Thursday, December 22, 2011

Instructor Course --- Disaster Medicine Training Course

 


Ving had complained that I was hooked onto gaming for the past few weeks…indeed, I am currently playing 3 version of advance war – the advance war, advancewar: black hole rising and advancewar:dual strike. I am playing them on 3 different console of coz. The advance war:blackhole rising on the GBA SP, the Advancewar : dual strike on the NDSL and the advancewar on the WII(vgb:on homebrew, striking experience on the 46’ LCD of coz…)….


Indeed, I played game to divert my anxiety….I had gone for the instructor course for the basic disaster medicine. In Taipei 2 weeks ago….


The society of disaster medicine was set up about 10 + years ago around the peri-921 earthquake period. Most of the core founders were from the SKMH in Taipei. One of the senior ED physician had later held the office of Health Director in Taipei City during the tenure of President Ma as Mayor. I had joined the society 4-5 years ago when I got my certificate for advance and basic disaster medicine course. The society held several teaching course for NBC(natural, biological and chemical) disaster management and disaster medicine course every year. Completing a credit of 24 would eligible one to sit for the disaster medicine specialist test. The specialist cert was unfortunately not gazette by the law as specialties(The GI is not a gazette specialty but still it was recognized by the national health insurance bureau)


But any way, who cares…


I had intended to join the course as I wanted to run the course in our hospital. Our hospital is currently situated in a disaster prone location. We are 70+ km away from the nuclear power plant and we are under the threat of tsunami if a large quake hit the Manila trench. There was a preparation meeting held 1 months ago in one of the govt. hospital in K city. Local officers from various related agency were summoned and there meeting had broken the news that a severe quake leading to tsunami would be expected on Jan 13-15(peri Voting Day for President). The meeting had warned the officers to be prepared for such disaster. Just after the meeting one of the village which suffered from heavy loss during the 88 flood had undergone a tsunami warning exercise. One of the officers who happened to attend the meeting had warned the elder of our church. He had told me the news.


I had done some research and found that although the prediction was a crap..(nothing/no one could give such prediction…except GOD), but the threat is still there, the southern part of Taiwan would be affected by tsunami if the Manila trench suffered from a heavy quake. If sliding occurred on the whole 900+km length of Manila trench -> there would be tsunami with wave of 3m high…. Just if….but still it could occur….


Anyway I had filled in the form months before the pre-tsunami warning meeting.


There society had sent us a set of slide(700+) and we would be requested to present two 8 mins session on selected topic. Not an easy stuff as the slide was prepared by others….


I had bought The Fundamental of Disaster Medicine from the Society of Crital Care Medicine -> cost me around 3000NT(shipment via airmail..)….However I had gotten this pdf version of Koenig’ Disaster Medicine which I could install in the Kindle…


Most of the slide came from text book written by the Society but still some of the slides lead you to no where. I spend sometimes reading the above 2 textbooks during the 1+months of preparation.


Some of the slide was confusion as I did not know what the author wanted to present on the topic... for example – I just don’t know what is MCMS..




on a quick glance and I couldn’t find it in all the 3 references textbooks…. But with the help of google, I managed to trace it to a manual produced by the WHO…




The preparation was not smooth as I had to prepared a talk on tsunami and disaster planning in the church 2 days prior to the course and Ving was not feeling well …


The course was held on Saturday and it started early at 8:30am. The earliest high speed rail hit Taipei at 8:20am – SKMH was 25 min drive from the Taipei Station…so I decided to put a night in Taipei…


The kids had complained that it was so good for me to stay in the hotel as we had been camping for the last few trips… they missed the sensation of staying in a hotel… I felt a little bit sorry but still they had been pampered too much in the past….


It was tiresome Friday. Post call and govt clinic rounds in the mountain area. I came home at 1:00pm after a 20 hrs of overnight work. Catch a little sleep and drove to the HSR station in K city. I wanted to take the 5:00pm train but unfortunately it was fully book. I took the HSR instead. (RM100 difference in price...)


Although no reservation was done I got a small room with the price of RM300….it came with a luxury buffet breakfast….A hotel run by Japanese firm. I noticed most of the guests were Japanese during breakfast on the next day…


I ended my study at 1am and hit the bed. I felt peace though as I had prayed to the LORD for the passing this time….


The breakfast was Japanese orientated but still I had a good bite despite of the hanging over from poor sleep.


I took the monorail and managed to get to SKMH in time. I was surprised as there were only 12 candidates…


I was not surprised when I saw the topic allocated to me, those topics which were not in the 3 references textbooks. I was an outsider from no where; candidate to be failed with the excuse of “Don’t know what you are teaching..”


Apart from the topic I mentioned above, I got a topic of confined space rescue …. Some of the slide of which I just don’t know how; I had neglected it as I thought I would not be such mishap to get it…


just don't know how to described them....



this was original text....


the classroom was situated in B4(basement 4 -> no signal for my 3G card…) so I had a very fast lunch and hit to B1 where I could get a signal.. I managed to get the origin (it was from FEMA US&R task force medical training manual).. and I was quite confident I could impress the examiner…


The oral presentation went great as I could mention the origin to the examiner…


The result was not published on the spot, although I was given a good remark by the examiner, I was still feeling a bit of anxiety…the returning trip was smooth and I managed to get Yun’s Licca Baskin and Robins set, and I got a motion plus for the WII….


I was checking email and mail for the next 2 weeks hoping for the result… I finally got the letter yesterday, it came with a small certificate …..


The next step would be preparing the course... need to get approval from da Boss and I would run the course in the church as well....


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