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[Deployment surgery from the viewpoint of the German Red Cross].

The German military coinages "deployment medicine" and "deployment surgery" are unusual within the Red Cross Germany (DRK). For its (surgical) deployments, the DRK complies exclusively with the principles of the International Red Cross and Red Crescent Movement. The mobile surgical unit of the DRK's rapid module system is an intentionally "low-tech" medical/surgical unit that also does without any dispensable medical conveniences. For its purposes and objectives it is optimally equipped, and enables the DRK to provide prompt and flexible regionally adjusted relief that is compatible with the Red Cross worldwide.

General Surgery↗

Afghan war wounded: application of the Red Cross wound classification.

OBJECTIVE: This study was designed to illustrate the application of the Red Cross classification system as a guide to treatment and to demonstrate its ease of use, especially in situations where the treating surgeons may have little experience with or knowledge of ballistic details. DESIGN: The wounds of 123 victims of fighting in Afghanistan are described and categorized according to the Red Cross classification system. MATERIALS AND METHODS: Recent factional fighting in Afghanistan resulted in 123 casualties being admitted to an International Committee of the Red Cross (ICRC) hospital in Quetta, Pakistan, close to the Afghan border. These casualties suffered more than 1300 wounds in total; the two most severe wounds in each casualty were categorized according to the Red Cross classification, described here. This wound classification is quick and easy to apply; it focuses the surgeon's attention on the wound, without requiring any familiarity with terminal ballistics. MEASUREMENTS AND MAIN RESULTS: The majority of wounds, caused by antipersonnel fragments (68.3% of casualties), affected only the soft tissues. Bullet wounds were fewer (22.8% of casualties), but tended to be more severe, often involving a fracture, vascular damage, or injury to a vital structure. CONCLUSIONS: The Red Cross classification permits identification of wound patterns and provides a data base for review of clinical practice and outcome. It is hoped that further data gathered in this manner from ICRC hospitals and others receiving war wounded will add to the understanding of the clinical practice and problems in war surgery.

Adolescent↗

[The origin of Red Cross and its history in China.]

This article discusses the origin of Red Cross and its history and general condition in China, and reviewes and analyzes that Red Cross is a lofty project for human being. On October 26(th) in 1863, Henry Dunant, the founder of Red Cross, set up the rescue organization which undertook the load of rescuing and protected people's lives and healthy. Red Cross actively performs the responsibility of rescue, efficiently develops series of movement, and makes great contribution to our country's reform and development, our nation's stability and world's peace.

Journal Article↗

[50 years of blood transfusion services of the Swiss Red Cross].

In the postwar years the Swiss Red Cross set up and developed a blood transfusion service based on strictly nonremunerated donation. It comprises the Blood Transfusion Service Central Laboratory foundation in Berne and the Swiss Red Cross Regional Blood Transfusion Centres association. The Central Laboratory's responsibilities cover provision of stable blood plasma products and transfusion equipment and the organization of extensive services in the entire field of transfusion medicine. The Regional Centres supply the country with labile cellular blood preparations. The growth of this organization over the last 50 years is described.

Blood Banks↗

[The Referral Field Hospital of the Emergency Response Unit (ERU) of the German Red Cross].

INTRODUCTION: Emergency Response units (ERUs) have been developed as a part of the International Federation of Red Cross and Red Crescent Societies strategy to provide fast and effective medical and technical help to victims of disasters of any kind. ERUs provide timely, professional and organised response in a standardised and streamlined way by a balanced composition of professional staff and predesigned equipment. METHODS: The German Red Cross ERUs "Referral Hospital" and "Specialised Water" took part in the world wide humanitarian help for refugees during the Kosovo war and actually for earthquake victims in Turkey. During the Kosovo-operation the ERU "Referral Hospital" and "Specialised Water" were situated in Macedonia close to the kosovarian boarder at refugee camp Stenkovec I. The Field-Hospital was responsible for all kind of medical emergencies, for a total number of more than 50,000 refugees. RESULTS: During the mission 6225 patients were treated in our Out Patient Department; 541 were hospitalised. Among those 102 medium and major surgical procedures and 105 deliveries were performed. Surprisingly there was no increased rate of infections or perinatal deaths. CONCLUSIONS: During the Kosovo war and actually in Turkey the ERU concept prove itself to be a powerful strategy to provide fast needed medical help to victims of different kind of disasters. Humanitarian work in situations of war, internal disorder and various states of emergency in foreign countries and cultures demand flexibility and the ability to improvise while working under such conditions. The confrontation with non-combatants injured by buried landmines is underlining the growing world-wide demand for a total ban on these vile weapons.

Adult↗

The American Red Cross: a nursing-oriented overview of services.

Nurses are at the heart of many Red Cross services. Their expertise is recognized and often sought throughout the organization. Nurses can, through active participation and personal donation, assist the agency in reaching its humanitarian goals. The resources, services, and assistance available through the Red Cross give the busy emergency nurses more options in meeting the needs of patients. Nurses in turn can be a resource for the Red Cross. The strength, support, and commitment of dedicated volunteers give meaning to the endeavors of the American Red Cross.

Adolescent↗

[Education of younger nurses and nurse assistants by the Polish Red Cross in the years 1949-1966].

After the 2nd World War there were not enough nurses. In virtue of a decision of the Ministry of Health, in 1949 the Polish Red Cross started an action of training for younger nurses, originally having lower qualifications than graduate nurses. The training in boarding schools lasted six months. Women from 17 to 35 years of age who had completed 7 grades of primary school could apply for admission. Up to 1952 in total 19827 younger nurses completed the training. From 1952 the training lasted one year and also took place mostly in boarding schools. Up to 1955 when a new change was introduced, another 13360 women completed the courses. The large number of graduates of the Polish Red Cross courses allowed satisfying the most urgent needs of the health service. As it appeared later the nurses were not well enough prepared for the profession. So in 1955 the Polish Red Cross centers introduced two-year courses for nurse aides. The pedagogical staff of the centers was of diverse types. Nurses and physicians taught professional subjects and teachers taught general subjects. At the same time there were specialization courses for child's nurses, instrumenters, rehabilitants, laboratory technicians, psychiatric nurses. The students obtained graduate nurse diplomas and a specialization. For a long time the Polish Red Cross training activity had not had sufficient legal grounds. Only in 1960 the rights of state schools were vested on the training centers for nurses. Nursing courses were very popular among girls. There were much more applicants than places in the training centers. In all the centers, afterwards considered schools, there were Polish Red Cross circles. Most of the students were members of the circles. In 1966 in virtue of a decision of the Ministry of Health the Medical Schools of the Polish Red Cross Organization were taken over by Presidia of the National People's Councils.

Education, Nursing↗

Red Cross Emblem and the medical profession--the Indian scenario.

The Red Cross Emblem has come to symbolize the medical profession in our country. Many medical practitioners use the emblem to designate our profession. Others including hospitals (Government and private), chemists, pharmaceutical firms and sometimes public transport vehicle use the Red Cross Emblem.

Emblems and Insignia↗

Surgeons and the International Committee of the Red Cross.

The International Committee of the Red Cross (ICRC) is at the forefront in the provision of surgical care to the victims of war. In 1990 twenty-two surgical teams were deployed in 14 hospitals in eight countries and 18,450 patients were treated. This article reviews the contribution made by ICRC, and the experience that can be gained by New Zealand and Australian surgeons and anaesthetists.

Australia↗

[The Red Cross and Scandinavian disaster aid].

In 1970, the League of Red Cross Societies drew up a plan for the training of delegates in international relief work. The main tasks of the delegates can be divided into: 1) disaster relief, 2) war-time relief work, 3) assistance in organising national Red Cross societies. Special training of certain categories, e. g. doctors, is now being considered. In many relief operations it would be of value to have a doctor as an administrative delegate. It should be easier for the doctor than for a non-medically trained person to decide where and when medical aid should be administered.

Disasters↗

[The Dutch Red Cross and the ambulance for the Eastern Front Volunteers].

The Netherlands between 1940 and 1945 offer a rare example of how humanitarian neutrality works during an occupation in wartime. The Red Cross theory of silence in case of violations of human rights or international law was combined with a Dutch Red Cross practice of rightwing, anti-communist sympathies and of obedience to political and military authorities. Consequently, 'to avoid an even worse scenario', in several instances co-operation with the German occupiers was chosen above abstinence. The main example of this attitude was the help in setting up an ambulance (a mobile hospital) for the SS Eastern-Front Volunteers (EVF), against the will of some members of the DRC-board, who claimed the work of this ambulance would be all but neutral or humanitarian. But in the eyes of the most important decision-makers, medical aid was always neutral and humanitarian. Therefore the Red Cross could not do otherwise than to respond favorably to the request of the EFV. When reports were received on 'the good' the ambulance did in Southern Russia, the DRC was proud. This proves how easily a policy of medical neutrality can in times of war alter in a policy that is in fact all but neutral. After the war a discussion was started on how medical neutrality should be achieved in times of occupation. Some defended the idea that in such cases national interest should prevail above medical neutrality. However, although guidelines were set up, this position was not embraced. Medical neutrality remained the primary goal of the Dutch Red Cross, also in times of war and occupation.

Ambulances↗

Associations between alcohol use and PTSD symptoms among American Red Cross disaster relief workers responding to the 9/11/2001 attacks.

OBJECTIVE: This study examined associations between alcohol use and PTSD symptoms among Red Cross workers who responded to the 9/11/2001 attacks. METHOD: Participants were 779 Red Cross paid and volunteer staff that responded during the first three months to the September 11, 2001, attacks against the United States. Women made up 64% of the sample. The American Red Cross provided a mailing list of all paid and volunteer staff (N = 6055 with valid addresses) that participated in the disaster relief operations in response to the September 11, 2001, attacks. Participants were randomly assigned to receive one of four questionnaire packets. The present study is based on the fourth group, which received the alcohol questionnaires. RESULTS: Overall, traumatic stress symptoms and alcohol use were low. Hyperarousal and intrusion symptoms on the Impact of Events Scale-Revised (IES-R) were associated with alcohol consumption, hazardous alcohol consumption, and change in alcohol consumption when controlling for age, gender, and worksite. Positive associations between Intrusion and Avoidance scores and hazardous consumption were stronger for younger participants. Individuals who reported increasing or decreasing alcohol use had higher IES-R scores than did those who maintained their normal rate of alcohol consumption, though effects were stronger for increasing alcohol use. Associations between alcohol variables and avoidance symptoms were minimal. CONCLUSIONS: The results suggest that there is a functional relation between posttraumatic stress symptoms and alcohol consumption. The study indicates that efforts to cope with traumatic stress symptoms may manifest in either increases or decreases in alcohol consumption.

Adaptation, Psychological↗

Rewriting of the biography of Henry Dunant, the founder of the International Red Cross.

This paper presents quite a different version of the origins of the Red Cross from that officially recognised. On the basis of historical documents and statements of authors who are critical and attentive to the detail of the circumstances and events which gave rise to the Red Cross, it is possible to discern a surprising historical truth.

History, 19th Century↗

[The double red cross: simple decoration or deliberate emblem?].

In general, the origins of the double transverse red cross (Croix à double traverse), such as that of Lorraine, is less evident than that of the "Double Red Cross" ("Double Croix-Rouge"), as exemplified by the international emblem of the battle against tuberculosis. The importance of the proportions of the latter is emphasised.

Emblems and Insignia↗