Enjoy amazing footage from the 2011 Japan Earthquake.
The following link will take you to INQUIRER.net
Philippines hailed as model in disaster response.
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Faced with the imminent possibility of running out of money this week, the Federal Emergency Management Agency scoured every financial nook and cranny to come up with enough money to keep its disaster relief fund in the black for a few more days. Congress has been fighting over possible fixes.
Learn more about FEMA’s financial issues
The 30th MEDCOM will provide real-world and notional support during the training. They are preparing for an austere environment, non-specific injuries, and to work with their peers from Germany and Great Britain. It’s a new concept. The exercise tests the 173rd ABCT’s ability to conduct operations against a modern, capable hybrid threat, an unknown enemy in an under-developed environment.
Learn more about austere environment training
A Livermore soldier who may have been only partially treated for rabies in Afghanistan and died eight months later from the rare disease might have lived if he had been given a full course of vaccines, even after their expiration dates, a leading rabies doctor said Friday.
Find out more about the expired rabies shot
400 personnel and a team of doctors from the National Disaster Response Force have not been able to reach Sikkim which was affected by a 6.9 magnitude earthquake on September 18th.
Learn about the mission in Sikkim
Open Subtrochanteric Femur Fracture
I performed an external fixation and irrigation and debridement of the fracture. Then I elected to place antibiotic beads in the wound bed while giving the soft tissue in the wound bed time to settle down.
Unfortunately, I’m not thrilled about my currently available options for continued treatment:
1. Repeat irrigation and debridement in 48 hours and treat definitively for multiplanar external fixation
2. Use second generation T2 standard intramedullary nailing
3. Employ a first generation 90 degree dynamic condylar screw (DCS) plate
4. Utilize a latest generation distal locking condylar combination plate
The following fluoro-shots are with implants superimposed over the proximal thigh.
What is your advice on definitive management?
What would be your prognosis for Kamal’s long-term outcome?
A new Live Natural Disaster Map has been added to Disaster-RX.
The live disaster map will show you information of natural disasters that are occurring around the world.
Kamal, a healthy 20-year-old Afghan male, got caught in cross fire after an improvised explosive device (IED) detonated in his neighborhood. He was brought to a level II field hospital in Southeastern Afghanistan with a gun shot wound through his right anterolateral thigh and multiple exit wounds in his right buttock. Amazingly, Kamal is neurovascularly intact. Although there is an exit wound near his rectum, it does not penetrate it. Kamal is hemodynamically stable and has no other injuries.
Radiographs show a segmentally comminuted subtrochantric femur fracture. The fracture includes some of the anterior cortex at the level of the lesser trochanter.
General surgery clears him of a rectal injury and irrigates and debrides his right buttock of secondary shrapnel.
When I saw Kamal, I had the brief thought that would be nice to call in the rep for a trochanteric entry third generation cephalomedullary nail. Then I remembered I was Afghanistan.
What would you suggest as the next steps in treatment in this less than ideal environment?