Savar Building collapse Taslim Uddin Physiatrist and Professor of PMR BSM Medical University Dhaka Bangladesh Member ISPRM Disaster Rehab committee Email taslimpmrgmailcom Introduction ID: 461052
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Slide1
Rehabilitation Disaster Response: Focusing Cyclone SIDR and Savar Building collapse
Taslim
Uddin
Physiatrist and Professor of PMR
BSM Medical University, Dhaka. Bangladesh
Member , ISPRM Disaster Rehab committee
Email: taslimpmr@gmail.comSlide2
Introduction
Amputations, TBI, SCI, bone fractures are the major problems requiring attention to Medical Rehab professionals
Disasters commonly leading to huge onslaught of injuries giving these injuries can be better managed by Rehab team
Disaster Rehab Response is a rather newly introduced subject we
Need to know more about it
Ref:
Glob Health Actionv.4; 2011:PMC3160807, Published online 2011 Aug 16.
doi
: 10.3402/gha.v4i0.7191Slide3
Concern for Disasters : BangladeshThickly populated country
Poverty
Political instability, Poor health sector infrastructure and less health budget
Few PRM Disaster movements / Rehab DoctorsSlide4
Total land area of 147,570 sq km, It is a low-lying countryPopulation: 150.6 million, with 1,021 people living per square km
No. of registered physicians: 64,434
No of Physiatrists : 95, Physiotherapists: ??
No. of physicians per 10,000 population: 3.0
GOV Bangladesh , BMDC, DGHS: 2013Slide5
Cyclone SIDR: 2007 Nov, coastal Dist: Bangladesh…………………Slide6
Cyclone SIDR: pattern of injuries: N: 14649
1
st
conf of AOSPRM proceedings Nanjing, China 2008,
J
Rehabil
Med 2008,suppl 46;124
Nature of injury
Percentage
Minor
58%
Chest injury
15%
Limb injury
13%
Abdominal injury
10%
Spinal injury
1.1%
Head injury
0.9
132Slide7
Rehab Response - post disaster : Medical Teams
Primary focus on Medical rehab Services
Teams: (volunteer)
Physiatrist
PT
Social workerSlide8
Savar (Rana Plaza) Building collapse:2013
the worst workplace disasterSlide9
Savar (Rana Plaza) Building Collapse
Death :1129
(in the spot and in Hospital)
Injury: 2224 (
WHO, 2013
)
number of workers at the time of collapse: 4000-5000
time of collapse: 8.30- 8.45am
Analysis of 61 cases admitted to NITOR
Age : 15 to 50 : mean 26.5yrs : Sex: 15 male : 45 female
-------------------------------------------------------------------------------------------
Injury: limb fracture, soft tissue injury, spinal injury (4), Amputee(3)
-----------------------------------------------------------------------------------------
Outcome: SCI (paraplegia) discharged home, Amputee : provided prosthesis
Courtesy : Dept of PMR, NITORSlide10
Amputee : UL and LLSlide11
Hospital/clinics offered injury patients
Enam
medical college hospital; 1000
NITOR 61
----------------------------------------
New deep clinic 33, Rose clinic-63
Prime diagnostic and consultation center 30,
Shima general hospital 30----------------------------------------------Savar
upazila
health complex 30
Deep clinic and hospital 20, Lab john unit 1, unit 11; 26; 21
Rezia
,
sheba
,
mukti
: 31
Others : CRP, CMH SAVAR, DMCH, NHF, BSMMU
a
skbd.org;uploads
2013/11Slide12
Out come
Distribution of relief items and medications
Specialist rehab consultation/referral
Physiotherapy
Training to the general people
Training to Religious leaders as the early responders
ReportingSlide13
Type of Rehab Response/Funds
Response:
Intermediate/
subacute
(~3 days – 12 weeks)
Funds
Medical supplies: donations from friends/families/pharmaceutical companies
Personal expenses : self funding
Had proposals from IRF, ISPRM and
Indv
Members:
we could not take it because of cumbersome procedure of money transferSlide14
Lesson's learnedPhysiatrist can better manage the disabilities resulting from disaster trauma: as team leader in the field and thereafter
Timely rehabilitation interventions for SCI, TBI, MSK trauma and Amputee can effectively reduce the disability intensity
We need to work in a better team and organized waySlide15
RecommendationsForm a disaster medical rehab response Team: leader, PT, OT, Plaster technician/orthotics/ Nurse/ Social worker
Fund: PMR Society liaison with national Budget , Donations
Development of education/training course for PRM disaster respondersSlide16
References/acknowledgements ISPRM Committee on Rehabilitation Disaster Relief (CRDR)
NITOR (Prof
Habib
), WHO2013
askbd.org; uploads 2013/11
Gov of Bangladesh, DGHS, BMDC,
ISPRM news and Views
1st. AOCPRM conference NanzingIRFJim Gosney,
Farooq
Rathothore
, Tom Haig