Répondre aux besoins chirurgicaux à l'échelle mondiale

Responding to Rising Surgical Needs

Harald Veen FRSCEd Chief Surgeon International Committee of the Red Cross

Surgery in the Developing World • only 10% of all major surgery required is actually performed • only 2% of all minor surgery required is actually performed • 10% of surgery requires specialist surgical training •

40% of surgery requires surgical training

•

50% of surgery requires minimal training

“Disasters seek out the poor and ensure they remain poor�

Didier J. Cherpitel Secretary General of the International Federation of Red Cross and Red Crescent

Number of Physicians

ICRC hospital positions

• 2013:

50

• 2014:

130

ICRC 2015 budget

• 1.6 billion CHF • 21% increase

Seven sins of humanitarian medicine.

1. Leaving a mess behind.

2. Failing to match technology to local needs and abilities.

3. Failing of NGO's to cooperate.

4. Failing to have a follow-up plan.

5. Allowing politics, training, or other distracting goals to trump service, while representing the mission as "service".

6. Going where we are not wanted, or needed / being poor guests.

7. Doing the right thing for the wrong reason .

Welling ea Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, USA .

World J Surg 2010

Welling DR, Ryan JM, Burris DG, Rich NM World Journal of Surgery 2010 •

Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda,, USA

Humanitarian Aid Scene • Concept of ‘experience’ • Up to date? (DC) • Business / Politics / Religion

Responding to Rising Surgical Needs

Harald Veen FRSCEd Chief Surgeon International Committee of the Red Cross

Requirements Humanitarian Surgeon Experience Broad Range of Skills Official Registration Available Language, teamwork, religion, skin color, ……………………

• Quality • • • • •

• only 10% of all major surgery required is actually performed

• only 2% of all minor surgery required is actually performed

• 10% of surgery requires specialist surgical training

• 40% of surgery requires surgical training

• 50% of surgery requires minimal training

Primam non nocere • Majority of VVF iatrogenic • O.M. and inadequate # treatment • CS rate 5-15%........

‘just’ a general surgeon?.....

COMEDS

COMBAT SURGEONS CURRICULUM

MOST

UK International Emergency Trauma Register

STAE

6th International MSF Surgery Workshop D端sseldorf

Tel Hashomer

Number of Physicians

RECRUITMENT 2ND half 2014:

• • • •

51 surgeons 28 anaesthetists 44 ward nurses 15 OT nurses

OTHER ORGANISATIONS

1 shared surgical training center ?

To provide Protection and Humanitarian Assistance to the victims of war, armed conflict and disasters