Prehospital and Disaster Medicine
10th World Congress on Disaster and Emergency Medicine
26-27 September, 1997
Mainz, Germany

Abstracts of Scientific Papers

Introduction
Wolfgang Dick

Free Paper Sessions

Session 1: Preparedness

Session 2: Trauma

Session 3: Hospitals and Disaster

Session 4: Training

Session 5: CardioPulmonary Resuscitation

Session 6: Children and Disasters

Session 7: Miscellaneous

Poster Sessions

Session 1: CPR - Hospital - Miscellaneous

Session 2: Miscellaneous

Session 3: Preparedness

Session 4: Children-Training-Trauma

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Free Papers

Session 1A: Preparedness

abst Do You Know, What Your Actual Preparedness Is?
Matti A.K. Mattila

abst Establishing Disaster Preparedness in a Developing Country
Dr. Whaid Ali Alkharusi, FRCS

abst How to Improve International Disaster Relief Activities
Yasufumi Asai; Kouji Sakane; Hidetomi Ooi; Aiichirou Yamamoto; Yasuhiro Yamamoto; Muneo Ohta; Tomoo Hirakawa; Tutomu Korenaga;* Tomohide Atumi*

abst Rapid Adduction Motorcycle: A Pilot Project in Athens
A. Tulupis; E. Kontospyru; M. Kokoliu; C.Bachtis; M.Vaphiadu

abst The Medical Aspect of Liberia's Complex Emergency in April 1996
D.G. Pyrros, MD

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Session 1B: Preparedness

abst Hellenic MEDEVAC Operations in 1995 and 1996
E. Kontospyru; N. Zachopulos; V. Stergiopulos; D. Lambropulos; S. Bakas; G. Letsios1 M. Kokoliu, C. Bachtis; M. Vaphiadu

abst Helicopter Supported Rescue Operations in Mountain Areas: Challenge for the Emergency Physician
V. Lischke; K. Westphal; P. Kÿppers; P. Kessler

abst An Airplane Crash into Type-K Ndolo Market: What Lesson for the Future?
B. Kabwe-Mwilambwe; N. Lenge Katwamba; M. Ekutsu Mohobo

abst Role and Function of EMS Supervisors
Christoph Redelsteiner, BSW, EMT-P

abst Advanced Training of Medical Personnel in Rescue Operations Initiated by Building the Oresund Bridge
Marie Young, MD

abst Organization of the Emergency Medical Services of the German Federal Armed Forces in the Former Yugoslavia during SFOR Mission
Detlef Nick; Michael Neuhoff

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Session 1C: Preparedness

abst Incidence and Performance of Invasive Airway Management in the German Air Rescue System
H. Kuhnigk; K. Zischler; P. Sefrin

abst Casualty Management Planning for Mass Crowd Events
Eric W. Williams

abst Life-Saving Potential in Tsunami Victims
Y. Watoh; T. Kai; E. Pretto; J. Abrams; R. Saenz; H. Hirotsune; M. Matsuzaka; M. Ikezoe; M. Wakasa; A. Shimomura; A. Tada; M. Ohta; M. Aono

abst Problems in the Aeromedical Evacuation by Helicopter at the Urban Disaster and
Catastrophe in Japan
Masahiro Takiguchi, MD

abst 10 Years with the Chief Emergency Physicians System in Hamburg
H.R. Paschen; P.M. Schilke; A. Feist; M. Lipp

abst Disaster Response System of Fire Service and Emergency Medicine, Saitama Prefecture, Japan
Norifumi Ninomiya MD; Hisashi Inoue, MD; Mitsuyoshi Harada, MD; Kazuhide Koseki, MD; Yasuhiro Yamamoto, MD

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Session 2A: Trauma

abst The Comparative Analysis of Emergent Ultrasound Detection Hemoperitoneum Performed by Physicians of Different Specialties
Alan Šusti ; Boris Mlinari ; Damir Mileti

abst Burn Injuries in Traffic Accidents: Are They Avoidable?
A. Schinnerl; G. Kroesen; M. Baubin; W. Voelckel

abst Ultrasonography in the Evaluation of Hemoperitoneum in War Casualties
Alan Šustiƒ ; Boris Mlinariƒ ; Damir Miletiƒ

abst Re-operation following Abdominal Trauma
Jo‹o Ricardo Ribas, Jr; E Savino Gasparini

abst Thoraco-Abdominal Trauma
Savino Gasparini; Jo‹o Ricardo Ribas, Jr

abst Injuries to the Neck
Savino Gasparini; Jo‹o Ricardo Ribas, Jr.

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Session 2B: Trauma

abst Small-Volume-Resuscitation in Normovolemic Volunteers
W. Krüll; S. Izmail; S.E. Gaßmary; S. Sabutsch; W. Schimetta; W. Pölz; W.F. List

abst Comparison of Oxygen Consumption and Energy Expenditure in Mild Hypothermia Therapy in a Case of Severe Head Injury
T. Miyaichi; T. Shigemoto; H. Rinka; Y. Matsuo; S. Kann; A. Kaji; K. Tsukioka; T. Ukai

abst Protecting the Brain During Severe Hemorrhagic Shock
Peter Safar; Samuel Tisherman; Peter Carrillo; Akira Takasu; Gretchen Stolz; C. Edward Dixon; Gad Bar-Joseph; Ann Radovsky; Gutti Rao; S. William Stezoski

abst Resuscitative Moderate Hypothermia for Severe Traumatic Brain Injury
Peter Safar; Patrick Kochanek; Donald Marion; Uwe Ebmeyer; Shlomo Pomeranz

abst Extending the Golden Hour of Hemorrhagic Shock Tolerance in Rats
Samuel Tisherman; Peter Safar; Akira Takasu; Peter Carrillo; Robert Schlichtig;
Seung H. Kim; Antonio Capone; David Crippen; S. William Stezoski

abst Capillarity in Burn and Wound Dressing
Wahid Mikhail, MD

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Session 3A: Hospitals and Disaster

abst Experience of the Utrecht Emergency Hospital in Admission and Treatment of Groups of Victims in the Period 1991-1996
V. Eijzenbach; K.J. van der Eijk; J. Meulenbelt; A.J. van Leusden; T.J.F. Savelkoul

abst Training Facilities for Disaster Medicine in the Utrecht Emergency Hospital in the Netherlands
V. Eijzenbach; P. van Luyn; K.J. van der Eijk, J. Meulenbelt; A.J. van Leusden;
T.J.F. Savelkoul

abst Surgical Emergencies in an Urban, Tropical Environment, University Hospital
B. Imposo-Bofunga; J.B. Mputu Yamba; B. Kabwe-Mwilambwe

abst Patient Tracking and Registration in a Hospital in Case of Mass Casualty Incidents
J.H. Bouman, BSc; A.J. van Leusden, MD; T.J.F. Savelkoul, MD, PhD

abst Organization of Emergency Medical Aid in Patients with Polytrauma in a Specialized Department of Multiple and Combined Trauma of Emergency Hospital
Anatoly Pushkov; Peter Filimonov; Anatoly Petrenko; Andrey Chernyavsky;
Viktor Sitnikov; Alexey Afonia

abst An Organizational Model of a Hospital Information Center
M. Drori; J. Posen; D. Vilner; K. Ginzburg

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Session 3B: Hospitals and Disaster

abst An Interhospital Disaster Mutual-Aid Plan
David Jaslow, MD; Joseph Barbera, MD, FACEP; Bill Pastor, MA, MPH

abst Catastrophe Contingency Plan of the Hospital for Accident Surgery in Graz (UKH)
Heinz Neugebauer; J. Braunschweig; M. Leonhardt

abst The Role of University Hospitals in a Catastrophe
Shinichi Nakayama; Noboru Ishii

abst Effects of a Simulated Subway Accident on the Emergency Room of a Hospital
L. Fdez-Yarritu; E. Barbero; A. De La Serna; R De Celis; M. Ortega; A. Martin;
A. Oleagordia; J. L. Azpiazu

abst Stress of Nurses in Affected Hospitals at an Earthquake Disaster
Akiko Takahashi; Sakayu Terashi; Kiyoji Nagao; Masahiro Iwakiri; Hideto Hirotsune;
Taturo Kai; Muneo Ohta

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Session 4A: Training

abst Quality of EMTs' Vocational Training: Results of an Empirical Investigation in Germany
Klaus Runggaldier

abst Training of Specialists-Coordinators within the System of Disaster Medicine Service
S.V. Trifonov; V.A. Zhukov; I.I. Sakhno

abst The Positive Training Impact for 489 Physicians and Surgeons on Duty at the
Public Hospitals of Rio De Janeiro
Marcos Musafir; Roberto Frota Pessoa; Ronaldo Gazolla; Eduardo Kanaan

abst Training of Doctors In Cardiopulmonary Resuscitation-The Saxonia Model
C.H. Rudolph; K. Kramer; D. Olthoff

abst Orotracheal Intubation in Anaesthesia: Method
J.M. Fonrouge, MD; P. Branche, MD; F. Lakdja, MD; Professor P. Petit, MD

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Session 5A: CardioPulmonary Resuscitation

abst Modification of the Closed Circuit Underwater Breathing Apparatus, Lar V, Makes It Suitable for Artificial Ventilation in Mass Casualty, Ship Accidents
B. Neubauer; T.S. Mutzbauer

abst Did Cardio-Pulmonary Resuscitation Already Exist in Egypt 5,000 Years Ago?
Andreas Ocklitz

abst Compression-Decompression (ACD)-CPR
T.S. Mutzbauer; W. Stahl; K.H. Lindner

abst Prehospital Thoracotomy for Cardiac Arrest Due to Perforating Chest Wounds:
Case Reports of Two Patients
T. Silfvast

abst Evaluation of Nation-wide Education of Basic Life Support (BLS) in Japan
M. Aono, MD; S. Kawaguchi; MD; R. Tamai, RN, ELST; A. Taknabe, RN, ELST

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Session 6A: Children and Disasters

abst Emergency Psychotherapeutic Assistance to Children in the Areas of Armed Conflicts in the Former USSR
Marina I. Berkovskaya; Sergei N. Enikolopov; Alexander N. Michailov

abst Database of Disabled Children Injured in Disasters
B.A. Kobrinsky

abst Intensive Treatment Administered to Children with Crush Syndrome (CRS) after the 1995 Sakhalin Earthquake
V.P. Molochny, MD; S.K. Sukhotin, MD; M.A. Cberednichenko, MD; A.F. Lopatin, MD;
N.B. Yampol, MD; A.M. Shmakov, MD

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Session 6A: Children and Disasters

abst Emergency Psychotherapeutic Assistance to Children in the Areas of Armed Conflicts in the Former USSR
Marina I. Berkovskaya; Sergei N. Enikolopov; Alexander N. Michailov

abst Treatment of Children with Severe Compression Trauma
R.A. Keshicshyan; S.B. Saveliev

abst Intensive Treatment Administered to Children with Crush Syndrome (CRS)
after the 1995 Sakhalin Earthquake
V.P. Molochny, MD; S.K. Sukhotin, MD; M.A. Cberednichenko, MD; A.F. Lopatin, MD; N.B. Yampol, MD; A.M. Shmakov, MD

abst The Organization of Micro and Reconstructive Surgery in Conditions of War-
The Chechen Experience
Kartik G. Krishnan MD ( India ) and Hasan M. Batayev MD (Russia)

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Session 7A: Miscellaneous

abst The Tokyo Subway Sarin Attack from the Disaster Control Viewpoint
T. Okumura; S. Miyanoki; K. Kumada; N. Takasu; S. Ishimatsu; A. Fukuda
K. Suzuki, Fujii; A. Kohama

abst Information Disorder in Hospitals During the Tokyo Sarin Attack in 1995
Y. Shirakawa; G. Ochi; S. Maekawa; K. Ogli; S. Sintani

abst Methamphetamine Abuse: Worldwide Potential for Violence
John R. Richards, MD; Robert W. Derlet, MD

abst Hazardous Material Accidents with Mass Casualties:
Prevention Strategies by Hamburg Fire Brigade
H.R. Paschen; J. Schallhorn; M. Lipp

abst Blood Purification Therapy for Crush Syndrome:
An Analysis of 50 Cases Caused by the Great Hanshin Earthquake
Shigeru Shiono, MD; Shinzo Mukainaka, MD; Tatsuro Kai, MD; Muneo Ohta, MD

abst Ketamine in Anesthesia Emergency and Disaster Medicine Experiences during the
UN Mission in Somalia
Dr. Peter Enders

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Session 7B: Miscellaneous

abst Information Support System for Medical Aid to Burned Victims in Disasters
A.N. Putintsev; L.I. Gerasimova; V.N. Zhizhin

abst An Introduction to the Global Health Disaster Network (GHDNet)
G. Ochi; Y. Shirakawa; K. Nitta; Y. Watoh; E. Pretto; A. Sekikawa; R.E. La Porte

abst Quality Management System Implementation within the Viennese
Red Cross Ambulance and Disaster Service
Christoph Redelsteiner, BSW, EMT-P

abst Military Medical Aid in International Disasters
Colonel I.S. Creamer, MC, MFPHM

abst Psychosocial Sequelae of Disasters in the Acute Phase and
During Mid- and Long-Term Recovery Periods
Gloria R. Leon, PhD, Victor S. Koscheyev, MD, PhD

abst New Methods in Critical Care Medicine
Margarita Malakhova; Oxana Dmitrienko

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Poster Sessions

Session 1: CPR - Hospital - Miscellaneous

abst Dopamine as a Defender from Re-Arrest during Transportation
after CPR in Prehospital Treatment
D. Csuszo, A. Evetovic, I. Csuszo

abst Compression Effect Applied for Hypertension Treatment
V.D. Maly; O.M. Makarenko

abst National Hospital Tokyo Disaster Medical Center-The Philosophy for Disaster:
It's Role and Function
H. Nishi; Y. Haraguchi; Y. Tomoyasu; T. Arai

abst Precautionary Hospital Plan for Mastering Extreme Numbers of Accident Victims
R. Habeler; G. Pfaringer; W. Hoerbst; G.Kroesen

abst Regional Anesthesia in Emergency and Disaster Medicine
B.I. Bartashevich; V.L. Radushkevich; Yu N. Karavaev

abst Influence of Additional Organ Failure on Outcome of Patients with Postpartum Eclamptic Coma Managed by Urgent, Isolated Ultrafiltration
V.E. Bukin

abst Proposal for the Development of an Award of Excellence in Disaster Management Administered by the World Association For Disaster and Emergency Medicine (WADEM)
Jennifer B. Jaumotte, MS, MPM; Ernesto A. Pretto, MD, MPH

abst Syringe Or Bulb? Three Oesophageal Detector Devices
W.H. Maleck; K.P. Koetter; A. Jatzko; G.A. Petroianu

abst Poisoning with Cholinesterase Inhibitors-A Possible Cause for a Disaster
Detlef Nick; Peter Enders

abst Telecommunication in an Earthquake Disaster
Shuuichi Okumura, MD; Yoshio Murayama, MD

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Session 2: Miscellaneous

abst Application of Plasmapheresis in Emergency Treatment of Opiate Withdrawal Syndrome
Dr. Vitaly Pishel

abst Outbreak of Salmonellosis at a School
V.P. Popov; O.V. Kolasnikov

abst Stressful Life Events and Grave's Disease
Vladan Radosavljeviƒ ; Slavenka Jankoviƒ ; Jelena Marinkoviƒ

abst An Ambulance of Comforting Excellence (ACE)
K.J.J. Waldeck; R.A. Boomars; Th. W. Wulterkens

abst An Assistance Program to Laboratories in Tajikistan, Central Asia
T.D. Healing

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Session 3: Preparedness

abst Mortality and Morbidity among Rwandan Refugees Repatriated from Zaire, November 1996
N. Banatrala; A.J. Roger; A. Denny; J.P. Howarth

abst A Law Defining the Transport of Unidentified Casualties: A Necessity to Allow Care on an International Scale
Dr. J. M. Fonrouge; C. Allibert; Professor S.W.A. Gunn; Professor M. Bélanger

abst Disaster Medicine Service of a Large Industrial Region
R.A. Halfin; V.F. Turnisky; A.I. Nikiforof; E.K. Nikolaev; V.P. Popov; O.V. Kolasnikov;
U.V. Revenko

abst Problems on the Earthquake Disaster
Yoshio Murayama, MD; Yukio Shimizu, MD; Shuuichi Okumura, MD

abst Casualties of the Earthquake Disaster
Yukio Shimizu, MD; Yoshio Murayama, MD

abst Principles of Evacuation of Shock Patients in Intensive Care Medicine in the Siberia Region
V. Slepuhshkin; S. Vassiliev; O. Fomki; I. Galeev; A. Ivochkin; L. Koroll

abst Action Cards Used to Link Human Behavior and Disaster Planning
Hans Svensson, RN

abst Analysis of Fire Disasters and Burns in Taiwan
Lee-Min Wang, MD; S.C. Hu, MD; C.H. Lee, MD; J.R. Chiang

abst The Earthquake in the Aegion Region in 1995
N. Zachopulos; E. Kontospyru; G. Letsios; S. Bakas; D. Lambropulos; V. Stergiopulos; M. Kokoliu; C. Bachtis; M. Vaphiadu

abst The Emergency Care in the China Tangshan Earthquake
Li Zong Hao, MD

abst A Nuclear Disaster Handling Manual
Y. Haraguchi; H. Nishi; Y. Tomoyasu; T. Arai

abst Analysis of the Kinds of Diseases Encountered in the Shanghai Prehospital Emergency Care Service: 1991-1995
Xu Huiliang

abst The Disastrous Epidemic 0-157 (Escherichia Coli) Food Poisoning in Osaka
Arito Kaji; Toshinori Miyaichi; Hiroshi Rinka; Yoshio Matsuo; Masanori Kan; Tatsuhiro Shigemoto; Takahisa Yoshimura; Kazuma Tsukioka; Takashi Ukai

abst Disaster Planing for Kinshasa City
G. Nzolani Lufwa; M. Mohobo Ekutsu; B. Kabwe-Mwilambwe

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Session 4: Children-Training-Trauma

abst Recurrent Neurogenic Pulmonary Edema Following Grand Mal Seizures in a 13-Year-Old Boy:
A Case Report
R. Stögbauer

abst Assessment of the Teaching of First-Aid Practices
Dr. J. M. Fonrouge; V. Fraile; Professor P. Petit

abst Training in Disaster Medicine: How to Simulate Pathologies and Treatments and How to Evaluate Efficiency of Medical Care
P. Neirinckx; J.B. Gillet; J. Thiry; P. Vandenbossche; D. Vanpee; A. Servais;
Prof. M.S. Reynaert

abst Experience and Problems of Disaster Drills and Education for Medical Teams Using a Disaster Manual
Y. Tomoyasu; H. Nishi; Y. Haraguchi; T. Arai

abst Systems and Problems of Disaster Drills in the National Hospitals of Japan
Y. Yagishita; H. Abe; A. Kisara

abst Transcapillary Liquid Exchange in the Lung following Combined Trauma
N.I. Atjasov; A.N. Beljaev; M.N. Tjagusheva

abst Active Surgical Treatment of Heavy Burns
N.I. Atuasoff

abst Have Aggressive Supportive Care Measures Altered Indications for Emergency Department Thoracotomy?
Bo Tomas Brofeldt, MD; John Richards, MD

abst Our Experience in Providing Ophthalmologic Aid to Accident Victims
R.A. Gundorova; G. G. Petriashvili

abst Elevated Selectin Levels in Multiple Trauma Patients with Severe Head Injury
T. Kerner; D. Keh; S. Höfler; M. Gerlach; K. Krüger; S. Spielmann; H. Gerlach

abst Should Fluids Be Limited Early in Trauma?
Severe Pulmonary Edema Following Aggressive Volume Therapy During Extraction of a Trauma Victim: A Case Report
R. Stögbauer

abst The Role of Abdominal Pansonography in Penetrating War Injuries of the Thorax
Vladimir Mozetiƒ ; Alan Ò ustiƒ ; Damir Miletiƒ ; Zeljko Fuckar

abst The Importance of Research Left Ventricular Function After Acute Severe Trauma
E. Tishkou; I. Bobrinskaja; O. Bukaev

abst Tactics and Strategy of Confronting Disaster for Jordan Civil Defense
Lt. Col. Nizam S. Sa'ad

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