Health emergency management in disasters and difficult conditions

Researcher and compiler: Dariush Panjeh Ali

Date of preparation: 25th of Farvardin 1401

Emergency Health Management in Disasters and Difficult Conditions

Dariush Panjeh Ali (Researcher and Producer)

Abstract:

Introduction: Given that emergency management works alongside the emergency clinical staff and does not have the right to interfere in the field of treatment and clinical measures, it is necessary to have complete familiarity with the tools, equipment, and general and specialized principles in emergency management in unusual and crisis conditions. This research project provides a general introduction to emergency management in disaster and crisis conditions, and the necessary requirements, as well as suggestions for greater efficiency of personnel and emergency and health management.

Materials and Methods: This research project and personal research have been carried out to the best of my ability and knowledge in the form of questions and answers, interviews, and the use of scientific sources.

Findings: The purpose of writing this work is that, given that at times in critical situations, an emergency manager needs volunteers in addition to Official forces are ready to serve for health services to patients, and in health centers or medical emergencies or any point, perhaps an individual or individuals need medical and health services from basic to specialized, but at that time, due to lack of manpower or the long distance to attend that medical center, this research plan has been prepared.

Important and noteworthy points: This work is only a research work and is only for study and in no way means interfering in health, hospital, emergency and medical affairs and treatment, and if any person uses it in any way, he must be accountable for his actions, and the producer of this research work, Dariush Panjeh Ali, does not have and will not have any customary, religious or legal responsibility, and in no way means economic and commercial efficiency.

Discussion and conclusion: It is worth mentioning that if according to the proposed plan, if people are always ready to provide assistance in accidents as a first priority It leads to mental peace for both oneself and other personnel and the injured, which as a general result, after mental peace, the necessary health and safety measures are taken, which in my opinion leads to at least a 40% increase in personnel efficiency and a reduction in parallel work and additional costs by at least 30%. Keywords: Management - Crisis - Emergency

Introduction: A person who is an emergency manager in accidents and crises must have completed scientific and operational courses in crisis management, disaster and risk management, and survival in nature and harsh conditions. Before forming an emergency management working group in accidents and crises, the following points must be considered and followed up: Points to note:

Always study the personnel file before employing personnel and place them in the appropriate position based on the documents, records, and physical and mental conditions of each individual.
Always hold technical and legal meetings with personnel and determine the duties and limitations of each job position by a legal expert, and provide training to prevent accidents that could lead to legal prosecution.
Personnel liability insurance should be prioritized and it should be ensured that personnel liability insurance is carried out and if not, follow up and ensure that it is carried out.
Always monitor the mental and physical health of personnel by examining the relevant expert and refer them for treatment if necessary.
The safety of personnel's workplace should be examined in every aspect and corrected if necessary.
Always anticipate and prepare replacement personnel for critical situations, and their list with their phone numbers should be made available to the shift manager.
Always keep a stock of necessary medical equipment and supplies and always store twice as much as needed as backup.
An emergency manager should be fully familiar with emergency drugs and equipment.
An emergency manager must complete a course in advanced first aid and, if possible, a basic medical emergency course.
An emergency manager must be familiar with all hospital departments and equipment, including fixed hospitals, field hospitals, and ambulances, and know how to use each in emergency situations.
An emergency manager must have a Level 2 motorcycle and ambulance driving license.
Complete supervision of hospital departments and regular monitoring of department personnel and managers, and if necessary, transfer and select a more qualified person to be responsible for the department.
Complete follow-up of instructions in the field of hospital and department management and preparation of reports to the superior on a weekly basis.
Holding regular and continuous meetings to identify challenges faced by personnel and departments and follow up to resolve them, taking into account legal considerations.
Pass a course in personality psychology and learn how to deal with clients and staff correctly.
If there are follow-up issues that have not yet been resolved, seek help from the hospital director in writing to resolve and return the issue.
All administrative and non-medical personnel, such as services, administration, and drivers, must be given a first aid course.
An emergency manager must take courses, however short, in educational management, human resource management, crisis management, disaster and risk management in the health sector, and an English conversation course.

It is worth noting that the management of each institution or emergency center can vary depending on its conditions and laws, of course, according to the laws of each region.

Findings: A proposed comprehensive database of medical emergencies, health and wellness in disaster and crisis situations, also known as: medical and health emergencies in difficult conditions. The purpose of this plan is that, given that in times of crisis, an emergency manager needs volunteers to provide medical and health assistance to patients, and in health centers or medical emergencies or any other place, individuals may need medical and health services from basic to specialized, but at that time, either the medical and health staff is not responsive to that crisis or accident, or the time gap to get to that medical center is too long. In these circumstances, the names and accessible telephone numbers of the volunteers, of course, in accordance with the laws and regulations of the Medical Emergencies Organization and the Medical System and Crisis Management of each region and by obtaining the necessary legal permits in every field and specialty, from paramedics to specialists in every medical field and health specialties, are prepared in advance and made available to the emergency management working group. People with mobile phones equipped with GPS, WhatsApp, and software that allows for video communication are informed of the location of the incident so that they can quickly reach that location and take emergency measures according to the laws, taking into account the facilities of that health or treatment center. It is worth noting that these people always have the following items ready in their bags so that they can use them in case of emergency (in a backpack, of course).

Required specialized equipment: Equipment for health workers and health workers up to PhDs: Vaccines required according to each region (which must be stored and transported in a cold box in compliance with the cold chain), drops and supplements, and diagnostic tests. Equipment for paramedics, paramedics, nurses, and emergency medical services, including equipment and supplies in a resuscitation trolley that is packed and packaged in small packages in each emergency medical center. Equipment for midwives and children: All equipment and supplies for a nursing resuscitation trolley, including a delivery set, an episiotomy set, and a dressing pack. Equipment for general practitioners: All nursing equipment and medications, including general medical equipment, such as an otoscope and rhinoscope, as well as equipment and medications required by a general practitioner according to the doctor's own diagnosis and the standards of an emergency medical institution. Laboratory science equipment, including a blood group diagnosis kit, a glucometer with a strip, PT, ESR, and CBC sample tubes, and materials required for With equipment such as 10cc, 5cc, and 2cc insulin syringes, alcohol swabs, gauze, urine sample containers, and feces. Common medical equipment for each field: All nursing equipment and medications, including general medical equipment such as otoscopes and rhinoscopes, portable ECG and sonography devices in the smallest size that can be connected to Android mobile phones or tablets, along with their own special equipment according to the needs of each region. General surgical equipment: General specialist equipment, including small surgical sets, cut-down sets, chest tube sets, and their own special equipment according to the needs of each region. Gynecological and obstetric equipment: General specialist equipment, including amniotomy sets, delivery sets, suture sets, portable Sony kits in the smallest size - gel. Orthopedic equipment: General specialist equipment, including portable splints and aluminum splints that can be changed It should be shaped (in the form of a roll) and special equipment according to the diagnosis of the orthopedic specialist. ENT (ear, nose and throat) specialist equipment: General specialist equipment including tracheostomy and cricothyroidotomy, plus special equipment according to the diagnosis of the specialist.

Specialist and eye surgeon equipment: General specialist equipment, including hand-held ophthalmoscopes and drops and medications required according to the specialist's diagnosis. Infectious and internal medicine equipment: General specialist equipment and medications required according to the specialist's diagnosis. Cardiologist equipment: General specialist equipment and medications required according to the specialist's diagnosis. Dermatologist equipment: General specialist equipment and medications required according to the specialist's diagnosis. Dentist equipment: General specialist equipment, including elevators and forceps, tooth extraction sets, and medications required according to the dentist's diagnosis. Physiotherapist equipment: ENS device, hot and cold packs, Swiss Ball exercise balls, and equipment such as springs, pulleys, slings, and portable light weights used for therapeutic exercises. Pediatrician equipment: General specialist equipment and medications required according to the specialist's diagnosis. Neurological specialist equipment: General specialist equipment and medications required for specialist diagnosis, including reflex hammer, ophthalmoscope, headlamp, round needle. Neurological specialist equipment: General specialist equipment and medications required for specialist diagnosis, including reflex hammer, ophthalmoscope, headlamp, round needle, including diagnostic forms and psychiatric tests. The generally required items that all individuals must carry individually and separately include: personal hygiene items, a place to store items in the form of a waterproof backpack, the size of which is selected according to each person's physical condition (according to the doctor's recommendation), an individual blanket or sleeping bag, washable eating utensils (steel), a ration of food for 5 nights and days, hygienic drinking water in a plastic bottle for 5 nights and days, suitable half-calf shoes, raincoats or ponchos, an individual, automatic, waterproof tent for one person, a survival bag and equipment for living in harsh conditions (individually), a first aid and first aid bag. It is worth noting that the equipment and supplies may be increased or decreased according to the rules of each institution or

There is a medical and health emergency center

and it varies.

Important and noteworthy points:

Before dispatching forces to the area

an emergency manager

must ensure the security of the area in every way

and this is done by talking and consulting with the police

of that area.

Note 1: After completing the medical emergencies, the emergency manager should request a summary of the situation from the team members, and after completing the work, send a written encouragement to all the people in the team via WhatsApp, which is both a thank you and an entry in their work file, and also record it in each person's smart chip identification card.

Note 2: After registering the volunteers, the working group should

request their documents and records

and after a complete legal review and confirmation of the documents and records of the people, and after checking their mental and physical health, an identification card will be issued to the people.

Note 3: The working group must request all registered and approved individuals to declare their readiness to volunteer on a monthly basis (10 days before the end of each month, 30 or 31 days), and the names of the individuals with their phone numbers should be recorded so that they have a list of individuals ready to serve each month. Important Note 4: Inform the participating individuals that if they have any problems and are not ready to participate in the plan, they should immediately inform the working group unit so that their names are removed from the plan. *Also, once a year, all participating individuals should be retrained according to the latest standards according to the laws and the professional and occupational field of each person to resolve any ambiguities and questions. *Also, a smart ID card should be issued to all individuals so that all their records and activities can be recorded in it. Conclusion: In addition to the above, experiences in accidents and crises have shown that time and speed are of the essence, and equipment can be of great help in saving the lives of the injured. After presenting the above, it can definitely be fruitful. Sources: * Principles of Nursing Care in Emergency. Hazrat Vali Asr (AJ) Medical Educational Center (Zanjan), Nursing Office Training Unit. Nematollah Soleiman Nejad. 2019 * Handbook of Laws and Regulations of the Emergency Surgical Department - Shahid Namazi Hospital, Shiraz. * Introduction to Surgical Instruments - Medical Engineering and Laboratory Equipment Monthly - December 2016 - Issue 189 - Engineer Ehsan Derakhshan Nia.

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*Pharmacy Technician - Dr. Mehran Maleki - 2011

*Research manuscripts, questions and answers, and interviews in the field of emergency management with experts from 2013 to 2014 - Dariush Panjeh Ali

* Pre-hospital first aid and rescue course manuscripts - Dariush Panjeh Ali 2009.

*Farsi Wikipedia 2017 to 2019

*Research questions and answers on the equipment needed in the field of medicine and health from experts - Dariush Panjeh Ali 2011 to 2019.