Assuntos
COVID-19/terapia , Mão de Obra em Saúde/organização & administração , Número de Leitos em Hospital , Hospitais de Isolamento/organização & administração , Unidades de Terapia Intensiva/organização & administração , Capacidade de Resposta ante Emergências , Necessidades e Demandas de Serviços de Saúde , Humanos , Alta do Paciente , Transferência de Pacientes/organização & administração , SingapuraRESUMO
The maritime environment presents a unique set of challenges to search and recovery (SAR) operations. There is a paucity of information available to guide provision of medical support for SAR operations for aircraft disasters at sea. The Republic of Singapore Navy (RSN) took part in two such SAR operations in 2014 which showcased the value of a military organization in these operations. Key considerations in medical support for similar operations include the resultant casualty profile and challenges specific to the maritime environment, such as large distances of area of operations from land, variable sea states, and space limitations. Medical support planning can be approached using well-established disaster management life cycle phases of preparedness, mitigation, response, and recovery, which all are described in detail. This includes key areas of dedicated training and exercises, force protection, availability of air assets and chamber support, psychological care, and the forensic handling of human remains. Relevant lessons learned by RSN from the Air Asia QZ8501 search operation are also included in the description of these key areas. Teo KAC , Chong TFG , Liow MHL , Tang KC . Medical support for aircraft disaster search and recovery operations at sea: the RSN experience. Prehosp Disaster Med. 2016; 31(3):294-299.
Assuntos
Aeronaves , Desastres , Militares , Oceanos e Mares , Socorro em Desastres/organização & administração , Humanos , SingapuraRESUMO
Advances in medical technology provide the modern day field anesthetist with the extra edge to meet the challenges faced in the harsh environment of the battlefield and enhance the survivability of casualties. The tasks of triage, resuscitation, and administration of anesthesia can be facilitated with the use of new airway devices, portable ventilators, and monitoring devices. Before such equipment is used in the field, the anesthetist must carefully weigh the advantages and disadvantages and must be cognizant of the limitations of individual devices in different environmental settings. These devices should ideally be portable, lightweight, rugged in construction, durable, easy to use (requiring minimal training and supervision), readily replaceable, and cost-effective.
