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Panvilai Tangkulpanich

Emergency Resident

Ramathibodi Hospital 

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Introduction  Many Disaster that effect everyday now,

 As the Medical Provider, We have the important role to

safe life of the casualty

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Introduction  Disaster Mean?1.   แผนดนไหว 5.3 รกเตอร มผบาดเจบ 3 คนเพราะโดนของหลนใส 2.

  เรอลมท แมน าโขงผ โดยสารบาดเจบหลายรอยคน 

3.   ไฟไหมท ผับ มผเสยชวตกวาย สบคนหลังดับไฟได 4.   รถบรรทกชนเสาไฟฟ าใหญ โรงพยาบาลไมม ไฟฟ าใช มผบาดเจบสองคน 5.   ชายแดนกัมพชาม โรค มอ-เทา-ปาก ระบาด เดกป วยกวา 60 คน

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Introduction 

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Introduction 

Concept

The BEST to the MOST survivors, as Many as you can 

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Introduction 

The RED survey

DISASTER Paradigm

Mass Triage Id-ME

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The RED survey 

Rapid Evaluation of Disaster

Incident survey

 ABCDE

Casualty survey

 ABCDE

Immediate life-saving skill 

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The RED survey : Incident survey  A : Aware of allHazard 

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The RED survey : Incident survey  B : Barrier

Look for the way to protect yourself before get to thescène

The best barrieris stay in the caruntil safe 

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The RED survey : Incident survey  C : Contained

 หาวธควบคมความเส ยงนันเสยกอน (Hazard)

D : Disaster paradigm E : Enter

 คอยประเมนใหมเปนระยะ 

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The RED survey 

Rapid Evaluation of Disaster

Incident survey

 ABCDE

Casualty survey

 ABCDE

Immediate life-saving skill 

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The RED survey : Casualty survey  A : Airway

B : Breathing

C : Circulation D : Diagnosis what is the cause of disaster and how to

treat (eg. Antidote)

E : exposure

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The RED survey 

Rapid Evaluation of Disaster

Incident survey

 ABCDE

Casualty survey

 ABCDE

Immediate life-saving skill 

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DISASTER Paradigm 

D - Detection

I - Incident command

S - Safety and security A - Assess hazard

S - Support

T - Triage/treatment

E - Evacuation

R - Recovery  

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DISASTER Paradigm 

Detection : บอกให ไดวาน เปนdisaster

 Alert

Call out

Stand by

Stand down 

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DISASTER Paradigm 

Incident Command : ระบบบัญชาการเฉพาะกจ 

IC : ศนยบัญชาการ รับผดชอบทังหมด 

Planning : แผนปฏบัตการ รวมรวมขอมลและกาหนดแผน 

Finance : คานวนและควบคมการเบกจาย 

Logistic : การสงกาลัง ส งของ  Operation : หนวยปฏบัตการ 

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DISASTER Paradigm 

Safety and Security

Protect yourself

Protect the public

Protect the patient

Protect theenvironment 

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DISASTER Paradigm 

 Assess Hazard

 คานงถง PPE 

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DISASTER Paradigm 

Support 

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DISASTER Paradigm 

Evacuation

Short term goal  Recovery

Long term goal 

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Move 

1 Call out

2 Raise your hand

3 Evaluate 

minimal 

Delayed 

Immediate or expectant 

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Access 

 จัดกลม  Immediate first

Evaluate and open airway  

Stop bleed  Expectant

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SORT = Id-me 

Immediate Breathing problem

Bleeding un controlled

Head/Chest/Abdomeninjury

Poor tissue perfusion

Need move immediately

Delayed Bleeding but good

perfusion

Stable vital sign Long surgery suspected

 After immediate group,they step up toimmediate 

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SORT = Id-me 

Minimal

 Walking wound

Expectant ประเมนดวยทรัพยากร ไม ใชความรสก  อาจกลายเปนกล ม immediate

 ไดหลังจากกล มแรกหมด  ใหความเคารพและดแลตามความ

เหมาะสม 

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Make a move until the last = The last one isthe immediate one 

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SEND 

Treatment and evacuation

Send to the proper hospital

Send to the post-room 

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Red survay  Incidentsurvey  

Casualtysurvey  

Immediate

life savingskill 

DISASTERparadigm 

Detection 

IC 

Safety  

 Assess

Hazard 

Support 

Triage&Treat 

Evacuation 

Recovery  

MASSTriage 

Move 

 Access 

Sort 

Send 

Id-me 

Immediate 

Delay  

Minimal 

Expectanr 

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