SlideShare uma empresa Scribd logo
1 de 16
ROLE OF CRITICAL CARE NURSES IN
                                               DISASTERS




                                                          Jamie Ranse          www.jamieranse.com
                                                       Assistant Professor     twitter.com/jamieranse
                                                      University of Canberra   youtube.com/jamieranse
                                                                               linkedin.com/in/jamieranse
http://lifelineenergy.org/blog/wp-content/uploads/2011/03/jap-11.jpg
definition
INTERNATIONAL
NATIONAL
HEALTH-AFFECTED DISASTER?
EDUCATION-PRACTICE
MISMATCH
WILL YOU ASSIST?
role




In-h
       o sp
               i t al
role: in-hospital

• What is your role?
  –   Little research / literature, therefore anecdotal
  –   Triage
  –   Decontamination
  –   Accommodate surge
surge capacity?
surge capacity?
                         180

                         160

                         140
Presentation Frequency




                         120            Total Influenza Presentations
                                        Mean Influenza Presentations
                                        Mean Total Presentations
                         100
                                        Mean Total Presentations - Excluding Influenza

                          80

                          60

                          40

                          20

                          0
                               Sun




                               Tue
                               Thu




                               Tue

                               Thu


                               Sun
                               Mon


                               Thu


                               Sun

                               Tue

                               Thu


                               Sun

                               Tue

                               Thu
                                 Fri




                                 Fri




                                 Fri




                                 Fri
                                Sat

                               Mon




                                Sat




                                Sat

                               Mon




                                Sat

                               Mon
                                 Fri




                               Wed




                               Wed




                               Wed
                               Wed




                               Wed




                                       Day
surge capacity?
surge capacity?
role



Ou
     t-of
         -h   os p
                     ital
WHAT WILL YOUR
      ROLE BE?
ROLE OF CRITICAL CARE NURSES IN
                                               DISASTERS




                                                          Jamie Ranse          www.jamieranse.com
                                                       Assistant Professor     twitter.com/jamieranse
                                                      University of Canberra   youtube.com/jamieranse
                                                                               linkedin.com/in/jamieranse
http://lifelineenergy.org/blog/wp-content/uploads/2011/03/jap-11.jpg

Mais conteúdo relacionado

Mais de Jamie Ranse

Research priorities in mass gatherings
Research priorities in mass gatheringsResearch priorities in mass gatherings
Research priorities in mass gatheringsJamie Ranse
 
Clinical governance aspects of mass gatherings
Clinical governance aspects of mass gatheringsClinical governance aspects of mass gatherings
Clinical governance aspects of mass gatheringsJamie Ranse
 
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...Jamie Ranse
 
Recommencing mass gathering events in the context of COVID-19: Lessons from A...
Recommencing mass gathering events in the context of COVID-19: Lessons from A...Recommencing mass gathering events in the context of COVID-19: Lessons from A...
Recommencing mass gathering events in the context of COVID-19: Lessons from A...Jamie Ranse
 
Novel respiratory viruses in the context of mass gathering events: A systemat...
Novel respiratory viruses in the context of mass gathering events: A systemat...Novel respiratory viruses in the context of mass gathering events: A systemat...
Novel respiratory viruses in the context of mass gathering events: A systemat...Jamie Ranse
 
Australian bush fire experience
Australian bush fire experienceAustralian bush fire experience
Australian bush fire experienceJamie Ranse
 
The 2018 Commonwealth Games Experience
The 2018 Commonwealth Games ExperienceThe 2018 Commonwealth Games Experience
The 2018 Commonwealth Games ExperienceJamie Ranse
 
Impact of mass gatherings on ambulance services and emergency departments
Impact of mass gatherings on ambulance services and emergency departmentsImpact of mass gatherings on ambulance services and emergency departments
Impact of mass gatherings on ambulance services and emergency departmentsJamie Ranse
 
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...Australian civilian hospital nurses’ lived experience of the out-of-hospital ...
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...Jamie Ranse
 
End-of-life care in postgraduate critical care nurse curricula: An evaluation...
End-of-life care in postgraduate critical care nurse curricula: An evaluation...End-of-life care in postgraduate critical care nurse curricula: An evaluation...
End-of-life care in postgraduate critical care nurse curricula: An evaluation...Jamie Ranse
 
Phenomenology: Moving from philosophical underpinnings to a practical way of ...
Phenomenology: Moving from philosophical underpinnings to a practical way of ...Phenomenology: Moving from philosophical underpinnings to a practical way of ...
Phenomenology: Moving from philosophical underpinnings to a practical way of ...Jamie Ranse
 
How do you actually care during a catastrophe?
How do you actually care during a catastrophe?How do you actually care during a catastrophe?
How do you actually care during a catastrophe?Jamie Ranse
 
Mass gatherings: Impacts on emergency departments
Mass gatherings: Impacts on emergency departmentsMass gatherings: Impacts on emergency departments
Mass gatherings: Impacts on emergency departmentsJamie Ranse
 
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...Australian civilian hospital nurses’ lived experience of an out-of-hospital e...
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...Jamie Ranse
 
Caring during catastrophe: How nurses can make a difference
Caring during catastrophe: How nurses can make a differenceCaring during catastrophe: How nurses can make a difference
Caring during catastrophe: How nurses can make a differenceJamie Ranse
 
Australian civilian hospital nurses' lived experience of the out-of-hospital ...
Australian civilian hospital nurses' lived experience of the out-of-hospital ...Australian civilian hospital nurses' lived experience of the out-of-hospital ...
Australian civilian hospital nurses' lived experience of the out-of-hospital ...Jamie Ranse
 
Trends in mass gathering health
Trends in mass gathering healthTrends in mass gathering health
Trends in mass gathering healthJamie Ranse
 
Impact of mass gatherings on emergency departments
Impact of mass gatherings on emergency departmentsImpact of mass gatherings on emergency departments
Impact of mass gatherings on emergency departmentsJamie Ranse
 
Health service impact from mass-gatherings: A systematic literature review
Health service impact from mass-gatherings: A systematic literature reviewHealth service impact from mass-gatherings: A systematic literature review
Health service impact from mass-gatherings: A systematic literature reviewJamie Ranse
 
The impact of mass gatherings on ambulance services and hospitals
The impact of mass gatherings on ambulance services and hospitalsThe impact of mass gatherings on ambulance services and hospitals
The impact of mass gatherings on ambulance services and hospitalsJamie Ranse
 

Mais de Jamie Ranse (20)

Research priorities in mass gatherings
Research priorities in mass gatheringsResearch priorities in mass gatherings
Research priorities in mass gatherings
 
Clinical governance aspects of mass gatherings
Clinical governance aspects of mass gatheringsClinical governance aspects of mass gatherings
Clinical governance aspects of mass gatherings
 
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...
The impact of Chemical, Biological, Radiological, Nuclear and Explosive event...
 
Recommencing mass gathering events in the context of COVID-19: Lessons from A...
Recommencing mass gathering events in the context of COVID-19: Lessons from A...Recommencing mass gathering events in the context of COVID-19: Lessons from A...
Recommencing mass gathering events in the context of COVID-19: Lessons from A...
 
Novel respiratory viruses in the context of mass gathering events: A systemat...
Novel respiratory viruses in the context of mass gathering events: A systemat...Novel respiratory viruses in the context of mass gathering events: A systemat...
Novel respiratory viruses in the context of mass gathering events: A systemat...
 
Australian bush fire experience
Australian bush fire experienceAustralian bush fire experience
Australian bush fire experience
 
The 2018 Commonwealth Games Experience
The 2018 Commonwealth Games ExperienceThe 2018 Commonwealth Games Experience
The 2018 Commonwealth Games Experience
 
Impact of mass gatherings on ambulance services and emergency departments
Impact of mass gatherings on ambulance services and emergency departmentsImpact of mass gatherings on ambulance services and emergency departments
Impact of mass gatherings on ambulance services and emergency departments
 
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...Australian civilian hospital nurses’ lived experience of the out-of-hospital ...
Australian civilian hospital nurses’ lived experience of the out-of-hospital ...
 
End-of-life care in postgraduate critical care nurse curricula: An evaluation...
End-of-life care in postgraduate critical care nurse curricula: An evaluation...End-of-life care in postgraduate critical care nurse curricula: An evaluation...
End-of-life care in postgraduate critical care nurse curricula: An evaluation...
 
Phenomenology: Moving from philosophical underpinnings to a practical way of ...
Phenomenology: Moving from philosophical underpinnings to a practical way of ...Phenomenology: Moving from philosophical underpinnings to a practical way of ...
Phenomenology: Moving from philosophical underpinnings to a practical way of ...
 
How do you actually care during a catastrophe?
How do you actually care during a catastrophe?How do you actually care during a catastrophe?
How do you actually care during a catastrophe?
 
Mass gatherings: Impacts on emergency departments
Mass gatherings: Impacts on emergency departmentsMass gatherings: Impacts on emergency departments
Mass gatherings: Impacts on emergency departments
 
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...Australian civilian hospital nurses’ lived experience of an out-of-hospital e...
Australian civilian hospital nurses’ lived experience of an out-of-hospital e...
 
Caring during catastrophe: How nurses can make a difference
Caring during catastrophe: How nurses can make a differenceCaring during catastrophe: How nurses can make a difference
Caring during catastrophe: How nurses can make a difference
 
Australian civilian hospital nurses' lived experience of the out-of-hospital ...
Australian civilian hospital nurses' lived experience of the out-of-hospital ...Australian civilian hospital nurses' lived experience of the out-of-hospital ...
Australian civilian hospital nurses' lived experience of the out-of-hospital ...
 
Trends in mass gathering health
Trends in mass gathering healthTrends in mass gathering health
Trends in mass gathering health
 
Impact of mass gatherings on emergency departments
Impact of mass gatherings on emergency departmentsImpact of mass gatherings on emergency departments
Impact of mass gatherings on emergency departments
 
Health service impact from mass-gatherings: A systematic literature review
Health service impact from mass-gatherings: A systematic literature reviewHealth service impact from mass-gatherings: A systematic literature review
Health service impact from mass-gatherings: A systematic literature review
 
The impact of mass gatherings on ambulance services and hospitals
The impact of mass gatherings on ambulance services and hospitalsThe impact of mass gatherings on ambulance services and hospitals
The impact of mass gatherings on ambulance services and hospitals
 

Último

Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowtanudubay92
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Sheetaleventcompany
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...Sheetaleventcompany
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...soniyagrag336
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 

Último (20)

Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 

Role of critical care nurses in disasters