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Emergency with Resiliency Equals Efficiency – Challenges of an EMT-3 in Nepal

Published online by Cambridge University Press:  15 November 2018

Avraham Yitzhak*
Affiliation:
Israel Defense Forces, Medical Corps, Tel Aviv, Israel
Ofer Merin
Affiliation:
Shaare Zedek Medical Center, Jerusalem, Israel
Jonathan Halevy
Affiliation:
Shaare Zedek Medical Center, Jerusalem, Israel
Bader Tarif
Affiliation:
Israel Defense Forces, Medical Corps, Tel Aviv, Israel
*
Correspondence: Col. Avraham Yitzhak, MD, MHA Surgeon General of the Southern Command Medical Corps, Southern Command Yosef Serlin St. 12 Beer Sheva, Israel E-mail: [email protected]

Abstract

The 7.8 MW (moment magnitude scale) earthquake that hit Nepal on April 25, 2015 caused significant casualties and serious damage to infrastructure.

The Israeli Emergency Medical Team (IEMT; later verified as EMT-3) was deployed 80 hours after the earthquake. A Forward Disaster Scout Team (FDST) that was dispatched to the disaster area a few hours after the disaster relayed pre-deployment information.

The EMT staff was comprised of 42 physicians. A total of 1,668 patients were treated. The number of non-trauma cases increased as the days went by. The hospitalization rate was 31%. Wound debridement procedures were the most common operations performed.

YitzhakA, MerinO, HalevyJ, TarifB. Emergency with Resiliency Equals Efficiency – Challenges of an EMT-3 in Nepal. Prehosp Disaster Med. 2018;33(6):673–677.

Type
Field Report
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. Government of Nepal. “Incident Report of Earthquake 2015.” Nepal Disaster Risk Reduction Portal. 2015. http://drrportal.gov.np/. Accessed March 1, 2018.Google Scholar
2. Basnyat, B, Tabin, C, Nutt, C, Farmer, P. Post-earthquake Nepal: the way forward. Lancet Glob Health. 2015;3(12):e731-732.Google Scholar
3. Tarif, B, Merin, O, Dagan, D, Yitzhak, A. Planning the unplanned: the role of a forward scout team in disaster areas. Int J Disaster Risk Reduct. 2016;19:25-28.Google Scholar
4. World Health Organization. Emergency Medical Teams - World Health Organization EMT Initiative. Published November 2016. http://www.who.int/hac/techguidance/preparedness/emergency_medical_teams/en/. Accessed March 1, 2018.Google Scholar
5. World Health Organization, Global Health Cluster. Classification and Minimum Standards for Foreign Medical Teams in Sudden Onset Disasters. Geneva, Switzerland: World Health Organization; 2013:27-28.Google Scholar
6. Zhao, B. April 2015 Nepal earthquake: observations and reflections. Natural Hazards. 2016;80(2):1405-1410.Google Scholar
7. Kreiss, Y, Merin, O, Peleg, K, et al. Early disaster response in Haiti: the Israeli field hospital experience. Ann Intern Med. 2010;153(1):45-48.Google Scholar
8. Bar-Dayan, Y, Leiba, A, Beard, P, et al. A multidisciplinary field hospital as a substitute for medical hospital care in the aftermath of an earthquake: the experience of the Israeli Defense Forces Field Hospital in Duzce, Turkey, 1999. Prehosp Disaster Med. 2005;20(2):103-106.Google Scholar
9. Halpern, P, Rosen, B, Carasso, S, et al. Intensive care in a field hospital in an urban disaster area: lessons from the August 1999 earthquake in Turkey. Crit Care Med. 2003;31(5):1410-1414.Google Scholar
10. Bar-Dayan, Y, Beard, P, Mankuta, D, et al. An earthquake disaster in Turkey: an overview of the experience of the Israeli Defense Forces field hospital in Adapazari. Disasters. 2000;24(3):262-270.Google Scholar
11. Schwartz, D, Goldberg, A, Ashkenasi, I, et al. Prehospital care of tsunami victims in Thailand: description and analysis. Prehosp Disaster Med. 2006;21(3):204-210.Google Scholar
12. Bar-On, E, Abargel, A, Peleg, K, Kreiss, Y. Coping with the challenges of early disaster response: 24 years of field hospital experience after earthquakes. Disaster Med Public Health Prep. 2013;7(5):491-498.Google Scholar
13. Merin, O, Blumberg, N, Raveh, D, Bar, A, Nishizawa, M, Cohen-Marom, O. Global responsibility in mass casualty events: the Israeli experience in Japan. Am J Disaster Med. 2012;7(1):61-64.Google Scholar
14. WHO FMT. WHO Nepal Earthquake 2015 Foreign Medical Team Coordination Meeting. Geneva, Switzerland: World Health Organization; 2015.Google Scholar
15. WHO. Updates Global Health Cluster. http://www.who.int/hac/global_health_cluster/fmt/en/. Accessed March 1, 2018.Google Scholar
16. Bar-On, E, Blumberg, N, Joshi, A, et al. Orthopedic activity in field hospitals following earthquakes in Nepal and Haiti: variability in injuries encountered and collaboration with local available resources drive optimal response. World J Surg. 2016.Google Scholar
17. Merin, O, Kreiss, Y, Lin, G, Pras, E, Dagan, D. Collaboration in response to disaster--Typhoon Yolanda and an integrative model. N Engl J Med. 2014;370(13):1183-1184.Google Scholar
18. Neumayer, E, Plümper, T. The gendered nature of natural disasters: the impact of catastrophic events on the gender gap in life expectancy, 1981–2002. Ann Am Assoc Geogr. 2007;97(3):551-566.Google Scholar
19. Merin, O, Ash, N, Levy, G, Schwaber, MJ, Kreiss, Y. The Israeli field hospital in Haiti--ethical dilemmas in early disaster response. N Engl J Med. 2010;362(11):e38.Google Scholar
20. Merin, O, Yitzhak, A, Bader, T. Medicine in a disaster area: lessons from the 2015 earthquake in Nepal. JAMA Intern Med. 2015;175(9):1437-1438.Google Scholar