenging “Decision making process”
- 8. Human resources • No mention of the type of professionals in the INSARAG Guidelines • Any worldwide standardization for education and competences • No existing competence • Lack of internal human resources within the organization itself (Doctors, Nurses, Advanced paramedics.. • Partnership with Hospitals or… • Gender balance
- 9. Skills • Any description in INSARAG Guidelines of the pre-requirements and the professional involved. • INSARAG Medical Working Group MWG) “speak about achievement”. • Difference international and national mission • Sometimes, it doesn’t exist in the country! • Medical Baseline in the country
- 10. Training • Any USAR INSARAG “certified” training • Any predefined contents of training courses (introduction / basic courses / in-service training) • MWG and Training WG are working on the “USAR First aid responders” course.
- 11. Materiel and equipment • Limited resource and support • Self sustainable • Autonomy (battery, electricity, oxygen…) • Specific • Storage • Medevac (specific, available in anytime) • Logistic constraints • ….
- 12. Logistic • Specialized • Autonomy • Availability during transit • Specific issues (Oxygen, narcotics…) • Expiration date, sterilization; battery cycle • Storage (Cool chain) • Dangerous goods IATA • Authorization of export/import • Manifest of equipment • Donation in kind • …