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Best Practice Guidelines on Surgical Response in Disasters and Humanitarian Emergencies: Report of the 2011 Humanitarian Action Summit Working Group on Surgical Issues within the Humanitarian Space

  • Smita Chackungal (a1), Jason W. Nickerson (a2), Lisa M. Knowlton (a3), Lynn Black (a4), Frederick M. Burkle (a5), Kathleen Casey (a6), David Crandell (a7), Didier Demey (a8), Lillian Di Giacomo (a9), Lena Dohlman (a10), Joshua Goldstein (a11), James E. Gosney (a12), Keita Ikeda (a13), Allison Linden (a14), Catherine M. Mullaly (a15), Colleen O'Connell (a16), Anthony D. Redmond (a17), Adam Richards (a18), Robert Rufsvold (a19), Ana L.R. Santos (a20), Terri Skelton (a21) and Kelly McQueen (a22)...

The provision of surgery within humanitarian crises is complex, requiring coordination and cooperation among all stakeholders. During the 2011 Humanitarian Action Summit best practice guidelines were proposed to provide greater accountability and standardization in surgical humanitarian relief efforts. Surgical humanitarian relief planning should occur early and include team selection and preparation, appropriate disaster-specific anticipatory planning, needs assessment, and an awareness of local resources and limitations of cross-cultural project management. Accurate medical record keeping and timely follow-up is important for a transient surgical population. Integration with local health systems is essential and will help facilitate longer term surgical health system strengthening.

Corresponding author
Corresponding Author: Smita Chackungal, MD, MPH Division of General Surgery University of Western Ontario339 Windermere Road London, Ontario Canada N6A 5A5 E-mail:
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AD Redmond , TJ O'Dempsey , B Taithe : Disasters and a register for foreign medical teams. Lancet. 2011;377:10541055.

AD Redmond : ABC of conflict and disaster: Needs assessment of Humanitarian Crises. BMJ. 2005;330:1320–22.

SM Grosso , JO Keenan : Whole blood transfusion for exsanguinating coagulopathy in a US field surgical hospital in postwar Kosovo. J Trauma. 2000;49(1):145148.

RJ Hrezo , J Clark : The walking blood bank: an alternative blood supply in military masss casualties. Disaster Manag Response. 2003;1(1):1922.

R Malsby 3rd, J Frizzi , P Ray , J Raff : Walking donor transfusion in a far forward environment. South Med J. 2005;98(8):809810.

JT Møller , NW Johannessen , K Espersen , O Ravio : Randomized evaluation of pulse oximetry in 20,802 patients:II. Perioperative events and postoperative complications. Anesthesiology 1993;78:445–53.

K Chu , P Rosseel , M Trelles , P Gielis : Surgeons without borders: A brief history of surgery at Médecins sans Frontières. World Journal of Surgery. 2010;34(3:411414.

C Mock , M Cherian , C Julliard , P Donkor , S Bickler , D Jamison , K McQueen : Developing Priorities for addressing Surgical Conditions globally: Furthering the link between surgery and public health policy. World Journal of Surgery. 2010;34:381385.

T Schnittger : Regional anesthesia in Developing Countries. Anesthesia. 2007;62(Suppl.1):4247.

R Craven : Ketamine. Anesthesia. 2007;62(Suppl 1):4853.

D Lohman , R Schleifer , JJ Amon . Access to Pain Treatment as a Human Right. BMC Med. 2010;8:8

F Brennen , D.B Carr , M Cousins : Pain Management: A Fundamental Human Right. Anesthesia and Analgesia. 2007;105(1):205221.

AB Haynes , TG Weiser , WR Berry et. al: A Surgical Safety Checklist to reduce Morbidity and Mortality in a Global Population. N Eng J Med. 2009;360:491–9.

N Roy , H Shah , V Patel , H Bagalkote : Surgical and psychosocial outcomes in the rural injured – a follow-up study of the 2001 earthquake victims. Injury. 2005;36(8):927–34.

L Bermudez , V Carter , W Magee Jr, R Sherman , R Ayala : Surgical Outcomes auditing systems in Humanitarian Organizations. World Journal of Surgery. 2010;34(3):403–10.

K Chu , S Stokes , M Trelles , N Ford : Improving Effective Surgical Delivery in Humanitarian Disasters: Lessons from Haiti. PLoS Med. 2011;8(4):e1001025.

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Prehospital and Disaster Medicine
  • ISSN: 1049-023X
  • EISSN: 1945-1938
  • URL: /core/journals/prehospital-and-disaster-medicine
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