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Emergency Department
Samoa Tsunami 2009
a Victorian perspective
Joanne Grindlay
Emergency Department
Samoan Tsunami
What happened
What we did
• Medical
• Logistical
What we learnt
Emergency Department
29 September 2009
0648 : 8.3 earthquake
190 km SW of Samoa.
0719: 6m Tsunami
waves hit Samoa
20,000 people
affected along a 40km
stretch
163 Deaths –
particularly children
Emergency Department
Impact areas
Southern Upolo South Eastern Upolo
Emergency Department
Australian Response
Department of Foreign Affairs and Trade
AusAid
Emergency Management Australia
Queensland Urban Search and Rescue
SA, QLD, NSW and Victorian Health
Departments
• Medical, nursing and paramedic staff
Emergency Department
AUSMAT Philosophy
Respect for the roles and views of the
locals
Support and teach and not take over
Operation does not impose views and plans
where possible
Awareness of issue of long-term sustainability
after the support is withdrawn
Empowering the local people to be part of the
immediate solution as well as the long-term
management
Maintaining the AUSMAT team’s own health and
well-being
Emergency Department
Search
Emergency Department
Field work
Emergency Department Hospital
Emergency Department
Victoria Team
Paramedic Paramedic
Emergency Team
1 Paramedic
3 ED nurses
2 Emergency Physicians
Surgical Team
1 Paramedic
3 ED Nurses
2 Trauma Surgeons
Team Leader
DHS
Emergency Department
Team
Function
Emergency Department Team Flexibility
Emergency Department
Emergency Department
850 presentations over 7 days
1060 during the Australian involvement
Emergency Department
ED Wound Clinic
Emergency Department
General ED
Emergency Department
Procedural Sedation and Analgesia
Ketamine
Intranasal fentanyl
Emergency Department
Respiratory
Emergency Department Surgical Team
Assisted in 101
operations
Wounds and
fractures
Emergency Department Wounds
Emergency Department Support
Emergency Department
Logistics
Transport
Communication
Shelter
Food and water
Sanitation
Clothing/ PPE
Medical equipment
Emergency Department Accommodation
Emergency Department Accommodation
Emergency Department
Food and water
Emergency Department But not all the time
Emergency Department
Sanitation
Hand Gel
Emergency Department Clothing
Identification
Protection
Fit
Climate
Emergency Department Communications
Mobile phones
Local mobile
Satellite phones
Emergency Department
Certification / Documentation
Passport
Registration
Insurance
Vaccination
Costs
Customs and
quarantine
Emergency Department
Transport
Emergency Department Transport
Emergency Department
Equipment
Emergency Department
Equipment
Emergency Department Equipment
Emergency Department
Looking forward
Emergency Department What else could have we taken?
Methoxyflurane
More fentanyl nasal atomisers
An anaesthetist
More hand gel
(and after yesterday – a dental kit)
Checklist personal equipment
Checklist medications and equipment
Emergency Department
Extras
Emergency Department
Training
Courses
APLS
EMST
MIMMS
USAR
AUSMAT
Agencies
EMA
DoH
National Critical Care
and Trauma
Response Centre
Emergency Department
Recovery
Emergency Department
Make
Connections
Emergency Department APLS Samoa
Emergency Department
References / Links
Personal kit for deployment. Andrew Pearce, Annette
Holian, Robert Atkinson & Paul Lukin
http://www.surgeons.org/media/13937/Personal_kit
_for_deployment_R.Atkisnon_et_al_28.11.06.pdf
EMA: www.ema.gov.au/
AUSMAT: http://www.health.sa.gov.au
http://www.nationaltraumacentre.nt.gov.au/disaster/2011-
ausmat-courses
MIMMS
Emergency Department
Vaccinations
Diphtheria/Tetanus
Hepatitis A and B,
Measles/Mumps/Rubella,
Polio
Annual influenza
+/- Annual TB clearances
Emergency Department
Questions?
