ANZCA Bulletin June 2011 - Australian and New Zealand College of ...

More documents

Recommendations

Info

Frosty, muddy, shaking and glowing: 11 days in Japan with the NSW Urban Search and Rescue taskforce Dr Geoff Healy, an anaesthetist at the Royal North Shore Hospital, went to Japan after the earthquake and tsunami in March. He describes the mission. At about 1500 hours Japan Standard Time (1700 hours Sydney), March 11, 2011, a magnitude 9.0 earthquake occurred in the sea north east of Japan. Moderate to large infrastructure damage occurred following this event, with road, power, transport and communications the worst hit. However, the most catastrophic event was yet to occur. Soon after, a large tsunami swept against the Japanese coast, with waves recorded between 10 and 30 metres high (high water mark) with intrusion many kilometres inland. Destruction was massive and widespread with little warning. In the large port town of Minamisanriku, with a population of about 20,000 people, locals recounted four minutes’ warning 36 ANZCA Bulletin June 2011
Below from left: The C-17 seating for the flight to Japan, including the search dogs in the foreground; Alpha One USAR Team in Minamisanriku. of a four metre tsunami. The wave that obliterated much of the town was at least 10 metres at the shore line, and up to 30 metres up the narrow valleys surrounding it. Up to 17,000 people are missing presumed dead from this town alone. Similar situations occurred for tens of kilometres both north and south of Minamisanriku, along the coastline of Japan. Australian authorities, on the background of a recent deployment to an earthquake in neighbouring New Zealand, were quick to anticipate the potential need for a taskforce deployment to the emerging disaster. At about 2200 hours, discussions were held between Australian and Japanese government officials, with the definitive request for assistance received early Saturday morning, March 12. What followed was the efficient and rapid dissemination of this request and the formation of a large, multidisciplinary, highly skilled team of rescuers that formed the NSW Urban Search and Rescue (USAR) taskforce 1. Highly trained and skilled members of the NSW Fire and Rescue, NSW Ambulance, NSW Police, Department of Commerce Engineers, Qld Fire and Rescue Search Dogs, and doctors from the NSW Ambulance Service Medical Retrieval Service, responded. We were equipped and then deployed to Japan with the rapid assistance of the Royal Australian Air Force. Within 48 hours or so of the disaster, an Australian specialist disaster assistance response team was on the ground in Japan. Mission On arrival in Japan, at the Yokota US Air Force Base outside of Tokyo, initial plans and logistical operations were set up to coordinate our tasking. We then made the trip from the Tokyo area through 30-40 km/h speedrestricted (secondary to earthquake damage) freeways to the Miyagi Prefecture where we set up our base of operations. A reconnaissance team went by Black Hawk helicopter to the Minamisanriku area to assess and plan operations, along with a ground team. Accommodation and functional tenting (medical tent, logistics, meal tent) were set up, as were power generators and lighting. Liaison with the other international teams occurred rapidly and local medical resources were visited and assessed according to their ability to not only cope with the local crises but also if a critical injury occurred to an Australian team member. It became quite clear that the local medical resources were not in a position to provide external assistance to rescue teams, however, the deployment of an Australian medical and surgical team would not be required. (continued next page) “ Within 48 hours or so of the disaster, an Australian specialist disaster assistance response team was on the ground in Japan.” ANZCA Bulletin June 2011 37
Page 1 and 2: ANZCA June 2011 BULLETIN SHARING PE
Page 3 and 4: Australian and New Zealand College
Page 5 and 6: 46 Anaesthetist on track Dr Roger C
Page 7 and 8: • Workforce studies and reports i
Page 9 and 10: “How do I prepare for surgery”
Page 11 and 12: News New National Health Performanc
Page 13 and 14: Hong Kong CSM 2011 - an outstanding
Page 15 and 16: ANZCA Bulletin June 2011 13
Page 17 and 18: Snapshot Full registrants: 1530 Tot
Page 19 and 20: New Fellows Conference 2011 Life, b
Page 21 and 22: What transition arrangements have b
Page 23 and 24: ADVERTISEMENT PREDICTABLE PERFORMAN
Page 25 and 26: The 11th Biennial Cardiothoracic, V
Page 27 and 28: ANAESTHESIA IN THE BIGGEST STATE DR
Page 29 and 30: INTERPROFESSIONAL PROGRAMS TO PROVI
Page 31 and 32: RURAL PAEDIATRIC EAR, NOSE AND THRO
Page 33 and 34: The all-round abilities of this ded
Page 35 and 36: TRANSTHORACIC ECHOCARDIOGRAPHY AND
Page 37: PERTH ASM IN 2012 DR TANYA FARRELL
Page 41 and 42: Heading Sample Below from left: Dr
Page 43 and 44: ADVERTISEMENT Propofol- Lipuro by B
Page 45 and 46: From left: Dr Nico Terblanche demon
Page 47 and 48: 8th ISHA 2013 History Matters! ‘T
Page 49 and 50: “You never do something for nothi
Page 51 and 52: ADVERTISEMENT Anaesthetist Royal Fl
Page 53 and 54: Support clinicians working in indig
Page 55 and 56: ADVERTISEMENT Who would you trust t
Page 57 and 58: And finally, and not entirely unrel
Page 59 and 60: Heading Sample CONFIRMED KEYNOTE SP
Page 61 and 62: Australian and New Zealand Triparti
Page 63 and 64: Figure 1: a suggested algorithm for
Page 65 and 66: Airway Management As the third repo
Page 67 and 68: Treatment A multimodal approach to
Page 69 and 70: Anaesthesia and Perioperative Care
Page 71 and 72: ANZCA in the news Two television pr
Page 73 and 74: Council of Medical Colleges (CMC) T
Page 75 and 76: Are you interested in anaesthesia-r
Page 77 and 78: New horizons at the NZ Anaesthesia
Page 79 and 80: Agency for Clinical Innovation, Pai
Page 81 and 82: Western Australian Autumn Scientifi
Page 83 and 84: South Australia and Northern Territ
Page 85 and 86: Special Interest Group event Austra
Page 87 and 88: TE23 - Guidelines for the Selection
Page 89 and 90:
Ayantha Ranasinghe Chang Joon Kim C
Page 91 and 92:
ADVERTISEMENT Call for abstracts De
Page 93 and 94:
News Dean’s Prize and Best Free P
Page 95 and 96:
Exam preparation course On the week
Page 97 and 98:
• Establish a national body invol
Page 99 and 100:
Examination The Faculty’s 2011 pr
Page 101 and 102:
If you are concerned about yourself
Page 103 and 104:
From craft to specialty: a medical
Page 105 and 106:
Obituary Dr Rajagopal Rajaratnam 19
Page 107 and 108:
Obituary Dr Geoffrey Lewis Perkins
Page 109 and 110:
Against opposition from some less e
Page 111 and 112:
Inevitably, with such a talent we c
Page 113 and 114:
September 23-25 Uluru, NT 2011 Comb
Page 115 and 116:
The Alfred Intensive Care Upcoming
show all

ANZCA Bulletin June 2011 - Australian and New Zealand College of ...

Create successful ePaper yourself

Delete template?

Save as template?