Doctors in the country will be trained to meet accidents with multiple victims

The Brazilian Association of Intensive Care Medicine (AMIB), which represents professionals who work in intensive care units (ICUs) and deploy in Brazil the course of catastrophe and disaster (Fundamental Disaster Management-FDM) of the American Society of Intensive Care Medicine .

The first course is scheduled for April in Goiânia, and there are two scheduled for Sao Paulo at the end of that month. Experts from the United States and Portugal will participate in the courses already scheduled. The expansion of training for the whole country depends on partnership with the Ministry of Health said today (30) to the Agency AMIB Brazil's president, José Mário Teles. Last week, Brazilian critical care physicians participated in the FDM.

Teles said that the course has existed for more than eight years in the United States, due to terrorist attacks, natural disasters, pandemics and viral infections. There is this concept in the United States that a hospital door open, that is, an emergency hospital, must be prepared to meet a situation of multiple victims.

The idea is to bring the AMIB travel to Brazil under the major events that are planned for the country, as the World Cup 2014. If we prepare ourselves for events like the World Cup and the Olympics, we have to have that awareness, because people crowding stadiums, festivals, is a situation that provides that kind of thing.

The president of AMIB, Brazil is not prepared for the sudden attention of many victims. He said the occupancy rate in Brazilian hospitals is almost 100%, with a significant number of patients waiting for hours in line to be served emergency. For Teles, planning is the key word when you have a situation where sudden increases so the number of wounded. According to him, if there is no planning personnel, material, equipment and space, the situation is complicated.

The doctor said that there are currently inflatable tents that can be mounted on the outside of hospitals, in just one minute and 15 seconds to call 30 people on stretchers. That is, have to be more professional, more equipment, materials, medicines and more space. A hospital has to have structure.

Teles said that proximity to major international events will force private hospitals to invest in disaster planning. He believes, however, that these investments have to be made public, made by the Ministry of Health Otherwise, no condition.

The ministry is expected to give support to the realization of these courses in the country. The president stressed that AMIB while prepares professionals to deal with extreme situations, the course teaches the triage of patients and use resources more efficiently. This course at the moment, unfortunately, is very timely, said, referring to the tragedy of Kiss Nightclub in Santa Maria (RS), where more than 230 young people died last Sunday (27).

<b> Fatalities </ b>

According to the World Health Organization (WHO), in low-income countries occur 9% of total disaster in the world, with 48% of the fatalities. Teles said the lack of investment and preparation of intensivists explains this fact. Graph presented during the course by the American Society of Intensive Care Medicine reveals that when an accident occurs with multiple victims, the person who comes to the emergency room until one hour after a 50% risk of dying. The incoming two hours later, have 78% and arriving three hours later, the mortality rate approaching 95%.

According to Teles, Brazil presents a number of difficulties to meet disaster victims, including locomotion. In the case of Kiss Nightclub in Santa Maria (RS), he stressed that military action was vital organs, by providing airplanes Brazilian Air Force (FAB) for the transportation of the wounded.

He pointed out that Rio Grande do Sul is the state that has the best professionals intensive care units in the country. If this tragedy had happened in another state, with certainty, we would have more than 300 dead, because of the difficulties that could be encountered. The doctor emphasized the need for simulations that are made in hospitals every four months, so that the difficulties observed before and after can be discussed by the team. The goal of the course is to train AMIB disasters and disaster 5000 people per year.

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