scholarly journals (A40) Military and Civilians in Australian Disaster Medical Assistance Teams

2011 ◽  
Vol 26 (S1) ◽  
pp. s12-s12
Author(s):  
A.G. Robertson ◽  
T.S. Weeramanthri

The Australian Government first started to deploy civilian medical teams internationally in the aftermath of the 2004 Tsunami to Banda Aceh, the Maldives, and Sri Lanka. Historically, Australia had relied upon the Australian Defence Force (ADF) to provide overseas medical assistance, but, in this instance, the volunteers deployed were civilian staff, predominantly from tertiary hospital environments. Civilian Australian Medical Assistance Teams (AUSMATs), particularly in Banda Aceh, interacted closely with the ADF after the tsunami and have had a close liaison with the ADF in subsequent disasters, particularly where ADF assistance was required for aeromedical evacuation of patients. This has included assistance after the 2005 Bali bombing, the 2009 Ashmore Reef explosion, the 2009 Samoa tsunami, and the 2010 Pakistan floods. In the latter, Australia deployed a joint military-civilian medical taskforce to provide care to the affected people in Kot Addu in central Pakistan. Having had extensive experience in both military and civilian disaster responses, the authors in this presentation will look at the lessons that can be shared between civilian and military teams in the Australian context. The military brings particular proficiency in command and control, information gathering, security, communications, general logistics, aeromedical evacuation and living in the field. The civilian AUSMATs bring specialized medical expertise, experience in operating in small teams in a range of disaster conditions, health logistics, surveillance, and public health measures in a disaster setting. Learning how to blend these skill sets will be critical in ensuring effective and collaborative international deployments in the future.

Author(s):  
Jiaqi Zhao ◽  
Yi Zhou ◽  
Jiafeng Wang ◽  
Chong Zhang ◽  
Zhuhong Cai

Abstract From June 28 to November 22, 2018, the Chinese People’s Liberation Army Navy – PLA(N) – Peace Ark hospital ship had conducted Mission Harmony 2018, providing humanitarian medical assistance and carrying out international cooperation, in 4 Pacific island countries and 6 Central and South American countries. Compared with its application only in onshore outreach medical teams in the previous Mission Harmony, portable ultrasonography was used both onboard and onshore in Mission Harmony 2018. The purpose of this study was to assess the performance of onboard portable ultrasonography in PLA(N) Peace Ark hospital ship during Mission Harmony-2018, share our onboard working experience, and provide a reference for humanitarian assistance missions in the future. A retrospective review was performed on a cohort of patients checked by onboard portable ultrasonography. Patients’ gender, age, the distribution of examined organs, and multiple applications of the portable ultrasonography were analyzed. Some limitations of portable ultrasonography on the mission and possible improvements in the future were also discussed. A total of 5277 cases (mean age: 43.74 years; range: 2 months–105 years) of ultrasound examinations were performed during the mission; among them, 3126 (59.2%) cases were performed by portable ultrasonography, including 3024 onboard cases and 102 onshore cases. The portable ultrasonography had been applied in many scenarios, for example, onboard emergency triage process, onboard bedside medical support, and onshore outreach medical service, which had become one of the indispensable auxiliary examination methods for its compatibility, portability, and flexibility. The onboard deployment of portable ultrasonography played a versatile and irreplaceable role in the humanitarian medical assistance and medical cooperation carried out by the PLA(N) Peace Ark hospital ship, and will contribute to such kind of missions in the future.


2006 ◽  
Vol 1 (1) ◽  
pp. 116-122 ◽  
Author(s):  
Ir. Muwardi Nurdin ◽  

Just over 1.5 years have past since the December 26, 2004, tsunami devastated the Province of Aceh, killing or injuring some 100,000 people and multiplying the problems of the province, which was already suffering from battles between the Indonesian army and armed independence forces of the Free Aceh Movement (GAM: Gerkan Aceh Mardeka). The half-century conflict has killed more than 15,000 soldiers and citizens of Banda Aceh, and the government placed Banda Aceh under martial law, limiting the number of foreign visitors. After the tsunami brought the previously unknown city to world attention, most people had to seek answers about where it was on the Internet or in atlases.


Geosciences ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. 125 ◽  
Author(s):  
Teuku Rasyif ◽  
Shigeru Kato ◽  
Syamsidik ◽  
Takumi Okabe

The 2004 Indian Ocean tsunami caused massive morphological changes around the coast of Sumatra, Indonesia. This research investigates the coastal morphological changes in the Banda Aceh area via coupling a hydrodynamic model with a sediment transport module. The Cornell Multigrid Coupled Tsunami Model (COMCOT) was coupled with the XBeach Model to simultaneously simulate sediment transport and the hydrodynamic process during the tsunami. The coupled model is known as COMCOT-SED. Field bathymetric data measured in 2006 were used to validate the coupled model. This study reveals that the tsunami’s impact was more severe on the eastern part of the coast, where it hit directly. Meanwhile, the western part of the coast suffered a lower impact because of the sheltering effects from a series of small islands and a headland to the north. This study has shown that the model results from COMCOT-SED are consistent with field data and show where the tsunami waves caused offshore erosion.


2013 ◽  
Vol 07 (01) ◽  
pp. 1350004 ◽  
Author(s):  
M. RIDHA ◽  
S. FONNA ◽  
S. HUZNI ◽  
A. K. ARIFFIN

Banda Aceh region has a coastal environment and frequent earthquakes. The 2004 Sumatra tsunami caused many buildings to collapse and became submerged by seawater in the region. Thus, the buildings might become susceptible to corrosion, which will reduce their strength. Consequently, sudden failure might happen when even a small earthquake occurs. This study reports a corrosion risk assessment for some reinforced concrete (RC) public buildings in Banda Aceh region in order to understand how the tsunami has influenced the corrosion risk level. The assessment was performed by using half-cell potential mapping technique. Six buildings were chosen: three existing buildings, two newly constructed buildings in the tsunami-affected area and one building located outside that area. The assessments were carried out from 2009 until mid of 2010. The assessment results indicated that the corrosion risk to the existing buildings were at intermediate to severe level. In addition, newly developed buildings were at intermediate level, while outside building was still at low levels. Those findings showed that the RC buildings around the tsunami-affected area, either existing or new buildings, had become corrosive. Therefore, it is important to conduct regular corrosion assessments to prevent early failure due to the coexistence of rebar corrosion and earthquake.


2012 ◽  
Vol 27 (5) ◽  
pp. 463-467 ◽  
Author(s):  
Martin J. Dutch ◽  
Kristy B. Austin

AbstractIntroductionRecreational use of gamma-hydroxybutyrate (GHB) is increasingly common at mass-gathering dance events in Australia. Overdose often occurs in clusters, and places a significant burden on the surrounding health care infrastructure.ObjectiveTo describe the clinical presentation, required interventions and disposition of patrons with GHB intoxication at dance events, when managed by dedicated medical assistance teams.MethodsRetrospective analysis of all patrons attending St. John Ambulance medical assistance teams at dance events in the state of Victoria (Australia), from January 2010 through May 2011.Main outcome measuresClinical presentation, medical interventions and discharge destination.ResultsSixty-one patients with GHB intoxication attended medical teams during the study period. The median age was 22 years, and 64% were male. Altered conscious state was present in 89% of attendances, and a GCS <9 in 44%. Hypotension, bradycardia and hypothermia were commonly encountered. Endotracheal intubation was required in three percent of patrons. Median length of stay onsite was 90 minutes. Ambulance transport to hospital was avoided in 65% of presentations.ConclusionsThe deployment of medical teams at dance events and music festivals successfully managed the majority of GHB intoxications onsite and avoided acute care ambulance transfer and emergency department attendance.DutchMJ,AustinKB.Hospital in the field: prehospital management of GHB intoxication by medical assistance teams.Prehosp Disaster Med.2012;27(4):1-5.


2017 ◽  
Vol 4 (2) ◽  
pp. 204 ◽  
Author(s):  
Fadliadi Ubit

Casualties and physical destruction of the 2004 tsunami in Aceh are well documented in the literature. However, little is known about lives of teachers and students after the tragedy, particularly about the teaching and learning including teacher-student instructional relationships at the affected schools in the province. This cross-sectional qualitative case study, which was conducted between April and October 2010 at a public junior high school in Banda Aceh that was severely affected by the Aceh 2004 tsunami, provided evidences that the tragedy affected the quality of teachers’ teaching and teacher-student relationships. Data were obtained from semi- structured interviews with ten students from the school, supported by data collection observations over a period of six months. In general, the students commented about their teachers in negative terms. This included students’ deficit views about teachers’ lack of commitment on their teaching practice and their poor interactions with students at the school, affecting the quality of students’ learning at the school.


Author(s):  
Ramziah An Najah ◽  
Ernani Lubis ◽  
Retno Muninggar

<p>ABSTRACT<br />Lampulo Coastal Fishing Port is not working optimally after the 2004 tsunami. A total of 9,563 units boats without motor, outboard boats and inboard boats were damaged by the tsunami, including the PPP Lampulo, 30 Fish Landing Base (PPI), ice plant, cold storage, Fish/Shrimp Seed Center Office, and the fish market. This study aimed to obtain information about the existence and condition of facilities in the PPP Lampulo, Banda Aceh; determining the level of existence, needs, and facility conditions to support their activities; and determining the ratio between the existence and needs of the facilities. The case study method was applied in this research with scoping on existence, needs, and facility conditions and the ratio between the existence and the need for facilities to support activities in the PPP Lampulo. Data were analyzed by descriptive statistical approach. The result showed that, in general, the existence and condition of facilities in supporting the activities of the PPP Lampulo had been going well. The ratio between the existing facilities toward the should exist facilities, namely on the vital facilities 1:1,12 (good), significant 1:1 (very good), and complement 1:1,43 (good) and this indicated that all activities in the PPP Lampulo had already been going properly. Key words: Banda Aceh, fishing ports, PPP Lampulo, the facilities</p><p>-------</p><p><br />ABSTRAK<br />Pelabuhan Perikanan Pantai Lampulo merupakan pelabuhan perikanan pantai (PPP) yang belum berupaya secara optimal setelah tsunami. Sebanyak 9.563 unit perahu tanpa motor, perahu motor tempel dan kapal motor hancur/hilang/rusak akibat tsunami, termasuk juga PPP Lampulo, 30 Pangkalan Pendaratan Ikan (PPI), pabrik es, cold storage, Balai Benih Ikan/Balai Benih Udang, dan Pasar Ikan. Penelitian ini bertujuan untuk mendapatkan informasi tentang keberadaan dan kondisi fasilitas yang terdapat di PPP Lampulo; menentukan tingkat keberadaan, kebutuhan, dan kondisi fasilitas dalam menunjang aktivitasnya; serta menentukan rasio antara keberadaan dan kebutuhan fasilitasnya. Metode penelitian yang digunakan adalah studi kasus yang melingkupi keberadaan, kebutuhan, dan kondisi fasilitas serta rasio antara keberadaan dan kebutuhan fasilitas dalam menunjang aktivitas di PPP Lampulo. Analisis yang dilakukan secara deskriptif melalui pendekatan statistik. Secara umum keberadaan dan kondisi fasilitas dalam menunjang aktivitas di PPP Lampulo telah berjalan dengan baik. Perolehan rasio antara fasilitas yang ada terhadap fasilitas yang seharusnya ada, yaitu: pada kelompok fasilitas vital 1:1,12 (baik), penting 1:1 ( baik sekali), dan pelengkap 1:1,43 (baik). Hal ini mengindikasikan bahwa segala aktivitas di PPP Lampulo sudah dapat berjalan dengan baik.<br />Kata kunci: Banda Aceh, pelabuhan perikanan, PPP Lampulo, fasilitas</p>


2017 ◽  
Vol 171 ◽  
pp. 965-976 ◽  
Author(s):  
S. Fonna ◽  
M. Ridha ◽  
S. Huzni ◽  
W.A. Walid ◽  
T.T.D. Mulya ◽  
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