Deployed to Banda Aceh The Problems Experienced

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Deployed to Banda Aceh-The Problems Experienced

• Dr Andrew Pearce
• Emergency/Trauma/Retrieval Consultant
• Royal Adelaide Hospital

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Prof Brendon Kearney
Bali I
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What are the problems?

• Risk vs threat
• Team identification and composition
• Credentialing
• Equipment
• Medical, physical, immunisation
• Multiple hats
• Where to next?

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The old boy system

• Time taken to identify a team
• How? Word of mouth
• No preset lists or prepared teams
• Once identified how much notice to move?

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The real world

• Release from work
• Prior commitments
• On leave, cover
• Conditions of service pay/leave?

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Succession planning

• How selected prior experience?
• Training for role?
• Other skills for team?

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Military-civilian interface

• Military system
• Training, medical, physical, equipment
• Weapons

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Team Echo problems

• Intel
• Communications
• Equipment
• Immunisations
• Training
• Mandate

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Team Echo Problems

• You arrive in a foreign country at dawn
• Its hot, dark, raining
• You dont speak the language, there is no-one
  there to meet you
• You dont have transport
• You havent slept or eaten properly in last few
  days

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You are just about to get on a plane for
wherever, for whatever, for how long?
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Need to do something about it?

• Java
• Solomons
• East Timor
• Indonesia

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What is being done?

• SA DoH CMO Prof Chris Baggoley
• Wendy Scheil, Bob Hegarty
• Funding although small
• Information night
• Volunteer application forms
• Database
• Team training

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Team Health and Safety

• Imperative
• Evacuation of team
• Protection of team
• Team health aspects

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Clinician role

• Imperative
• Equipment
• Training
• Skill mix
• Team composition
• Research (Aitape)

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EMA lessons learnt

• Review AusAssistPlan in conjunction with all
  plans / planning framework.
• Clarification of (Roles and) Responsibilities
  required
• Focus on Ad Hoc Emergency Response
• SOPs
• National register of team members required
• Handover procedures and checklists required
• Pre-deployment briefing cultural / social
• Interpreter support
• Graduated program of (training) exercises
  required
• Review training
• Secure internal database to be set up
• Standard Equipment List be created
• Liaison Officers required on-site
• Standard Clothing / Uniform / national Identity
• Foster sustainability / Build capacity

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Research Publications
F HG Bridgewater E T Aspinall J PM Booth R A
Capps H JM Grantham A P Pearce B K Ritchie.
Team Echo The experience of an Australian
emergency response team from the 2004 Asian
tsunami (In Press Prehospital and disaster
Medicine 2006 21.1, 45-52)
Ritchie B and Pearce P. Acute Management of
Tetanus Cases Post Tsunami, Banda Aceh,
Indonesia. Microbiology Australia 26 4. 177-179.
Nov 2005
Pearce AP, Mark P, Gray N and Curry C.
Responding to the Boxing Day Tsunami disaster
in Aceh, Indonesia Western and South Australian
Contributions. EMA 18, 23-30 2006
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History

• Learn from it
• Pass on the lessons learned
• Improve
• Prepare
• Train
• Respond

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Traditional job roles

• Past
• Evolving
• Scope of practice widening
• Adaptability
• Spin-offs from military-civilian interface

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The way forward DMATDisaster Medical Assistance
Teams

• Corporate knowledge
• Research papers
• Conferences
• Collaboration WA NSW
• Roster

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In Summary

• Number of disasters requiring response
• Local, state, interstate, international
• Work is being done, DMAT concept
• Time, resources, training and funding are still
  issues

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Thank you
Team Echo and Indonesian Police Doctors Fakinah
Hospital Banda Aceh
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SA Team Echo

• Mark Moore Plastics RAH
• Roger Capps Anaes RAH
• Tim Semple Anaes RAH
• Bruce Paix Ret/Anaes RAH/FMC
• Margie Maloney OR RAH
• Joy Booth OR RAH
• Heather Dodd OR RAH
• Cath Blight OR RAH
• Dan Martin OR ED/ICU/Ret RAH
• Andrew Pearce ED RAH
• Hugh Granthum GP SAAS TL
• Gerry Neumeister Anaes FMC
• Bec Paech OR RAH

• Vanessa Dittmar OR FMC
• Aaron Leinonen OR FMC
• Dave Tingey SOT SAAS
• Debbie Harrop SOT SAAS
• David Mack MFS
• Neil Mills OR FMC
• Rob Atkinson Ortho Mod
• Brett Ritchie ID AWCH
• Peter Riddell Plastics TQEH
• Frank Bridgewater Surg Private
• Ivan Bastion lab IMVS
• Dick Turnbull lab IMVS
• Bruce Winter lab IMVS

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