Salient Features of NDMA Guidelines Medical Preparedness Mass

Salient Features of NDMA Guidelines Medical Preparedness & Mass Casualty Management Surgeon Rear Admiral VK Singh VSM (Retd. ) Director, IIHMR, New Delhi

Mass Casualty Incident Any event resulting in number of victims large enough to disrupt the normal course of emergency and health care services is called as a mass casuality event (WHO)

Assessing the Risk • MIC Gas Leak in Bhopal- accounts for more 15000 casualties till date. • Equally important are the ‘peripheral emergencies’ which results in mass casualty events resulting in 10 s to 100 s of casualties. • A comparison of the deaths occurred due to natural disasters in 2001, 2002 and 2003 i. e. , 36, 651; 16, 723; and 14, 954 respectively to that of man-made causes is 2, 71, 019; 2, 57, 936 and 2, 59, 625 respectively than

Key issues in Managing Mass Causality • Gaps in Health Facilities • Golden Hour/Platinum Minutes • Triage • Basic Life Support • Advance Life Support • Trauma Centers and Burn Centers • Transportation • Training of Medical Personnel • Education of community • Dissemination of Information

Key issues in Managing Mass Causality • Decontamination • Establishment of National and Regional poison Centre • Containerized Mobile Hospitals • Blood Bank Facilities • Identification of Dead • Medical Disaster plans for Districts • Development of Incident Command System • Minimum Standard for Food, Water and Shelter • Environmental Sanitation • Mock drills

Milestones for Implementation of Guidelines • Phase I ( 0 to 3 years) • Phase II ( 0 to 5 years) • Phase III ( 0 to 8 years)