Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-23T07:35:05.355Z Has data issue: false hasContentIssue false

Emergency Surgery Data and Documentation Reporting Forms for Sudden-Onset Humanitarian Crises, Natural Disasters and the Existing Burden of Surgical Disease

Published online by Cambridge University Press:  24 September 2012

Frederick M. Burkle Jr.*
Affiliation:
Harvard Humanitarian Initiative, Harvard University, Cambridge, Massachusetts USA Woodrow Wilson International Center for Scholars, Washington, DC USA
Jason W. Nickerson
Affiliation:
Centre for Global Health, University of Ottawa, Ontario, Canada
Johan von Schreeb
Affiliation:
Surgeon, Division for Global Health, Karolinska Institute, Stockholm, Sweden
Anthony D. Redmond
Affiliation:
Humanitarian and Conflict Response Institute, University of Manchester, Manchester, UK
Kelly A. McQueen
Affiliation:
Department of Anesthesiology, Vanderbilt University School of Medicine, Nashville, Tennessee USA
Ian Norton
Affiliation:
Disaster Preparedness and Response, National Critical Care and Trauma Response Center, Royal Darwin Hospital, Casuarina, Northern Territory, Australia
Nobhojit Roy
Affiliation:
Department of Public Health, Jamsetji Tata Centre for Disaster Management, Tata Institute of Social Sciences, Mumbai, India
*
Correspondence: Frederick M. Burkle, Jr., MD, MPH, DTM, FAAP, FACEP Harvard University - Harvard Humanitarian Initiative 14 Story Street, 2nd Floor Cambridge, MA 02138 USA E-mail skipmd77@aol.com

Abstract

Following large-scale disasters and major complex emergencies, especially in resource-poor settings, emergency surgery is practiced by Foreign Medical Teams (FMTs) sent by governmental and non-governmental organizations (NGOs). These surgical experiences have not yielded an appropriate standardized collection of data and reporting to meet standards required by national authorities, the World Health Organization, and the Inter-Agency Standing Committee's Global Health Cluster. Utilizing the 2011 International Data Collection guidelines for surgery initiated by Médecins Sans Frontières, the authors of this paper developed an individual patient-centric form and an International Standard Reporting Template for Surgical Care to record data for victims of a disaster as well as the co-existing burden of surgical disease within the affected community. The data includes surgical patient outcomes and perioperative mortality, along with referrals for rehabilitation, mental health and psychosocial care. The purpose of the standard data format is fourfold: (1) to ensure that all surgical providers, especially from indigenous first responder teams and others performing emergency surgery, from national and international (Foreign) medical teams, contribute relevant and purposeful reporting; (2) to provide universally acceptable forms that meet the minimal needs of both national authorities and the Health Cluster; (3) to increase transparency and accountability, contributing to improved humanitarian coordination; and (4) to facilitate a comprehensive review of services provided to those affected by the crisis.

BurkleFMJr, NickersonJW, von SchreebJ, RedmondAD, McQueenKA, NortonI, RoyN. Emergency Surgery Data and Documentation Reporting Forms for Sudden-Onset Humanitarian Crises, Natural Disasters and the Existing Burden of Surgical Disease. Prehosp Disaster Med.2012;27(6):1-6.

Type
Special Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gerdin M. Waldis A, von Schreeb J. Foreign field hospitals after the 2010 Haiti earthquake: how good were we? [published online ahead of print March 7, 2012]. Emerg Med J. doi:10.1136/emermed-2011-200717.CrossRefGoogle Scholar
2.Lind, K, Gerdin, M, Waldis, A, et al. Time for order in chaos! A health system framework for foreign medical teams in earthquakes. Prehosp Disaster Med. 2012;27(1):90-93.CrossRefGoogle Scholar
3.von Schreeb, J, Ridder, L, Samnegard, H, et al. Foreign field hospitals in recent sudden-onset disasters in Iran, Haiti, Indonesia, and Pakistan. Prehosp Disaster Med. 2008;23(2):144-151.CrossRefGoogle ScholarPubMed
4.Nickerson, JW, Chackungal, S, Knowlton, L, et al. Surgical care during humanitarian crises: a systematic review of published surgical caseload data from foreign medical teams. Prehosp Disaster Med. 2012;27(2):184-189.CrossRefGoogle ScholarPubMed
5.World Health Organization: Inter-Agency Standing Committee. Global Health Cluster: A practical guide for country-level implementation of the Health Cluster. June, 2009. http://whqlibdoc.who.int/hq/2009/WHO_HAC_MAN_2009.7_eng.pdf. Accessed May 12, 2012.Google Scholar
6. de Ville de Goyet C. Health Response to the Earthquake in Haiti. January 2010: Lessons to be learned for the next massive sudden-onset disaster. Pan American Health Organization. 2011. http://reliefweb.int/sites/reliefweb.int/files/resources/Full_Report_3342.pdf. Accessed May 12, 2012.Google Scholar
7.Chu, K, Stokes, C, Trelles, M, Ford, N. Improving effective surgical delivery in humanitarian disasters: lessons from Haiti. PLoS Med. 2011;8(4):e1001025. http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1001025.CrossRefGoogle ScholarPubMed
8.Chu, K, Trelles, M, Ford, N. Rethinking surgical care in conflict. Lancet. 2010;375(9711):262-263.CrossRefGoogle ScholarPubMed
9.Redmond, AD, Mardel, S, Taithe, B, et al. A qualitative and quantitative study of the surgical and rehabilitation response to the earthquake in Haiti, January 2010. Prehosp Disaster Med. 2011;26(6):449-456.CrossRefGoogle Scholar
10.Benjamin, E, Bassily-Marcus, AM, Babu, E, et al. Principles and practice of disaster relief: lessons from Haiti. Mt Sinai J Med. 2011;78(3):306-318.CrossRefGoogle ScholarPubMed
11.Centers for Disease Control and Prevention. Post-earthquake injuries treated at a field hospital: Haiti, 2010. Morbidity and Mortality Weekly. 2011;59(51):1673-1677.Google Scholar
12. Global Health Cluster (GHC). Coordination and Registration of Providers of Foreign Medical teams in the Humanitarian Response to Sudden-onset Disasters: A Health Cluster Concept Paper. World Health Organization. Inter-Agency Standing Committee GHC Policy and Strategy Team Position Paper. http://www.who.int/hac/global_health_cluster/about/policy_strategy/fmt_concept_paper_27_May.pdf. Published 2010. Accessed May 11, 2012.Google Scholar
13.Knowlton, LM, Gosney, JE, Chackungal, S, et al. Consensus statements regarding the multidisciplinary care of limb amputation patients in disasters or humanitarian emergencies: report of the 2011 humanitarian action summit surgical working group on amputations following disasters or conflict. Prehosp Disaster Med. 2011;26(6):438-448.CrossRefGoogle ScholarPubMed
14. Rathore FA, Gosney JE, Reinhardt JD, Haig AJ, Li J, Delisa JA. Medical rehabilitation after natural disasters: why, when and how? [published online ahead of print June 4, 2012]. Arch Phys Med Rehabil.Google Scholar
15.Chackungal, S, Nickerson, JW, Knowlton, LM, et al. Best practice guidelines on surgical response in disasters and humanitarian emergencies: report of the 2011 Humanitarian Action Summit Working Group on Surgical Issues within the Humanitarian Space. Prehosp Disaster Med. 2011;26(6):429-437.CrossRefGoogle Scholar
16. Emergency Surgery Workshop Davos 2011: Emergency Surgery during Disaster Relief Activities: Surgery under Critical Environmental Conditions. AO Foundation, Global Risk Forum (GRF), Davos, Switzerland. December 10, 2011. Agenda Available at: http://riskacademy.grforum.org/userfiles/Programme_ESWS_sm.pdf. Accessed April 2, 2012. .Google Scholar
17.Chu, KM, Ford, N, Trelles, M. Operative mortality in resource-limited settings: the experience of Medecins Sans Frontieres in 13 countries. Arch Surg. 2010;145(8):721-725.CrossRefGoogle Scholar
18.Chu, K, Havet, P, Ford, N, Trelles, M. Surgical care for the direct and indirect victims of violence in the eastern Democratic Republic of Congo. Confl Health. 2010;4:6.CrossRefGoogle ScholarPubMed
19. American Society of Anesthesiologists: ASA Physical Status Classification System. http://www.asahq.org/For-Members/Clinical-Information/ASA-Physical-Status-Classification-System.aspx. Accessed July 16, 2012s.Google Scholar
20.Osteen, KD. Orthopedic anesthesia in Haiti. Ochsner J. 2011;11(1):12-13.Google ScholarPubMed
21.Bradt, D, Drummond, CM. Rapid epidemiological assessment of health status in displaced populations - an evolution toward standardized minimum, essential data sets. Prehosp Disaster Med. 2002;18(1):178-185.CrossRefGoogle Scholar