ABSTRACT
Many children in immigrant families may qualify for legal protection-for themselves if unaccompanied, or as a derivative on parents' claims-on humanitarian grounds related to persecution or forced migration. Pediatric providers can offer a spectrum of multidirectional medical-legal supports to increase access to medical-legal services and support children who are undocumented or in mixed-status families. These activities can include providing trusted information, incorporating screening for health-related social needs, establishing networks for multidirectional referrals, and providing letters of support for legal protection. To expand workforce capacity for medical-legal services related to immigration, pediatric providers can also receive training to conduct specialized, trauma-informed forensic evaluations and can advocate at individual, local, state, federal, and global levels to address factors leading to persecution and forced migration while supporting individuals who may be eligible for legal protection. [Pediatr Ann. 2024;53(5):e183-e188.].
Subject(s)
Altruism , Humans , Child , Relief Work/legislation & jurisprudence , United States , Refugees/legislation & jurisprudence , Health Services Accessibility/legislation & jurisprudence , Emigrants and Immigrants/legislation & jurisprudence , Pediatrics/legislation & jurisprudence , Undocumented Immigrants/legislation & jurisprudenceABSTRACT
No disponible
Subject(s)
Humans , Male , Terminal Care/legislation & jurisprudence , Terminal Care/organization & administration , Relief Work/legislation & jurisprudence , Health Personnel/legislation & jurisprudence , Health Personnel/organization & administration , Health Personnel/standards , Emergency Medical Services/legislation & jurisprudence , Enacted Statutes , Supreme Court Decisions , 51750/legislation & jurisprudence , 51750/methods , Emergency Relief , Relief, Assistance and Protection in Disasters , Emergency Medicine/legislation & jurisprudence , Emergency Medicine/standardsABSTRACT
En este artículo presento mi experiencia como cirujano plástico de la organización Médicos del Mundo en múltiples misiones de ayuda humanitaria quirúrgica: conflictos bélicos y emergencias tras desastres naturales, describiendo la dinámica de este tipo de misiones desde la movilización inicial hasta el fin de las mismas y desde una óptica tanto personal como de la organización para la que actúo. Las misiones se han llevado a cabo en 10 países de Europa, África y Asia, en las que se intervinieron quirúrgicamente más de 330 pacientes. El equipo quirúrgico desplazado está compuesto habitualmente por anestesista, cirujano ortopédico y cirujano plástico; una combinación adecuada para el tipo de patología encontrada tanto tras terremotos (fracturas abiertas, síndromes por aplastamiento, secuelas de síndromes compartimentales), como en conflictos bélicos (heridas por metralla, por arma de fuego, amputaciones traumáticas, quemaduras y pérdidas de sustancia). Todo ello sirve también para analizar la diferente ayuda humanitaria que la comunidad internacional ofrece en ambos escenarios (AU)
In this paper I present my experience as plastic surgeon working for Médicos del Mundo organization in multiple humanitarian aid surgical missions: war conflicts and emergencies after natural disasters, describing the dynamics of such missions from the initial mobilization until its final from both, a personal perspective and the organization for which I act. Missions were conducted in 10 countries of Europe, Africa and Asia, and more than 330 patients were operated. The displaced surgical team usually consists of anesthesiologist, orthopedic surgeon and plastic surgeon; a suitable combination for the type of pathology founded after earthquakes (open fractures, crush syndrome, sequelae of compartment syndrome) and war (shrapnel wounds, gunshot wounds, traumatic amputations, burns and loss of substance). The existing difference between the humanitarian aid given by the international community in both scenarios is also analyzed (AU)
Subject(s)
Female , Humans , Male , Surgery, Plastic , Surgery, Plastic/methods , Relief Work/economics , Relief Work/ethics , 51708/ethics , 51708/methods , Disaster Victims/psychology , Ambulatory Care/ethics , Ambulatory Care/methods , Surgery, Plastic/ethics , Surgery, Plastic/rehabilitation , Relief Work/legislation & jurisprudence , Relief Work/organization & administration , 51708/analysis , 51708/policies , International Assistance in Disaster , Disaster Victims/rehabilitation , Ambulatory Care , Ambulatory CareSubject(s)
Humans , Male , Female , Child , Analgesia/methods , Ketamine/therapeutic use , Natural Disasters , Earthquakes/statistics & numerical data , Relief Work/organization & administration , Relief Work/standards , Analgesia/trends , Analgesia , Hospitals, University/organization & administration , Hospitals, University/standards , Haiti/epidemiology , Relief Work/legislation & jurisprudence , Relief Work/statistics & numerical data , Disasters/statistics & numerical dataABSTRACT
Antes de iniciar cualquier rescate, y en particular un rescate de espeleología, hay que cerciorarse de que el material con el que se va a trabajar cumple unas normas mínimas de seguridad. En este sentido, el presente artículo hace referencia de manera somera a la normativa vigente en esta materia. Además, establece varias clasificaciones de los materiales utilizando como criterio la distribución por equipos, la fase de alerta del Decálogo Prehospitalario (1) y el propio material en sí de trabajo. En el siguiente punto se identifican y describen algunos de los elementos que integran el equipo de protección individual (EPI) (arnés, mosquetón y cuerda). Desde mi punto de vista, considero necesario enfatizar la importancia de conocer algunas de las características de estos dispositivos, ya que constituyen la herramienta básica de movilidad y seguridad que debe saber manejar cualquier profesional que trabaje en un grupo de rescate sanitario. Sin olvidar que se trata de un equipo médico, se indica, en líneas generales, el material de urgencia que se porteará al interior de la cavidad natural. Por último, se describen detalladamente el mantenimiento que requieren los elementos de seguridad, textil y/o metálico, del EPI (AU)
Before any kind of rescue, and particulary a speleological rescue, all the equipment must be checked. This equipment has to fulfil minimum security conditions. This article makes a slight reference to the legislation in force in this field. Furthermore, it establishes different material classifications according to the equipment distribution, the pre-hospital Decalogues alert phase (1) and the material used itself. Next, the article identifies and describes some of the main elements in an individual protection equipment (harness, snap ring and ropes). From my personal point of view, I believe it important to stress the importance of knowing some of the features of these devices. They are the basic safety and mobility equipment any professional working on a health-care rescue team should know. Without forgetting it is a medical team, the article describes in general terms the emergency material the team should carry into the cavern. Finally, it describes in detail the maintenance all this EPI security elements (metallic or textile) require (AU)
Subject(s)
Humans , Male , Female , Search and Rescue , Relief, Assistance and Protection in Disasters , Rescue Personnel , Relief Work/legislation & jurisprudence , Rescue Work/legislation & jurisprudence , Rescue Work/methods , Rescue Work , Protective Devices/supply & distribution , Protective Devices , Equipment Safety/instrumentation , Equipment Safety/methods , Equipment Safety , Personal Protective Equipment/economics , Personal Protective Equipment/supply & distribution , Personal Protective Equipment , Material Resources in Health , Materials and Supplies Stockpiling , Constitution and BylawsABSTRACT
La actividad desarrollada por el personal de una misión humanitaria, por las características de los escenarios en los que trabajan y las situaciones que tienen que manejar, requieren análisis de riesgos del entorno, previsión y luego empleo sobre el terreno de medias y equipos de protección. Este artículo, pretende revisar los tipos y características de los equipos de protección individual ante los riesgos estándar que las misiones humanitarias sobre el terreno conllevan, y formular una propuesta concreta al respecto (AU)
The activity developed by the Humanitarian Missions Staff, requires anticipated surrounding risks analysis and later, on the ground, to use self-protection measures and equipments, because of the characteristics of the scenery in which we have to work and the situations that we have to manage. This paper tries to review the types and characteristics of those individual protection equipments for the standard risks of the humanitarian missions and to make a proposal about (AU)