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Best Practice Guidelines on Surgical Response in Disasters and Humanitarian Emergencies: Report of the 2011 Humanitarian Action Summit Working Group on Surgical Issues within the Humanitarian Space

Published online by Cambridge University Press:  04 April 2012

Smita Chackungal
Affiliation:
Division of General Surgery, University of Western Ontario, London, Ontario, Canada; Surgical Research Fellow Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts USA
Jason W. Nickerson
Affiliation:
Centre for Global Health, Institute of Population Health, University of Ottawa, Ottawa, Ontario, Canada
Lisa M. Knowlton
Affiliation:
Division of General Surgery, University of British Columbia, Vancouver, British Columbia, Canada; Surgical Research Fellow, Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts USA
Lynn Black
Affiliation:
Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts USA
Frederick M. Burkle Jr.
Affiliation:
Senior Fellow & Scientist, Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts USA
Kathleen Casey
Affiliation:
Director, Operation Giving Back, American College of Surgeons, Chicago, Illinois USA
David Crandell
Affiliation:
Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts USA
Didier Demey
Affiliation:
Physical Therapist, Technical Advisor for Emergency and Rehabilitation, Handicap International, Brussels, Belgium
Lillian Di Giacomo
Affiliation:
John Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA; Department of General Surgery, University of California, Davis Medical Center, Sacramento, California USA
Lena Dohlman
Affiliation:
Assistant Professor, Harvard Medical School; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts USA
Joshua Goldstein
Affiliation:
Principal Director for Economic Citizenship & Disability Inclusion, Center for Financial Inclusion at ACCION International; Lecturer, Boston University, Boston, Massachusetts USA
James E. Gosney Jr.
Affiliation:
Handicap International, Takoma Park, Maryland USA
Keita Ikeda
Affiliation:
Post Doctorate Fellow, Duke University Medical Center, Department of Anesthesia, Raleigh, North Carolina USA
Allison Linden
Affiliation:
Harvard School of Public Health, Boston, Massachusetts, USA; Georgetown University Medical Center, Washington, D.C. USA
Catherine M. Mullaly
Affiliation:
Instructor, Harvard Medical School; Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts USA
Colleen O'Connell
Affiliation:
Research Chief, Stan Cassidy Centre for Rehabilitation, Fredericton, New Brunswick, Canada
Anthony D. Redmond
Affiliation:
Humanitarian and Conflict Response Institute, University of Manchester, Manchester, UK
Adam Richards
Affiliation:
American Heart Association-Pharmaceutical Outcomes Research Center, UCLA Department of Neurology, Los Angeles, California, USA; Global Health Access Program, Berkeley, California USA
Robert Rufsvold
Affiliation:
Medical Director, International Medical Corps Emergency Response, Libya
Ana L.R. Santos
Affiliation:
Delft University of Technology, Delft, Netherlands
Terri Skelton
Affiliation:
Department of Anesthesia, University of Toronto, Toronto, Ontario, Canada
Kelly McQueen
Affiliation:
Fellow, Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts; Valley Anesthesiology Consultants, Phoenix, Arizona USA
Corresponding
E-mail address:

Abstract

The provision of surgery within humanitarian crises is complex, requiring coordination and cooperation among all stakeholders. During the 2011 Humanitarian Action Summit best practice guidelines were proposed to provide greater accountability and standardization in surgical humanitarian relief efforts. Surgical humanitarian relief planning should occur early and include team selection and preparation, appropriate disaster-specific anticipatory planning, needs assessment, and an awareness of local resources and limitations of cross-cultural project management. Accurate medical record keeping and timely follow-up is important for a transient surgical population. Integration with local health systems is essential and will help facilitate longer term surgical health system strengthening.

Type
Original Research
Copyright
Copyright Chackungal © World Association for Disaster and Emergency Medicine 2012

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References

Sphere Project: Sphere Handbook: Humanitarian Charter and Minimum Standards in Disaster Response. 2011. Available at www.sphereproject.org/content/view/682/32/lang,english/. Accessed 14 April 2011.Google Scholar
Keane, M, Pack, ME, Greenough, PG, Burkle, FM Jr: The professionalization of humanitarian health assistance: report of a survey on what humanitarian health workers tell us. PrehospDisast Med. 2009;24(4:s2046.Google Scholar
Bradt, DA, Drummond, CM: Professionalization of Disaster Medicine – an appraisal of criterion-referenced qualifications. PrehospDisast Med. 2007;22(5):360–8.Google ScholarPubMed
World Health Organization/Pan American Health Organization: Guidelines on International Foreign Medical Teams. Proceedings of the WHO/PAHO technical consultation on International Foreign Medical Teams (FMTs) Post Sudden Onset Disasters (SODs). Havana, Cuba. 7–9 December 2010.Google Scholar
Working Groups Background Paper: Accountability, Quality Control and Reporting. Proceedings of the WHO/PAHO Technical Consultation on International Foreign Medical Teams (FMTs) Post Sudden Onset Disasters (SODs). Havana, Cuba. December 7–9, 2010.Google Scholar
Working Groups Background Paper: Registration, Certification and Coordination. Proceedings of the WHO/PAHO Technical Consultation on International Foreign Medical Teams (FMTs) Post Sudden Onset Disasters (SODs). Havana, Cuba. December 7–9, 2010.Google Scholar
McQueen, K, Parmar, P, Keane, M, Broaddus, S et al. : Burden of Surgical Disease: Strategies to manage an existing public health emergency. PrehospDisast Med. 2009;24(4:s22831.Google ScholarPubMed
World Health Organization: WHO Best Practice Guidelines on Emergency Surgical Care in Disaster Settings. 2005. Available at www.who.int/surgery/publications/disastermanagguide.pdf. Accessed 14 March 2011.Google Scholar
World Health Organization: Surgical Care at the District Hospital. Geneva: WHO, 2003.Google Scholar
Gianou, C, Balden, M, (eds). War SurgeryVol 1. Geneva: International Committee of the Red Cross, 2009.Google Scholar
World Federation of Societies of Anesthesiologists: 2008 International Standards for the Safe Practice of Anesthesia. 2008. Available at www.anaesthesiologists.org/guidelines/practice/2008-international-standards-for-a-safe-practice-of-anaesthesia. Accessed 04 April 2011.Google Scholar
World Health Organization: Guide to Anesthetic Infrastructure and Supplies at Various Levels of Health Care Facilities. 2006. Available at www.who.int/surgery/publications/GuideAnestheticInfrastFormatted06.pdf. Accessed 04 April 2011.Google Scholar
American Society of Anesthesiologists: Standard Guidelines and Statements. Available at www.asahq.org/For-Healthcare-Professionals/Standards-Guidelines-and-Statements.aspx. Accessed 19 April 2011.Google Scholar
Seynaeve, G, Archer, F, Fischer, J, Lueger-Schuster, B et. al: International standards and guidelines on education and training for the multi-disciplinary health response to major events that threaten the health status of a community. PrehospDisast Med. 2004;19(3):186–7.Google Scholar
Redmond, AD, O'Dempsey, TJ, Taithe, B: Disasters and a register for foreign medical teams. Lancet. 2011;377:10541055.CrossRefGoogle Scholar
Redmond, AD: ABC of conflict and disaster: Needs assessment of Humanitarian Crises. BMJ. 2005;330:1320–22.CrossRefGoogle Scholar
International Committee of the Red Cross, Guidelines for emergency assessment. Geneva: ICRC, 2005.Google Scholar
Pruss, A, Giroult, E, Rushbrook, P, (eds). Safe Management of Wastes from Health Care Activities. Geneva: WHO, 1999.Google Scholar
World Health Organization: Screening donated blood for transfusion transmittable infections. 2010. Available at www.who.int/bloodsafety/ScreeningDonatedBloodforTransfusion.pdf. Accessed 31 March 2011.Google Scholar
World Health Organization: Manual on management, maintenance and use of blood cold chain equipment. Geneva: WHO, 2005.Google Scholar
Grosso, SM, Keenan, JO: Whole blood transfusion for exsanguinating coagulopathy in a US field surgical hospital in postwar Kosovo. J Trauma. 2000;49(1):145148.CrossRefGoogle Scholar
Hrezo, RJ, Clark, J: The walking blood bank: an alternative blood supply in military masss casualties. Disaster Manag Response. 2003;1(1):1922.CrossRefGoogle Scholar
Malsby, R 3rd, Frizzi, J, Ray, P, Raff, J: Walking donor transfusion in a far forward environment. South Med J. 2005;98(8):809810.CrossRefGoogle Scholar
Raytheon Polar Services Company: Blood Bank/Emergency Transfusion. 2006. Available at www.nsf.gov/about/contracting/rfqs/support_ant/docs/environ_health_safety/usap_saddh_policy_man/bloodbankemergtransfusions-305.pdf. Accessed 15 April 2011.Google Scholar
Laouabdia-Sellami, K, Dubourg, D, Gillet, P, Marcelis, L, Rosseel, P, I S. Blood transfusion in remote areas: Médecins Sans Frontières 1999.Google Scholar
World Health Organization: Generic Essential Emergency Equipment List. 2006. Available at www.who.int/surgery/publications/EEEGenericListFormatted%2006.pdf. Accessed 04 April 2011.Google Scholar
Møller, JT, Johannessen, NW, Espersen, K, Ravio, O: Randomized evaluation of pulse oximetry in 20,802 patients:II. Perioperative events and postoperative complications. Anesthesiology 1993;78:445–53.CrossRefGoogle ScholarPubMed
American Society of Anesthesiologists: Basic Anesthetic Monitoring Standards. 2011. Available at www.asahq.org/For-Healthcare-Professionals/Standards-Guidelines-and-Statements.aspx. Accessed 19 April 2011.Google Scholar
Nickerson, JW. Surgical Care in Crises: What do the Data tell us? Presentation at Humanitarian Action Summit 2011, Cambridge, Massachusetts, 05 March 2011.Google Scholar
Chu, K, Rosseel, P, Trelles, M, Gielis, P: Surgeons without borders: A brief history of surgery at Médecins sans Frontières. World Journal of Surgery. 2010;34(3:411414.CrossRefGoogle ScholarPubMed
Mock, C, Cherian, M, Julliard, C, Donkor, P, Bickler, S, Jamison, D, McQueen, K: Developing Priorities for addressing Surgical Conditions globally: Furthering the link between surgery and public health policy. World Journal of Surgery. 2010;34:381385.CrossRefGoogle ScholarPubMed
American College of Surgeons: Statement on Sharps Safety. 2007. Available at www.facs.org/fellows_info/statements/st-58.html. Accessed 20 April 2011.Google Scholar
World Health Organization: WHO Model List, 16th ed (updated). 2010. Available at www.who.int/medicines/publications/essesntialmedicines/en/index.html. Accessed 14 Mar 2011.Google Scholar
Schnittger, T: Regional anesthesia in Developing Countries. Anesthesia. 2007;62(Suppl.1):4247.CrossRefGoogle ScholarPubMed
Craven, R: Ketamine. Anesthesia. 2007;62(Suppl 1):4853.CrossRefGoogle ScholarPubMed
Lohman, D, Schleifer, R, Amon, JJ. Access to Pain Treatment as a Human Right. BMC Med. 2010;8:8CrossRefGoogle ScholarPubMed
Brennen, F, Carr, D.B, Cousins, M: Pain Management: A Fundamental Human Right. Anesthesia and Analgesia. 2007;105(1):205221.CrossRefGoogle Scholar
Size, M, Soyannwo, OA, Justins, DM: Pain Management in Developing Countries. Anesthesia. 2007;63(Suppl 1):3843.CrossRefGoogle Scholar
Charlton, E: The management of post operative pain. Update in Anaesthesia. 1997;7:17.Google Scholar
American Society of Anesthesiologists: Statement of Documentation of Anesthesia Care. 2008. Available at www.asahq.org/For-Healthcare-Professionals/Standards-Guidelines-and-Statements.aspx. Accessed 19 April 2011.Google Scholar
United Nations: Universal Declaration of Human Rights. 2007. Available at www.un.org/en/documents/udhr/index.shtml. Accessed 14 April 2011.Google Scholar
Haynes, AB, Weiser, TG, Berry, WR et. al: A Surgical Safety Checklist to reduce Morbidity and Mortality in a Global Population. N Eng J Med. 2009;360:491–9.CrossRefGoogle Scholar
Roy, N, Shah, H, Patel, V, Bagalkote, H: Surgical and psychosocial outcomes in the rural injured – a follow-up study of the 2001 earthquake victims. Injury. 2005;36(8):927–34.CrossRefGoogle ScholarPubMed
Bermudez, L, Carter, V, Magee, W Jr, Sherman, R, Ayala, R: Surgical Outcomes auditing systems in Humanitarian Organizations. World Journal of Surgery. 2010;34(3):403–10.CrossRefGoogle ScholarPubMed
Chu, K, Stokes, S, Trelles, M, Ford, N: Improving Effective Surgical Delivery in Humanitarian Disasters: Lessons from Haiti. PLoS Med. 2011;8(4):e1001025.CrossRefGoogle ScholarPubMed

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