“Explosions, earthquakes, contaminations and attacks are the maxi emergencies that cause a hyper influx of polytraumatized patients in hospitals, whose management requires an organization at an extra and intra-hospital level, according to an adequate planning and foreseen by the Peimaf (Internal emergency plan massive influx of injured, ed) to limit the negative impact of catastrophic events “. Thus Vincenzo Caiaffa, president of Otodi (Orthopedic hospital traumatologists of Italy), presenting the themes of the 14th Trauma meeting underway in Riccione from today until October 7, entitled ‘The maxi emergencies and major traumas’, of which they are presidents Francesco Cudoni, Sebastiano Cudoni and Giuseppe Dessì.
Being aware of the role, “knowing where, how and who must carry out certain actions in emergency situations – continues Caiaffa – conditions the management of unpredictable events and their harmful impact. The recent experience of the Covid-19 pandemic has clearly shown that, in addition to to cope with structural or organizational deficiencies, it is necessary to develop and possess reference models capable of effectively addressing events in order to limit their impact on the population and on human activities, under penalty of crises whose consequences can prove to be dramatic on a global scale “.
Major trauma, as after an accident, which typically affects the pelvis and lower limb (fracture of the tibia and femur, excluding that of the elder’s femur), “already finds a preparation in the trauma surgeon – continues the president Otodi – That that we must learn is not to operate (on this we are at the forefront at an international level), but to identify the patient who must be centralized in the hub with all the specialties “, distinguishing him” from the one of lower complexity that does not need the neurosurgery, of the maxillofacial and vascular surgeon and who can remain on standby “.
“After the tragedy of June 2009 (the emergency that was created in Piazza San Carlo in Turin for the Champions League final, ed) – recalls Caiaffa – the ministry has created an implementation plan, which all the Regions have implemented, for the management of events in which a number of injured people arrive higher than that which can be accommodated in a hospital structure. Often there are people who arrive on foot and who could be treated in the scenario of the event. The organization involves healthcare realities , the armed forces and firefighters who must be coordinated so that hospitals “can provide care based on the needs of patients.
Otodi is a company with 2,100 members and also takes care of their training. “We have a boot camp underway for third-year postgraduates and we expect a week of training for those in the fourth. We can count on an excellent faculty”, concludes the president.
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