Conflict and Catastrophe Medicine : A Practical Guide

by Buma, Adriaan P. C. C. Hopperus; Burris, David G.; Hawley, Alan; Ryan, James M.; Mahoney, Peter F.

• ISBN13: 9781848003514
• ISBN10: 184800351X
• Edition: 2nd
• Format: Paperback
• Copyright: 2009-03-06
• Publisher: Springer Verlag

Summary

This 2nd updated edition is an entry-level text covering all aspects of deployment, not just medical or health-related, for use by health professionals in a resource-constrained environment brought about by local conflict or natural disasters. Since the 1st edition (2002), there have been seismic changes following the terrorist assault on the Twin Towers and the Pentagon. The Middle East, the Far East and parts of Africa are convulsed by conflict, verging on civil war. Colossal natural disasters have since occurred ' Tsunamis (SE Asia), Earthquakes (Iran, Turkey, and Pakistan), a Hurricane (Gulf of Mexico). The working environment for the prospective humanitarian volunteer has changed forever.The book covers preparation, organisation, logistics, treatment of major trauma and medical emergencies, and the problems of delivering medicine in hostile/remote environments. It bridges the fields of medicine, nursing, international relations, history, politics and economics and also touches on nutrition, infection, trauma, psychiatry, and psychological medicine, and training.

Author Biography

Adriaan P.C.C. Hopperus Buma, Netherland Convenor for Diploma in the Medical Care of Catastrophes (DMCC); Medical Services, Royal Netherlands Navy, Amsterdam, The Netherlands David G. Burris, Professor Chairman, Department of Surgery, United Services University of the Health Sciences, Bethesda, MD, USA Alan Hawley OBE, Director, Conflict Catastophe Faculty, Society of Apothecaries; Major General, DGAMS, UK James M. Ryan, Leonard Cheshire Professor, University College London, London, UK Peter F. Mahoney OBE TD, Defence Professor Anaesthesia, Royal Centre for Defence Medicine, Birmingham, UK

Table of Contents

Introduction: Players and Paradigms
Baghdad Christmas	p. 3
New Paradigms: The Changed World Since 9/11	p. 5
The World Seems to be Crumbling Around Us	p. 13
The Spectrum of Conflict	p. 17
The Players: Humanitarians, Militaries, Industry and Private Security Companies
Humanitarian Organizations and Their Coordination in Humanitarian Assistance	p. 31
Military Medical Assistance to Civilian Health Sectors	p. 49
Private Security Companies and First-Line Care	p. 61
Oil and Gas: Industry in Remote and Volatile Areas	p. 70
Interfaces
Medical Ethics Is Never Easy	p. 75
Village Medical Outreach or Medcap: A Policy Perspective	p. 77
Conflict and the Media	p. 89
Remote Medicine	p. 101
Medicine at the Ends of the Earth: The Antarctic	p. 107
High Altitude	p. 114
Disasters, Public Health, and Populations
Disasters: An Overview	p. 125
The London Bombings 7th July 2005: Forward Medical Response	p. 143
Responding to Acute Humanitarian Crises: Health Needs Assessment and Priorities for Intervention	p. 151
The Military Approach to Medical Planning	p. 177
Health Risk Management Matrix: A Medical Planning Tool	p. 189
Surveillance and Control of Communicable Disease in Conflicts and Disasters	p. 197
Introduction	p. 197
Health Surveillance	p. 199
Health Planning in Action: Rwanda Crisis	p. 223
Health Planning in Action "Operation Phoenix": A British Medical Aid Program to Sarajevo	p. 241
Health Care of Prisoners and Detainees Maarten Hoejenbos and Adriaan Hopperus Buma	p. 251
Populations and People	p. 261
Introduction: Living and Working
Getting There and Being Involved
Hello Folks	p. 267
Getting Involved	p. 268
"R and R": Moving Between Worlds	p. 281
Team Building and Maintenance	p. 284
Safety and Security
Staying Safe and Effective: In a Humanitarian Context (Or as Safe as Is Reasonably Possible When You Know You Should Have Stayed at Home!!!)	p. 287
Thinking Ballistic: Aspects of Protection	p. 300
Mines and Weapons Awareness	p. 303
The Oil Camp	p. 306
Voices from the Field
Just a Word About Toilets	p. 315
Conflict Medicine: A View from the Ground	p. 317
Applied Communications in Conflict and Catastrophe Medicine	p. 323
Mental Health
Practical Psychological Aspects of Humanitarian Aid	p. 345
Psychosocial Resilience and Distress in the Face of Adversity, Conflict, Terrorism, or Catastrophe	p. 360
Requiem: Going Home	p. 374
Introduction: Hospitals and Health Systems
Conflict Recovery-Health Systems in Transition	p. 379
Eating an Elephant: Intervening in Hospitals	p. 391
Conflict Surgery: A Personal View	p. 393
Military Health Services Support in Conflict	p. 397
Military Medical Assistance to Security Sector Reform	p. 405
Hospital Blues	p. 413
Introduction: Clinical Care
Trauma and Surgery
Introduction: Scene-Setting	p. 417
Trauma and Triage	p. 418
Soft Tissues and Skeleton	p. 428
Ballistics and Blast	p. 438
Abdominal Complaints and Acute Surgical Emergencies	p. 446
Maxillofacial, Eye, and ENT	p. 462
Head Injury	p. 471
Anaesthesia and Analgesia	p. 478
Acute Medical Problems	p. 493
Women's Health	p. 527
Children's Health	p. 541
Conflict, Terrorism, and Disasters: The Psychosocial Consequences for Children	p. 553
Introduction: Resources
Materials and Information	p. 571
Checklists, Suppliers, and Specialist Advice	p. 571
Publications	p. 575
Internet	p. 579
Rehabilitating Diagnostic Laboratories	p. 591
Enablers and Confounders: Achieving the Mission	p. 597
Ministry Overlaps Within Health Sectors	p. 611
Accreditation in Field Medicine	p. 613
Humanitarian Work in the Era of Modernising Medical Careers	p. 619
Code of Behaviour	p. 625
Index	p. 627
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