When many people consider humanitarian aid in disaster situations, they think about the mediaโs coverage of the crisis: people being rescued, aid packages being delivered, shelters being built. But what happens when the cameras leave?
Peter Skelton, a London-based Physiotherapist and Rehabilitation Project Manager with Handicap International, a charity which remains in a disaster-affected region for months after the publicโs attention has moved on.
Peter specialises in helping people injured during emergencies, often in countries with limited resources and support frameworks. Speaking about his work, Peter said, โMost peopleโs experiences of physiotherapy in the UK come from their own direct interactions with a physiotherapist, normally because of a sports injury, back pain or a similar issue. That experience is completely different if youโve had a major accident such as a spinal injury or an amputation, when you will see a very different side to physiotherapy.
โIn many ways, the work we are doing in disaster situations is not markedly different from what we would do in major trauma centres within the UK. The difference is linked to the resources we have available, and the situations in which people find themselves.
โInvariably, in the UK when you provide treatment, you know that people can get access to the follow-up care that they need, you know that theyโll have support from social services if they need it, and theyโll generally have a supportive family around. There are all sorts of systems set up to support people while they are unwell and throughout the recovery process. In a disaster zone you generally donโt have access to these.
โWe arenโt dealing with disaster injuries in isolation. Frequently, patients will have not only experienced a catastrophic injury, but may also have lost their home, their business, family members, friends. The country itself may also be experiencing severe upheaval so they are unlikely to have the same social support that we expect to be available in the UK.โ
Peter Skelton works for Handicap International, an international aid organisation working alongside disabled and vulnerable people in situations of poverty and exclusion, conflict and disaster. He has worked in emergency teams responding to crises in Ecuador, Nepal, Gaza, Iraq, the Philippines, Libya, Jordan and Haiti.
Peter Skelton will be speaking at the World Extreme Medicine Conference and Expoat Dynamic Earth, Edinburgh, EH8 8AS on 18 November 2016, focusing on the issue of psychological first aid.
The Psychological First Aid training package was developed by the World Health Organisation, and is targeted at anybody that is helping out in response to a disaster: humanitarian aid workers, medical professionals and even laypeople. It is designed to give a basic framework that they can use to deliver immediate support to people in disasters.
Peter said, โThere is a misconception that the victims of disaster are always traumatised. Actually, my experience has been that people in disasters are incredibly resilient. What they really need is access to things like shelter, food and water, and if you can help them to meet those needs then theyโre going to be fine.
โItโs only a much smaller number of people that require any specialist intervention and psychological first aid comes in one level below that.โ
Mark Hannaford, founder of conference organisers World Extreme Medicine, said, โPeter is a hugely respected figure on the UK humanitarian scene, and his perspective is of particular interest because of his experience of the long term rehabilitation of disaster victims.
โWorld Extreme Medicine was founded around a campfire in Namibia, and we coined the phrase โWorld Extreme Medicineโ as an umbrella term for all practices of medicine outside of a clinical environment, whether it is prehospital, disaster and humanitarian, endurance, sport, expedition or wilderness medicine.
โOur message is that there is a great diversity of careers in medicine, and that traditional hospital environments are not the only option for a fulfilling career. To put it into a laypersonโs terms, thereโs never been a more exciting time to work in medicine.โ
The World Extreme Medicine Conference and Expo brings together leading experts from around the globe to share learnings on prehospital care, expedition and wilderness medicine, sport, endurance, humanitarian and disaster medicine.
Andrew McLean is the Studio Director at Disruptive Live, a Compare the Cloud brand. He is an experienced leader in the technology industry, with a background in delivering innovative & engaging live events. Andrew has a wealth of experience in producing engaging content, from live shows and webinars to roundtables and panel discussions. He has a passion for helping businesses understand the latest trends and technologies, and how they can be applied to drive growth and innovation.