ICRC Independent hospitals � 1979-93 Khao-i-Dang, Thailand (Cambodian conflict) � 1981-93 Peshawar, Pakistan (Afghan conflict) � 1983-96 Quetta, Pakistan (Afghan conflict) ICRC SURGICAL ACTIVITIES AROUND � 1982-86 Kab Chern Thailand (Cambodian conflict) THE WORLD � 1987-2006 Lopiding H., Kenya (Sudan conflict) � 1988-92 Karte Seh Hospital, Kabul, Afghanistan* � 1989-91 Berbera H., Somalia* Hat Yai � 1994 Kigali field hospital, Rwanda July 2012 � 1996 Novye Atagui, Chechnya RF � 1997, 98-99 Netland H., Freetown, Sierra Leone* � 1999-01 Dili General H., East Timor Christos Giannou, ICRC Senior Surgeon � 2005 Banda Aceh, Indonesia � 2005-06 Muzafarrabad, Pakistan � 2009- Peshawar, Pakistan ICRC Major Supported Hospitals ICRC Mobile Surgical teams � 1991- Keysaney H., Mogadiscio, Somalia, SRCS � 1993- 2007 Juba TH, Juba Sudan Or, when the patient cannot reach the hospital, � 1996-01, Mirwais H., Kandahar, Afghanistan the hospital goes to the patient. � 2006- Mirwais H., Kandahar, Afghanistan � 1996-98 Uvira , RDC* � Somalia (1992-93) � 2000 - Medina H., Mogadiscio, Somalia SRCS � South Sudan (2000) � 2001-04 JFK Memorial H., Monrovia, Liberia � Darfur (2005 - 07) � 2004 La Providence, Canapé vert, Haiti � Yemen (2008) � 2004 Kutum, Zalingi, Darfur, Sudan � Chad (2008) � 2005 Puthukkudiyiruppu, Sri Lanka � 2006-2009 Jalalabad, Afghanistan � 2010 - Yemen: 3 hospitals 1
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Muzafarrabad ICRC Field Hospital Muzafarrabad ICRC Field Hospital 4
Mobile Surgical Team Indonesia – Banda Aceh ICRC Hospital Activities 2011 ICRC Hospital Activities 2011 � supported hospitals = 28 countries � Medical patients admitted = 192'466 � expatriate presence = 7 countries � Of which 34'936 children aged < 15 years � Obs-Gyn patients admitted = 177'017 � weapon wounded admitted = 20'053 (2885 � OPD = 1'234'041 mine injuries) � Surgical: 506'615 � Medical: 539'483 � surgical non-WW admitted = 112'456 � Obstetric: 187'943 � FAP patients= 25'107 � operations performed = 138'213 ICRC EXPERIENCE ICRC Hospital Activities 2011 � War surgery seminars = 31 Since 1981, ICRC surgical teams have run 14 independent hospitals and treated over � Emergency Room Trauma Course = 13 465'000 surgical patients of whom more than 110'000 were war wounded and performed � Training of trainers 1 more than 600'000 operations. WW surgical database of about 32,000 patients. � Lectures/participation at 10 international conferences 5
MINE VICTIMS REQUIRE LONGER HOSPITALIZATION THE ICRC WAR SURGERY EXPERIENCE AND MORE BLOOD TRANSFUSIONS Management of war wounded patients 80 under difficult circumstances, 70 60 using the most appropriate techniques 50 and technologies for situations of 40 limited resources. 30 Mines 20 10 Fragment 0 Bullet LOS (days) Transfusion rate (%) 6
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