Consensus statements regarding the multidisciplinary care of limb amputation patients in disasters or humanitarian emergencies: report of the 2011 Humanitarian Action Summit Surgical Working Group on amputations following disasters or conflict
| Autor: | Terri Skelton, Catherine M. Mullaly, Lynn Black, James E. Gosney, Allison F. Linden, Richard A. Gosselin, Adam K. Richards, Kelly McQueen, Colleen O'Connell, Smita Chackungal, Jason W. Nickerson, Eric L. Altschuler, Joshua Goldstein, Keita Ikeda, Anna L.R. Santos, Anthony D. Redmond, Frederick M. Burkle, Didier Demey, Andree Le Roy, Kathleen M. Casey, Lillian Di Giacomo, Lena E. Dohlman, Robert Rufsvold, David Crandell, Lisa M. Knowlton |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_treatment
Disaster Planning Emergency Nursing Violence Medical Records Disasters Nursing Amputation Traumatic Multidisciplinary approach Informed consent medicine Humans health care economics and organizations Patient Care Team Surgical team Rehabilitation Informed Consent business.industry Extremities Congresses as Topic medicine.disease Limb Salvage Mental health Patient Discharge Amputation Accountability Emergency Medicine Medical emergency business Disaster medicine |
| Zdroj: | Prehospital and disaster medicine. 26(6) |
| ISSN: | 1049-023X |
| Popis: | Limb amputations are frequently performed as a result of trauma inflicted during conflict or disasters. As demonstrated during the 2010 earthquake in Haiti, coordinating care of these patients in austere settings is complex. During the 2011 Humanitarian Action Summit, consensus statements were developed for international organizations providing care to limb amputation patients during disasters or humanitarian emergencies. Expanded planning is needed for a multidisciplinary surgical care team, inclusive of surgeons, anesthesiologists, rehabilitation specialists and mental health professionals. Surgical providers should approach amputation using an operative technique that optimizes limb length and prosthetic fitting. Appropriate anesthesia care involves both peri-operative and long-term pain control. Rehabilitation specialists must be involved early in treatment, ideally before amputation, and should educate the surgical team in prosthetic considerations. Mental health specialists must be included to help the patient with community reintegration. A key step in developing local health systemsis the establishment of surgical outcomes monitoring. Such monitoring can optimizepatient follow-up and foster professional accountability for the treatment of amputation patients in disaster settings and humanitarian emergencies. |
| Databáze: | OpenAIRE |
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