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This book is the first to address specifically the mechanisms and treatment of orthopedic injuries due to natural disasters and other mass casualty events. Casualty management is discussed in a range of contexts, from earthquakes and tsunamis to terror attacks and combat situations. Organizational aspects are addressed, general treatment principles are documented, and the management of a variety of orthopedic injuries is described with the aid of numerous illustrations. The book will serve as an invaluable source of practical knowledge for a broad spectrum of medical and other staff, including emergency personnel, orthopedic and trauma surgeons, general practitioners, medical students, and professionals working for the military, government bodies, and NGOs.​
Global Orthopedics: Caring for Musculoskeletal Conditions and Injuries in Austere Settings was conceived and written to be a unique reference for surgeons working in resource-limited environments. The first sections provide historical background, global public health perspectives of orthopedics, the role of culture, and a broad discussion of clinical topics that orthopedic surgeons rarely deal with in high-resource settings but that affect orthopedic care. Adult and pediatric trauma are presented in an anatomical format for easy reference, with a focus on the natural history and the best treatment methods within existing limitations. The chapters on musculoskeletal infections provide a focused discussion about these common debilitating conditions that is unavailable in any other single modern text. The non-infectious pediatric conditions section has been written for the non-specialist to handle selected developmental and early childhood orthopedic problems commonly seen in low-resource settings. Detailed chapters on reconstruction surgery, tumor management, amputations, and the orthopedic needs in the face of conflicts and natural disasters round out the text.
This book, written by members of the core faculty responsible for European courses on Medical Response to Major Incidents (MRMI), is a practical guide for all medical staff on how to respond to a wide range of disaster scenarios. The entire spectrum of knowledge is covered, from command and coordination through to the management of individual casualties. Central importance is attached to the key component of decision making by explaining what needs to be done for patients in particular situations and the required order and timing of treatment measures. Simplified methods receive due attention, as it is often necessary for medical staff to administer primary treatment outside of their own specialty. This book will prove an invaluable aid to all who may be involved in the response to major accidents and disasters, including medical and nursing students, ambulance crew, and military personnel as well as medical specialists.
The pressure of climate change, environmental degradation, and urbanisation, as well as the widening of socio- economic disparities have rendered the global population increasingly vulnerable to the impact of natural disasters. With a primary focus on medical and public health humanitarian response to disasters, Public Health Humanitarian Responses to Natural Disasters provides a timely critical analysis of public health responses to natural disasters. Using a number of case studies and examples of innovative disaster response measures developed by international agencies and stakeholders, this book illustrates how theoretical understanding of public health issues can be practically applied in the context of humanitarian relief response. Starting with an introduction to public health principles within the context of medical and public health disaster and humanitarian response, the book goes on to explore key trends, threats and challenges in contemporary disaster medical response. This book provides a comprehensive overview of an emergent discipline and offers a unique multidisciplinary perspective across a range of relevant topics including the concepts of disaster preparedness and resilience, and key challenges in human health needs for the twenty-first century. This book will be of interest to students of public health, disaster and emergency medicine and development studies, as well as to development and medical practitioners working within NGOs, development agencies, health authorities and public administration.
Now in a revised and expanded second edition, this unique text discusses the opportunities and challenges to the practice of orthopedic surgery in resource-limited environments around the world. Sensibly divided into thematic sections, part I examines barriers to care, from the poorly recognized global burden of orthopedic conditions and the less than ideal equipment to the cultural considerations and ethical dilemmas inherent in such situations. General clinical topics are covered in part II, such as non-surgical approaches and anesthesia, while the remaining sections discuss adult and pediatric trauma, presented in an anatomical format for easy reference with a focus on the natural history and the best treatment methods within existing limitations, followed by musculoskeletal infections, non-infectious pediatric conditions, reconstruction, and amputations. Topics new to this edition include the management of non-unions by induced membrane techniques, autologous bone grafting, bone growth and burn charts, the management of neck and back pain, and principles of orthopedic rehabilitation. Written and edited by experts with years of experience working in austere settings, this second edition of Global Orthopedics is a seamless transition from the original and expands the range of possible management strategies in places desperate for orthopedic care, making it a must for all surgeons and practitioners planning to work in such challenging settings.
As a backdrop of the Sustainable Development Goals (SDGs) (2016-2030), the United Nations pointed out that more than 6 million children still died before the age of five by 2015. At least 1.8 billion people across the world still consumed fecally contaminated drinking water and 2.4 million lacked access to basic sanitation services such as toilets or latrines, while nearly 1,000 children died every day of preventable water and sanitation-related diarrhoeal diseases. Rural areas fare far worse: Children in rural areas are about 1.7 times more likely to die before their fifth birthday as those in urban areas. About 16 per cent of the rural population do not use improved drinking water sources, compared to 4 per cent of the urban population. About 50 per cent of people living in rural areas lack improved sanitation facilities, compared to only 18 per cent of people in urban areas. Far too many one-off rural on-site public health knowledge transfer projects fail to deliver results in the long run, and the knowledge in question cannot be retained in the rural communities after the NGO and development workers are gone. In addition to external constraints, this is often due to a lack of theoretical understanding among NGO practitioners and volunteers and basis for evaluation and improvement of health relief programmes. Based on public health theories and illustrated by relevant examples, this book introduces how health, emergency and disaster preparedness education programmes could be organised in remote rural Asia, which could become useful reference materials for organisers and volunteers of rural development projects. This book is an introductory to intermediate level textbook and reference book for healthcare professionals, fieldworkers, volunteers and students who are interested in promoting health and emergency and disaster risk reduction. The book is developed from the experience and insights gained from the long-established CCOUC Ethnic Minority Health Project in China. It also incorporates new lessons from CCOUC's recent projects in Asia countries like Bhutan, Nepal and Democratic People's Republic of Korea.
This book discusses the emergency management of orthopaedic injuries. Beginning with an introduction to fractures and dislocations, topics include orthopaedic infections, open fractures, long bone fractures, acute spinal injuries and hand injuries. Additional chapters discuss injuries stemming from gunshots and both natural and man-made disasters. Differences in prehospital care for orthopaedic trauma in developed versus developing countries are examined, as are the different aspects of first aid treatment at the roadside versus emergency treatment in the casualty room.
First multi-year cumulation covers six years: 1965-70.
Field hospitals are deployed in a wide range of scenarios including natural disasters, epidemic outbreaks, armed conflicts and refugee crises. Operation in these conditions requires adaptation to disaster medicine principles and operation in an austere environment and unfamiliar cultural milieu, whilst maintaining acceptable standards of care. For many of those involved it may be their first encounter. This book, which is the first to address the preparation and operation of field hospitals, brings together the experience of world leaders in the field. Coming from a wide variety of organizations and backgrounds, all have extensive experience in field hospital deployment in multiple scenarios. The text - containing both background information and practical guidelines - will serve all those involved in field hospital deployment, including policy makers and planners, physicians and nurses, paramedical professionals and logisticians. It will help them deliver optimal care to people around the globe in difficult times of need.