Rapid Assessment of Hospitals Mass Casualty Management Capacity of Nepalese Hospital

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  • 8/14/2019 Rapid Assessment of Hospitals Mass Casualty Management Capacity of Nepalese Hospital

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    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

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    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

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    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

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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

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    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`

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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