Le 14/10/2021 de 13:30 à 14:30
The role of PMR in Disasters settings: An Update
Fary Khan (Melbourne, Australie)
Objective : With increasing frequency of natural disasters and high prevalence of survivors with disabling conditions, there is greater focus on the importance of rehabilitation in disaster management. This presentation will highlight current developments in disaster rehabilitation; the evidence to support rehabilitation in emergency settings; the challenges faced in terms of skilled workforce, training and education needs; health systems and response, integration of Rehabilitation personnel into Emergency Medical Teams and the role of the International Society of Physical and Medical Rehabilitation in supporting local National Societies.
Material / Patients and Methods : Rehabilitation-inclusive management program is required at all phases of the disaster management continuum, which comprises: mitigation/prevention, preparation, response, and recovery phases. Rehabilitation plays a crucial role in natural/man-made disasters providing appropriate care to persons with previous and newly acquired complex injuries. It provides structure and standardization of care, aligned with a set of overarching principles to prepare, plan and provide effective and coordinated care during disasters.
Results : Recently, significant work has been undertaken to look at rehabilitation best-practice relevant to disasters settings in cohorts with traumatic brain injury, spinal cord injury, amputations and complex multi-trauma. Strong medical leadership and effective action from national and international bodies for comprehensive rehabilitation-inclusive disaster responses is required to strengthen national capacity, foster an environment of self-empowerment of rehabilitation medical personnel/teams and local health-services; and work in rehabilitation within defined coordination mechanisms in disaster-affected area. The World Health Organisation and other disaster-related organisations have established various initiatives to improve disaster response/rescue and field management. The main challenges remain timely and adequate coordinated response that supports an ‘overwhelmed’ local health system; processes and systems allowing for rapid rehabilitation triage of affected patients; provision of evidenced- based care in settings which are resource limited; trained experienced personnel on the ground and culturally and linguistically appropriate care.