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Thu Jun 3 16:26:35 BST 2010

Norman:   It would be appropriate for you to describe in  professional 
terms, just what you did in your hospital for both urine, and for  sanitation 
regarding bowel movements .   Most of the world does not  know  the tricks you 
used.  

k

In a message dated 6/3/2010 10:24:52 A.M. Central Daylight Time,  
nmcswai at tulane.edu writes:

Oh I  would add one thing to Ken's list. Sanitation- prepare for human 
waste  disposal. Your usual systems will be compromised,  most  likely
Norman

Typed by the thumbs of
Norman on his BlackBerry  

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

-----  Original Message -----
From: trauma-list-bounces at trauma.org  <trauma-list-bounces at trauma.org>
To: trauma-list at trauma.org  <trauma-list at trauma.org>
Sent: Thu Jun 03 10:13:51 2010
Subject:  Re: Cyclone to hit Oman

As you know we did this with Katrina in'05. The  advice that Ken gives is 
right on with happened with us and him during 5  storms in Louisiana and 
Texas recently. 

We are available via email to  help you. Do not hesitate to ask
Norman

Typed by the thumbs  of
Norman on his BlackBerry 

Norman McSwain, MD
Tulane Univ  Surgery
504 988-5111

----- Original Message -----
From:  trauma-list-bounces at trauma.org <trauma-list-bounces at trauma.org>
To:  trauma-list at trauma.org <trauma-list at trauma.org>
Sent: Thu Jun 03  09:41:04 2010
Subject: Re: Cyclone to hit Oman

Dr. Al-Harthy:   

1.    Have your hospital as empty as possible 
2.   DO NOT let your hospital be a shelter for dependents,  pets, or  off 
duty doctors
3.    For the time of the storms projected  hit, do not have  a lot of 
doctors, nurses, etc IN THE  HOSPITAL.   The hospital ER will  be very 
quiet for 
12  hours after the storm and 12 hours before the storm  hits.   

4.    CANCEL elective surgery until all is clear post   storm
5.    Have control of all entrances to the hospital and  let  only 
essential 
people in
6.    Have a dual level  triage.     Walking wounded do NOT come into the  
hospital.  Take care of them in an  outside clinic.     Re Triage those on 
stretchers inside.
7.    Remember the 10%  rule
8.    Use the internet.   We all will be here  for  advice
9.    Take care of your family by moving them  inland and  have 3-5 days 
supply of food and water, just as if they  were taking a family  trip to 
the 
desert
10.    ASSUME  that your electricity will be OFF for 14  days.     Be  
careful of food in refrigerators and  freezers.      Use such perishable 
food ASAP
11.   Remember that the hospital  dislaster response is DIFFERENT  from the 
government and public  health and shelter needs.    KEEP  THEM SEPARATE, 
but 
do  have a hospital Incident Command.   

Do tell my friend Dr.  Lampki (Chair of Radiology) hello for me and

Good Luck.    

Keep us informed as to your management, your needs, and what you   learn.   

k

In a message dated 6/3/2010  09:20:46 A.M. Central Daylight Time,  
harthy1973 at yahoo.ca  writes:

So back  here in Oman, we are bracing our selves as  tropical Cyclone Phet 
is heading  toward the coast of Oman and is  expected to make landfall on 
tonight.
Phet,  a Category 4 storm  with winds of over 130 miles (210 km) per hour, 
was  forecast to  weaken before hitting Oman's southeast coast, according 
to 
storm   risk forecasts shown on website www.tropicalstormrisk.com.
NASA's  Terra  satellite imagery of the storm from earlier today also  
revealed an eye in the  storm, confirming the intensification.  Residents 
of 
coastal Oman are bracing  for strong winds, heavy  rainfall and rough surf 
today 
and tomorrow.
Oman  state television  said the government had ordered police and the air 
force to  evacuate  people from areas of eastern Oman, where waves were 8 
meters (26   feet) high.
National carrier Oman Air said it had canceled two flights  so  that 
aircraft could evacuate people from Masirah island off the  east  coast.
A previous cyclone in 2007 killed at least 54 people in  Oman and  Iran.
I would appreciate any advice from the list members  with regards to  
communication options during natural disasters. With  the last cyclone, 
Cell  phone 
services were generally disrupted.  Satellite phone, even though  available 
were troublesome too. I seem  to remember that for some reason SMS  were 
functional though.
Any  advice will be of help, and keep us in your  thoughts and  prayers.

Abdullah Al- Harthy
Trauma Surgeon &   Intensivist
Sultan Qaboos University Hospital
Sultanate of   Oman

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Cyclone to hit Oman