Medical Emergencies and Crisis

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Medical Emergencies and Crisis
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Mr. John Koldowski
Moderator

• PATA Managing Director-Strategic Intelligence
  Centre

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Dr. David Perl

• Chief Executive
• Docleaf
• UK

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If the unthinkable happened, would you know what
to do?Dr. David Perl, MB BSChief Executive,
Docleaf Ltd, London, UK
emergency planning crisis handling
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Medical Emergencies and Crisis
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Prof. Dr. Yahya Kisyanto, PhD.

• President
• Indonesia Travel Health Society
• Indonesia

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Medical Emergencies and Crisis
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MEDICAL EMERGENCIES CRISIS Prof.
Y.Kisyanto, MD, PhD, FACC Indonesian Travel
Health Society (ITHS) Jakarta-Indonesia
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ITHS INDONESIAN TRAVEL HEALTH
SOCIETY. APTHSASIA PACIFIC TRAVEL HEALTH
SOCIETY ISTMINTERNATIONAL SOCIETY OF
TRAVEL MEDICINE
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EMERGENCY A SUDDEN AND UNEXPECTED
HAPPENING THAT MAKES IT NECESSARY TO ACT
QUICKLY. CRISIS A TIME OF GREAT DANGER. ANY
SITUATION THAT MAY INTERFERE WITH ITS ABILITY
TO CONTINUE OPERATING NORMALLY.
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MEDICAL EMERGENCIES CARDIAC Heart Attack
LUNGS Acute Respiratory Distress Syndrome
(ARDS) LIVER Acute Liver Failure KIDNEY
Acute Kidney Failure STOMACH Massive Gastric
Bleeding ENDOCRINE Coma Diabeticum
NEUROLOGIC Stroke OVERDOSE Drugs TRAUMA
Accident
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PRE-HOSPITAL (ON THE SPOT) ASSESSMENT WHAT IS
THE LIFE THREAT. WHAT IS THE MOST
SERIOUS CONDITION
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HEART ATTACK CPR (CARDIO PULMONARY
RESUSCITATION) A (Airway) B (Breathing) C
(Circulation)
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ASSESSMENT RESPONSIVE? ARE YOU ALL RIGHT? IF
NO RESPONSE --gt CALL FOR HELP ! BLOW ON THE 1/3
BONY LOWER PART OF THE CHEST (PRECORDIAL
THUMP) ESTABLISH OPEN AIRWAY (A)
RESCUE BREATHING (B) CIRCULATION BY
CHEST COMPRESSION (C)
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CALL AN AMBULANCE FROM 911, 118, HOSPITAL,
TRAVEL CLINIC. IMMEDIATELY CPR, PREFERABLE BY 2
PERSONS, CONTINUED DURING TRANSPORTATION UNTIL
ARRIVING AT HOSPITAL.
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• CRISIS
• A TIME OF GREAT DANGER
• -ANY SITUATION WHICH MAY
• INTERFERE WITH ITS ABILITY
• TO CONTINUE OPERATING NORMALLY
• NATURAL CRISIS EARTHQUAKE
• MEDICAL EPIDEMIC
• MAN-MADE TERRORISM
• HOW DO WE MANAGE/ COPE IT?
• AWARE, ALERT, NOT PANIC !
• OPERATIONAL RESPONSE SAVE LIVES!

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SARS(Severe Acute Respiratory Syndrome) A NEW
EMERGING INFECTIOUS DISEASE CAUSED BY VIRUS
CORONA VIRUS INCUBATION PERIOD 2-10 DAYS
SPREADING THROUGH DROPLETS. SUSPECT CASE HIGH
FEVER, DRY COUGH, 10 DAYS CLOSE
CONTACT WITH SARS/ WITHIN 10 DAYS COMING
FROM AFFECTED AREA PROBABLE CASE ATYPICAL
PNEUMONIA. AFFECTED AREA CHINA, HONG
KONG, TAIWAN, VIET NAM, SINGAPORE, CANADA.
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• MEDICAL MANAGEMENT
• OBSERVATION IN ISOLATED ROOM
• IN SPECIAL DESIGNATED HOSPITALS.
• SYMPTOMATIC TREATMENT.
• MOSTLY (96) RECOVERED.
• MONITORING WITHIN 10 DAYS THE
• PERSONS, WHO WERE IN CLOSE
• CONTACT.

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SUMMARY IN MEDICAL EMERGENCIES
IMMEDIATELY DO WHAT YOU CAN ON THE SPOT.
CALL FOR HELP FROM DOCTOR/
NURSE/AMBULANCE IN CRISIS AWARE, ALERT,
NOT PANIC. WELL-PLANNED OPERATIONAL RESPONSE
SAVE LIVES.
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THE OPTIMIST SEES OPPORTUNITY IN EVERY
DANGER, THE PESSIMIST SEES DANGER IN EVERY
OPPORTUNITY. WINSTON CHURCHIL in CRISIS
It Wont Happen to Us ! PATA Publication
2003
THANK YOU