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REGULACAO DOS PLANOS BRANCOS DE DESASTRES MEDICO SANITARIOS PARA OS SAMU
Miguel Martinez Almoyna Medico MCUPH Honorario afastado do SAMU de Paris
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PLANOS BRANCOS DOS SAMU E DO SISTEMA INTEGRADO DE
URGENCIAS MEDICAS DO SUS DO BRAZIL
A partir do Ejemplo dos « Plans Blancs de Desastres Sanitaires » Franceses
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Desencadena os Planos Brancos dos Hospitais implicados em primeira linea
Alerta concentricamente os Recurso do(s) SAMU(s)
Alerta as Autoridades
Despacha os primeiros recursos na zona de seguridade do site
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Decisioes imediatas conservatorias de emergenciaEvaluacion e Clasificacion inicial de prioridades
1 EQUIPO E SALA DE REGULACAO E MOBILIZACAO DOS RECURSOS
2 DESPACHO DUM DELEGADO REGULADOR NO SITE
3 CONFIRMACAO E EXTENSAO DA ALERTA
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Desastres M Martinez Almoyna
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PLANO BRANCO INICIAL DO SAMU NO SITE DO DESASTRE
5REGPOR50b Planos Brancos
Desastres M Martinez Almoyna
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Plano Branco SAMU para os postos de
1 Decontaminaçao do Frente2 Decontaminacao preventiva dos
Hopitais3 Resforzo dos Hospitais
Contaminados
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� Plan Branco de Resforzo d’um Hospital invadido por afuxo de vitimas
� Plan Branco de Resforzo d’un Hospital que tnehe que ser evacuado
� Plan Branco d’um Hospital Destruido� Plan Branco de resforzo de
descontaminaçao na entrada
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A Rede dos SAMUs e dos Hospitais do SUS como base funcional duma futura Proteçao Civil Sanitaria
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� O estado Federal tenhe que establecer SAMU de Zonas interestaduais e um SAMU Nacional o varios Nacionais
� Equipamento Federal normalizado� Uma nova legislaçao par ben repartir as
tarefas dos MILITARES POLICIAS BOMBEROS etc no caso da aplicaçao dos Planos Brancos
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� Os equipamentos� A organizaçao � Os personais
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� 1 UTIM Ligera de Intervençao e Apoyo Medico para intervençao do Medico Regulador avanzado
� 2 Unidade do Posto Medico Avanzado (Regulaçao Medica Avanzada do SAMU , Centro de Triage e Evacuaçao)
� 3 Unidades de Logistica extrahospitalaria Ligeros e Nacionais de Desastre
� 4 Unidades de DescontaminaçaoREGPOR50 Planos Brancos Desatres M Martinez Almoyna
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Remplaça o equipo da Primeira UTIM que intervino e organiza a regulaçao avanzada con o regulador do SAMU
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2.1 Regulaçao Medica Avanzada do SAMU
2.2 Centro de Triage e Evacuaçao do avante; dum hospital
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Cliquez pour éditer le format du plan de texte
Second niveau de plan
− Troisième niveau de plan
Quatrième niveau de plan
−Cinquième niveau de plan
−Sixième niveau de plan
−Septième niveau de plan
−Huitième niveau de plan
� Neuvième niveau de planModifiez les styles du texte du masque� Deuxième niveau
� Troisième niveau Quatrième niveau
− Cinquième niveau
Contenido Medico Farmaceutico dos PSM da França� MALLE A 1� Set ventilation� Set perfusion� Set pansement� Set médicaments
d'anesthésie� Set médicaments de
Réa
� MALLE A 2� Set ventilation� Set perfusion� Set pansement� Set médicaments
d'anesthésie� Set médicaments de
Réa
� MALLE A 3� Set ventilation� Set perfusion� Set pansement� Set médicaments
d'anesthésie� Set médicaments de
Réa
� MALLE A 4� Set ventilation� Set perfusion� Set pansement� Set médicaments
d'anesthésie� Set médicaments de
Réa� � MALLE A 5� � SOLUTES�
MALLE A 6
MEDICAMENTS
MALLE A 7
PANSEMENTS
MALLE A 8
SET SUTURE / SET URINAIRE
MALLE A 9
SET KT CENTRAL /
DRAIN THORACIQUE
MALLE A 10
SET INTUBATION
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� 3.1 Remolques ligeros de Ambulancias para Accidente Coletivo 50 vitimas
� 3.2 Unidade todo terreno de « Postos Sanitarios Moviles » de Desastre da França
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Cliquez pour éditer le format du plan de texte
Second niveau de plan
− Troisième niveau de plan
Quatrième niveau de plan
−Cinquième niveau de plan
−Sixième niveau de plan
−Septième niveau de plan
−Huitième niveau de plan
� Neuvième niveau de planModifiez les styles du texte du masque� Deuxième niveau
� Troisième niveau Quatrième niveau
− Cinquième niveau
Medicamentos Mochila
� ADRENALINE� 5mg /5ml� 5 amp� CELESTENE� Bétaméthasone� 4mg/1ml� 2 amp� EPHEDRINE� 30mg/1ml� 1 amp� HYPNOVEL� Midazolam� 5mg/5ml� 4 amp� � CELOCURINE� Suxaméthonium� 100mg/2ml� 1amp� G30%� 3g/10ml� 4 amp� � ASPEGIC� 500mg� 1 fl� CORDARONE� Amiodarone� 150mg/3ml� 2 amp� HEPARINE� 5000ui/5ml� 1amp� ISUPREL� Isoprénaline� 0,2mg/1ml� 2 amp� � DIGOXINE� 0,5mg/2ml� 1 amp� ATROPINE� 1mg/1ml� 4 amp� EUPRESSYL� Urapidil� 50mg/10ml� 1 amp� HYDROCORTISONE� 500 mg� 1 fl� LASILIX� Furosémide� 20mg/2ml� 5 amp� Dans le filet plastique :� 2 cps PLAVIX 300mg� 6 cps EFIENT 10mg� DOBUTREX� Dobutamine� 250mg/20ml� 1 fl� HYPNOMIDATE� Etomidate� 20mg/10ml� 2 amp� LOVENOX� Enoxaparine� 30000ui/300mg/3ml� 1 fl� � � NACL� 0,9 %/10ml� 3fl� �
�
STRIADYNNORADRENALINE
8mg/4ml
2 amp
SALBUMOL FORT IV
Salbutamol
5mg/5ml
1 amp
VENTOLINE SPRAY
Salbutamol
100ug
1 fl
NARCAN
Naloxone
0,4mg/1ml
1 amp
NORCURON
Vécuronium
4 mg
2 amp
SULFATE DE MG
3g/10ml
1 amp
E
Triphosadénine
20 mg
1 fl
NATISPRAY FORT
Trinitrine
0,3 mg
1 fl
RISORDAN
Isosorbide dinitrate
10mg/10ml
2 amp
TILDIEM
Diltiazem
25 mg
1 fl
XYLOCAINE 2%
Lidocaïne
400mg/20ml
1 fl
LOXEN
Nicardipine
10mg/10ml
1 amp
PENTOTHAL
Thiopental
500mg
1 fl
RIVOTRIL
Clonazépam
1mg/1ml
2 amp
VALIUM
Diazépam
10mg/2ml
2 amp
ZOPHREN
Ondasétron
4mg/2ml
1 amp
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� Virobacteriologica� Quimica � Radiologica
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� Decontaminaçao Quimica par os profesionais do SAMU de Paris http://www.urgences-serveur.fr/IMG/pdf/umh.pdf
� Decontaminaçao Bombeiros da França http://www.pompiers.fr/index.php?id=5875
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� Naves Cruzeiros e Naves Industrais e Petroleras no Porto e na Mar
� Grandes Aeronaves Civis e Militares
� Atentados Explosoes Fogos Accidentes� Risgo Endemico a bordo� Evacuacioes de pacentes coletivas
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39REGPOR50b Planos Brancos
Desastres M Martinez Almoyna
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Festivos Carnavais
Eventos deportivos e Culturais
Eventos de desordem sociais
Ola de emigrados
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� Industrais� Petroleo Refinerias Unidades de Extraccao� Quimica (Cubatao)� Estadios � Minas� Hospitais Privados
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� Autopistas� Ferroviarios Maritimos Fluviais� Tuneles
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