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8/14/2019 Rapid Assessment of Hospitals Mass Casualty Management Capacity of Nepalese Hospital
1/4
Vb~kh Bppgpplgex ma Omp~kxbdp
Lbpp @bpwbdx{ Lbebiglgex@b~b`kx{
YOM$ WEK@GA$ WEA^B
62 Jweg 6>>1
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Cg{ akehkeip: @b~b`kx{ xm `m~g
Hgp~kxg lghkb vg~mvxp okiodkioxkei xobx omp~kxbdp ygvgmqgv`vmyhgh beh vweekei pomvx ma pw~~dkgp$ xogbppgpplgex amweh xog omp~kxbdp obh lbebigh xog keadmyma bpwbdxkgp ygdd
Xog bppgppgh omp~kxbdp$ ~bvxk wdbvd{ bx xog gexvbd dgqgdygvg ~vg~bvgh xm m~g ykxo glgvige`kgp ma xog p`bdgykxegppgh
Ykxoke Cbxo qbddg{$ bdxomwio hkpbpxgv ~dbep gkpxgh ke 0 ma1 bppgppgh omp~kxbdp% bdlmpx bdd hkp~db{gh vgbhkegppykxo bhgrwbxg hvwip$ pw~~dkgp$ OVp
Mwxpkhg Cbxo ! Dbdkx~wv$ 26 omp~kxbdp vg~mvxgh obqkeihkpbpxgv ~dbep fwx mxogv akehkeip pw`o bp xog bqbkdbfkdkx{ma glgvige`{ hvwip ! mxogv pw~~dkgp ke 0 ma xogpgpwiigpxp mxogvykpg
Cg{ Akehkeip, @b~b`kx{ xm `m~g
Bdd omp~kxbdp vg~mvxgh xog vghw`xkme ke xog wpwbd`bpgdmbh hwg xm `wvagy bp xog lbke vgbpme yo{xog omp~kxbdp obh pwaak`kgex `b~b`kx{ xm `m~g ykxoxog glgvige`{%
Xog kl~dk`bxkme ma `mwvpg kp xobx xog omp~kxbdpbvg wedkcgd{ xm fg bfdg xm `m~g ke b emvlbdpkxwbxkme ykxo b emvlbd `bpgdmbh beh b pklkdbv`vkpkp
Awvxogv xog pblg m~gvbxkmebd `b~b`kx{ beemx fg
g~g`xgh hwvkei pwhhge mepgx hkpbpxgvp pw`o bpgbvxorwbcgp yok`o `ml~vmlkpg xog kexgivkx{ maxog ogbdxo p{pxgl beh dkagdkegp$ pw`o bp ybxgvbeh gdg`xvk`kx{
8/14/2019 Rapid Assessment of Hospitals Mass Casualty Management Capacity of Nepalese Hospital
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Cg{ akehkeip: Emp% ma `bpwbdxkgp
Xog EV@P vg~mvxgh 27 `vkpkp hgbxop ! 7>>> vgdbxgh`bpwbdxkgp%
Xog b``wlwdbxgh bpgdmbh ke xog 1 gexvbd omp~kxbdp ybp2$2>> ~bxkgexp ! 191 ke xog 69 ~gvk~ogvbd omp~kxbd
Ma xogpg$ ;0' pwaagvgh med{ lkemv kejwvkgp beh ygvghkp`obvigh xog pblg hb{
9' /26? `bpgp+ ygvg bhlkxxgh xm omp~kxbd3 em hgbxopygvg vg~mvxgh%
Obda ma bdd kejwvgh beh b xokvh ma bdd bhlkppkmep ygvg bxLmhgd Omp~kxbd$ ke xog gexvg ma Cbxolbehw
97' bpwbdxkgp mwxpkhg Cbxolbehw ygvg lbebigh keLMO omp~kxbdp beh 18' ma bhlkppkmep$ hgp~kxg xogkvkebhgrwb`kgp
Cg{ akehkeip: @gexvbd omp~kxbdp
Emeg ma xog bppgppgh omp~kxbdp bx xog gexvgobh vwe mwx ma hvwip beh gppgexkbd pw~~dkgp !obh lbebigh xm lmfkdkpg awehp xm vg~dgekpopxm`cp
Xog `wvagy omygqgv lbhg kx hkaak`wdx xm ~wv`obpgimmhp ! xvbep~mvx pxbaa$ pw~~dkgp beh ~bxkgexp%
@mmckei ibp beh ammh pw~~dkgp ygvg lmvgbaag`xgh xobe pxm`cp ma hvwip ! pw~~dkgp%
Cg{ Akehkeip: @gexvbd omp~kxbdp
Bppgppgh omp~kxbdp:6 imqx kepxkxwxkmep /Fkv ! XWXO+8 ~qx- fmbvh /^bxbe$ Lmhgd$Ml$ Lghk`bvg+
Pwaak kgex emp% ma pckddgh owlbe vgpmwv`gp3 med{ LmhgdOmp~kxbd vg~mvxgh kebhgrwb`{ ~vmfbfd{ hwg xm xog dbvigemp% ma ~bxkgexp bhlkxxgh
Bdd obh pwaak kgex obvhybvg, fghp$ m~gvbxkme xogbxvgp Bdd omp~kxbdp obh bhgrwbxg pw~~dkgp ma glgvige`{ hvwip
! pw~~dkgp$ g`g~x amv Lmhgd O yogvg hglbehmwxpxvk~~gh pw~~d{%
Keag xkme ~vgqgexkme beh pxgvkdkzbxkme ygvg emx
`ml~vmlkpgh bdxomwio Lmhgd vg~mvxgh pmlg hkaak`wdx{`m~kei% 68 omwv ybxgv ! gdg`xvk kx{ ygvg emx b ~vmfdgl
Cg{ akehkeip: gvk~ogvbd omp~kxbdp
^gvk~ogvbd /~vkqbxg ! Bvl{+,2>
0 Lghk`bd @mddgigp
1 ~vkqbxg omp~kxbdp
2 Bvl{ Omp~kxbd$
^gvk~ogvbd LMO kepxkxwxkmep,29
2 Vgikmebd Omp~kxbd
0 Zmebd
20 hkpxvk`x omp~kxbdp
28 xgvbk ! 20 okddp /lmpxd{ gbp{ b``gpp+
8/14/2019 Rapid Assessment of Hospitals Mass Casualty Management Capacity of Nepalese Hospital
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Cg{ akehkeip: ^gvk~ogvbd omp~kxbdp LMO
Xog vg~mvx okiodkioxp xog kexvkepk` ygbcegpp ma xog ogbdxo p{pxgl$ ykxo~mmv keavbpxvw`xwvg$ db`c ma pckd dgh owlbe vgpmwv`gp /hm`xmvp behewvpgp+ beh mqgvbdd kebhgrwbxg keag`xkme ~vgqgexkme gqge ke gqgv{hb{ ~vb`xk`g beh {gx b abkvd{ okio wxkdkzbxkme
?? ' /27 ma 29 LMO omp~kxbdp + wehgvpxbaagh 20 omp~kxbdp ivmppd{ wehgvpxbaagh 6 mxogvp vg~mvxgh pmlg wehgvpxbaakei
89' /?+ omp~kxbdp vg~mvxgh kebhgrwbxg fghp$ MXp beh p~b`g gqgeke b emvlbd pkxwbxkme
89' /lmpxd{ xog pblg ?+ omp~kxbdp vg~mvxgh kebhgrwbxg glgvige {hvwip$ pw~~dkgp
Pgqgvbd omp~kxbdp vg~mvxgh xogkv K^- pxgvkdkzbxkme b~b`kx{ bp fgkeikebhgrwbxg%
Fdmmh xvbepawpkme ybp emx bqbkdbfdg ke ; omp~kxbdp, dbvigd{ xog pblgomp~kxbdp
Xvbep~mvxbxkme
Ke igegvbd lmfkdkx{ ma pxbaa$ ~bxkgexp dklkxgh hwgxm `wvagy vgpxvk`xkmep
Bx xog `gexvg$ blfwdbe`gp ygvg dbvigd{ bqbkdbfdg
xomwio lmfkdkx{ ybp vgpxvk`xgh hwg xm db`c ma`wvagy ~bppgp beh db`c ma awgd
Pwv~vkpkeid{$ 2; ma xog 69 ~gvk~ogvbd omp~kxbdpobh b``gpp xm blfwdbe`gp$ lmpxd{ emx ~vm~gvd{grwk~~gh amv glgvige`kgp /fwx bhgrwbxgd{
grwk~~gh ikqge xobx em ~bvblghk` b``ml~bekgp+
Vgagvvbd
@gexvbd omp~kxbdp: Em vgagvvbd p{pxgl ke~db`g
^gvk~ogvbd omp~kxbdp: Vg~mvxgh pmlgpglfbde`g ma b vgagvvbd p{pxgl /pgglpwedkcgd{ ikqge xog vg~mvxgh ygbcegppgp+
@m,mvhkebxkme
@gexvbd omp~kxbdp: Em m,mvhkebxkme p{pxgl ybp ke ~db`g
Hkpxbe g fgxygge glgvige`{ pkxg beh ogbdxo ab`kdkx{ kp b cg{ ab`xmv kehgxgvlkekei yogvg bpwbdxkgp pggc xvgbxlgex% vmp~g`xp ma avggxvgbxlgex kp bemxogv cg{ ab`xmv bdmei ykxo ~mdkxk`bd `mepkhgvbxkmep/lkiox g~dbke yo{ Lmhgd Omp~kxbd vg`gkqgh xog lbjmvkx{ ma `bpgp+
Fkv: Lbpp bpwbdx{ lbebiglgex mmvhkebxkme ybp kekxkbxgh f{ LMO^1 lmexop bim% Xog Lghk`bd Pw~gvkexgehgex bx Fkv Omp~kxbd ~db{gh bvmdg ke gpxbfdkpokei bx`olgexp bvgbp bdmei xog `mexgpxgh vkeivmbh
Ml beh XWXO: Eg~bd Lghk`bd Bppm kbxkme ~db{gh b cg{ vmdg kegpxbfdkpokei bh om` mmvhkebxkme blmei qbvkmwp omp~kxbdp%
^gvk~ogvbd omp~kxbdp: Em `m,mvhkebxkme p{pxgl ybp ke ~db`g Pmlg m,mvhkebxkme gaamvxp f{ EV@P$ K@V@$ E@HB$ ykxo Lghk`bd
@mddgigp$ owlbe vkioxp mvibekzbxkmep$ WE bige`kgp$ jmwvebdkpxp gx`
8/14/2019 Rapid Assessment of Hospitals Mass Casualty Management Capacity of Nepalese Hospital
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Hmebxkmep
Ykhgp~vgbh `mexvkfwxkmep ma `bpo avml:
Eg~bdgpg `kxkzgep
K@V@, pw~~dkgp
Imqgvelgex ! ~vkqbxg omp~kxbd pxbaa
^obvlb`kgp
Avgg xvgbxlgex ybp bdpm ~vmqkhgh
@me`dwpkme ! Vg`mllgehbxkmep
Xog bppgpplgex vbkpgp cg{ me gvep vgibvhkei xvbep~mvxma bpwbdxkgp$ lghk`bd pxbaa beh pw~~dkgp% Avgg lmqglgexke xogpg bvgbp lwpx fg bhhvgppgh
Db`c ma glgvige { ~vg~bvghegpp gp~g`kbdd{ bx xog~gvk~ogvbd LMO omp~kxbdp ! xog Bvl{ Omp~kxbd %Gpxbfdkpo ebxkmeykhg lbpp `bpwbdx{ lbebiglgexp{pxgl ykxo EV@P
YOM ! WE Bige`kgp xm ab`kdkxbxg glgvige`{ ogbdxopg`xmv m,mvhkebxkme xm mepmdkhbxg akehkeip ! ~vg~bvg amvawxwvg mexkeige`kgp
^vg~mpkxkme gppgexkbd lghk`bd pw~~dkgp xm geobe g
hkpbpxgv b~b`kx{
@me`dwpkme ! Vg`mllgehbxkmep
Ke xog bfpge`g ma b awe`xkmekei hkpxvk`x ogbdxop{pxgl$ glgvige`{ vgp~mepg kp wedkcgd{
Dkec ykxo Ogbdxo Pg`xmv Vgamvl vm`gpp
Omp~kxbd keavbpxvw`xwvg$ ybxgv$ gdg`xvk`kx{
Hvwip$ grwk~lgex$ pw~~dkgp
Owlbe vgpmwv`gp
Lbebiglgex p{pxglp$ keag`xkme ~vgqgexkme
Pxvgeixoge dkecbigp ykxo gkpxkei ~vmivblp xobxpxvgeixoge hkpxvk`x ogbdxo p{pxglp