mass casualty management trainings conducted by dr abu zar taizai

Mass Casualty Management / First Aid Trainings1 | P a g e

ACKNOWLEDGEMENT:-

I am extremely in debt to Mr Ejaz-Ur-Rehman NBCC Merlin, for providing me this opportunity

to share my knowledge with the DoH & Merlin staff regarding MCM and First Aid. I am also

thankful to Dr Arshad Ahmad Khan EDO Health Nowshera for allowing me to conduct these

trainings, Dr Asghar Shah PC Merlin Swat, Haji Mohammad BCC Peshawar. I am also thankful

to all the PMs, BCC Coordinators & Logistic officers working for Merlin throughout the Merlin

Project areas who made all the necessary arrangements and provided me the coordination and

assistance, I needed, to conduct these training sessions in a successful manner. I will also extend

my sincere wishes to all the EDOs of health department for their exuberant cooperation with

Merlin and allowing me to work in their respective districts. I am really impressed by the

Merlin’s discipline and the dedication of its work-force. I wish, may this enthusiasm live long to

serve poor communities in all types of emergencies.

Dr Abu Zar Taizai


ABSTRACT:-

This report primarily reflects some of the key features of the MCM Nationwide Training

campaign launched by the Merlin in Pakistan. Initially District Peshawar was selected for this

purpose which, later, on was extended to the other districts of Khyber Pakhtunkhwa. A total of

420 participants from seven different districts, Namely Nowshera, Peshawar, Buner, Swat, Dadu,

Badin and Thatta were benefitted from this training. The participant’s knowledge was evaluated

before training by a pre-test paper and at the end the improvement in their concepts and

knowledge was tested by serving a pre-test paper to all the participants. The over-all average

score of the participants remained around 25 to 35 % for the pre-test and 80 to 90 % in the post

test, showing a good absorbability of the knowledge about MCM. This capacity building

intervention will bring an over-all improvement in the skill and efficiency in managing MCM

and first Aid in the various cadre staff of DoH, Volunteers and Merlin

Dr Abu Zar Taizai


INTRODUCTION: -

Merlin is one of the pioneers to further improvements in health care service delivery.

While primarily focused on clinical care, these improvements also include an emphasis on

preventing illness and promoting good health, health service providers working together,

community participation, and a high level of leadership across the system. One mechanism

available to the health system to contribute to preventing illness and promoting health is to

incorporate effective health promotion programs into the routine work of services from across

the whole health care continuum (prevention, diagnosis, treatment, rehabilitation and palliative

care). Many parts of the system are already doing this.

This time the huge Capacity building workshops on Mass Casualty Management were

properly planned and successfully conducted across the whole country to promote life saving

procedures and to provide a guide for enhancing the capability of the system to improve

Management of Mass Casualties in Disasters. As recently Pakistan has faced great change and

has lost thousands of precious and innocent human lives because of natural and man- made

disasters so Merlin mainly focused on building capacity of MCM within programs but it is

paramount that when thinking about building capacity within programs, or within the

community, that it has also focused on building the capacity of the system to support change.

Most importantly, my report emphasizes five key action areas in capacity building:

organizational change, workforce development, resource allocation, partnerships and leadership.

Learning casualty management is like other common learning processes which can be

acquired in three different ways:

1. Incidental learning

Where the learning appears to be by ‘accident’ and people are not aware that they are

learning. For example, in casual conversations or when a person is engaged in activities such as

attending the launch of a health promotion program or product.

Dr Abu Zar Taizai


2. Informal learning

When, the learner is aware of being engaged in the learning process. There are three

types of informal learning activities:

● Pro-activity

Such as encouraging people to take on new responsibilities

● Creativity,

Such as encouraging people to break out of old patterns of thinking

● Reflectivity,

Which is learning from reframing a problem or issue and looking at new solutions which may be

superior to the ones initially tried by the learner?

3. Formal learning

Where the learner or their workplace has identified learning or training needs, and

develops strategies to meet these. For example, mentoring schemes, training programs or post

graduate university courses. Originally Merlin launched the last mentioned way of learning and

capacity building campaign throughout the country project areas but it also gave the participants’

an opportunity to touch the other ways of learning as well.

The over-all objective of this huge activity was to maximize saving of lives and

prevent disabilities during mass casualty incidents.

Capacity building is an approach to development that builds independence

It can be:

● A ‘means to an end’, where the purpose is for others to take on programs

● An ‘end’ in itself, where the intent is to enable others, from individuals through to government

departments, to have greater capacity to work together to solve problems

Dr Abu Zar Taizai


● A process, where capacity building strategies are routinely incorporated as an important

element of effective practice. What emerges in discussion and debate about the purpose and

process of capacity building is that different organizations have quite different ways of

conceptualizing capacity building

In addition, these trainings highlight the importance of the 'context' within which capacity

building happens and reinforces the message that all capacity building is context rich: that

strategies and approaches need to take account of context at all times.

Assessing opportunities to promote incidental learning among other health workers,

captures some of the structural and informal links that form part of an effective 'workforce

development' strategy.

Capacity building is defined as an approach to ‘the development of sustainable skills,

structures, resources and commitment to health improvement in health and other sectors to

prolong and multiply health gains many times over’. Capacity building occurs both within

programs and more broadly within systems and leads to greater capacity of people, organizations

and communities to promote health. This means that capacity building activity may be developed

with individuals, groups, teams, organizations; inter organizational coalitions, or communities.

It is also important to remember that the relationship between the program management

group and the capacity builder will change as decision making and program management skills

evolve. The relationship may move from being a ‘hands on’ development relationship to a

‘hands off consultative or facilitative relationship. All employees, volunteers and community

activists need to be mindful of, and ready to change their roles and responsibilities as capacity is

increased.

Dr Abu Zar Taizai


BACKGROUND & RATIONALE:-

Major emergencies, crises and disasters have become more frequent during recent

decades, especially in middle and low income countries. They affect more and more people,

disrupting health sector programs and essential services, and slowing the process of sustainable

human development. Many lives could be saved if the affected communities were better

prepared, with an organized scalable response system already in place. In addition, survivors of

mass casualty incidents often suffer disabilities or health impairment – physical or psychological.

These can severely strain the health sector and draw scarce resources away from other essential

programs. Again, much of this is avoidable. Experience shows that the community is the first to

provide emergency assistance in such incidents. For this reason, preparedness planning

increasingly emphasizes building capacity (human, organizational and infrastructural) at the

community level. Empowering communities to develop emergency management plans for mass

casualty incidents requires strong involvement by health authorities at all levels, especially the

national level, as well as support from other sectors. The common gaps in health system

preparedness around the world are generally well understood, but they are often not addressed in

a comprehensive and systematic way. In particular, many countries have not yet developed Mass

Casualty Management Plans, and communities are too often left alone to develop preparedness

and response plans without guidance from higher levels. In September 2006, a Global

Consultation on Mass Casualty Management was held in Geneva at WHO headquarters. The

Guidelines set out in this document are the direct result of the consultation. They are designed to

help policy makers, decision makers and emergency managers at all levels, especially at

community level, to overcome the gaps in health system preparedness for managing mass

casualty incidents.

Dr Abu Zar Taizai


CONCLUSION:-

To improve efficiency and effectiveness of all level workers and community activist in

managing Mass Casualty and conducting proper first Aid, hence minimizing loss of lives &

disability.

RECOMMENDATIONS:-

Such need based trainings and TOTs are always beneficial and helpful to the community

and health workers and it brings positive results for the organization regarding efficiency. It is

recommended that not only these trainings be expanded to the other regions of Pakistan but it is

mandatory to give refreshers on such crucial trainings at least once a year.

Dr Abu Zar Taizai


A SAMPLE TRAINING/ SESSION PLAIN

Session Plan

Day: 01

9:00 – 9:45 am Introduction

• Recitation

• Introduction

• Registration and Pre Test

9:45 – 11:30 am Mass Casualty Management

Definition of Mass Casualty

Briefing on Human Anatomy and First Aid

Reporting & Communicating the Mass Casualty Incident

Incident Command

11:30 – 1:30 pm

• Prioritizing the casualties

• What is Primary & Secondary Triage

• Minor

• Immediate

• & Morgue

Dr Abu Zar Taizai


Lunch Break 1:40-2:15

2:15 – 3:00 pm Transportation of the casualties

Dealing with Heat Emergencies

Response Mechanism SOPs

3:00- 3-30 pm Additional Instructions:

Methodologies used

• Lecture notes

• Demonstrations, Role play

• Group discussion/ Group Work

• Experience sharing session

• Questions Answers Session

Dr Abu Zar Taizai


Session Plan

Day: 02

9:00 – 9:30 am Recap of Day -1

9:30 – 11:30 am

Topic 01:

First Aid during Mass Casualties

Goals of MCMS

Topic 02

What is DRR?

Various types of Disasters.

2:20 – 2:50 pm

Topic 03:

Videos on Unbelievable accidents

Maximizing the resources

Calling for additional Support

Dealing with media & Crowd during Mass Casualty

Example from Nowshera Flood of 2010

Challenges and prior

Dr Abu Zar Taizai


Post-Test

SOME PICTURES TAKEN DURING TRAINING

BANNER DISPLAYED IN EACH SESSION/TRAINING HALL

Dr Abu Zar Taizai


THE GROUP LEADER WANTS SOME CLARIFICATION BEFORE STARTING GROUP WORK

Group Leader with his Team, Presenting their Group Work on White Board

Dr Javed BCC, Supervising the activity

Dr Abu Zar Taizai


Facilitator appreciating the presentation of this Group and Declares it the Best Team

Dr Abu Zar Taizai


A Female Participants Explains some Points during a Re-Cap

Certificates Being Distributed at the End of the Session

Dr Abu Zar Taizai


PC Giving Certificate to female Participant

Dr Abu Zar Taizai


Group Work In Progress

Facilitator Helping the Participants to Plan for MCM

Dr Abu Zar Taizai


A young Participant Gets Appreciation and a Certificate at the end for his best Participation

All females Participated very well in this Training

Dr Abu Zar Taizai


Participants attentively listening to learn the First Aid

Dr Abu Zar Taizai


Facilitator Stressing on Triage during a Mass Casualty Incident

And Deputy EDO Health Dadu is Interacting

Dr Abu Zar Taizai


Dr Salim Sheikh (Group Leader) was the Best among all three groups in Dadu

Dr Abu Zar Taizai


Dr Salim Sheikh Presenting his excellent Group Work

Dr Abu Zar Taizai


A slide from Triage

Dr Abu Zar Taizai


A Photo with BCC Dadu Feroz Memon

Dr Abu Zar Taizai


At the end of Session we had a Group Photo With District Dadu Participants

Dr Abu Zar Taizai


Pre and Post Tests Scores

Peshawar/Nowshera Test Scores

S.

NO Name Designation

Pre-Test

Score

Post-Test

Score

1 Mst Tasleem BiBi LHV Pirpai 22 96

2 Mr Mujahid Qureshi JCT Pathology 42 90

3 Dr Javed Khan MO Akbar Pura 56 90

4 Mr Nauman

Computer Operator

DHIS 44 100

5 Mist. Kausra Jabeen LHS Pabbi 52 91

6 Shazia Rafiq LHS Banda Mallahan 42 91

7 Sjjad Khan Afridi

Dispenser DHQ

Nowshera 42 84

8 Dr M. Shafiq MO DIK 58 98

9 Dr Ashfaq Jan SMO Khair Abad 32 100

10

Mr.Wali

Mohammad CHC Member 22 58

Dr Abu Zar Taizai


11 Miss. Salma Naz LHV Taru 44 85

12 Mr. M. Fazil Hassan Dispenser 32 93

13 Mr Faridullah Asst Pharmacist 44 100

14 Mr Javed Iqbal Merlin-4 52 74

15 Miss.Robina Baidar LHV Jallozai 34 100

16 BiBi Saima Sarwar Pabbi 22 100

17 Dr Wasi 52 90

18 Mr Haji Akbar Jallozai-4 62 96

19 Dr Qasim EDO Office NRA 34 100

20

Mr Mohammad

Saeed 44 84

21 Mr Tauseef Abbas 56 100

22

Dr Mohammad

Shoaib J-2 Jallozai 72 84

23 Dr Gohar Saeed RHC DIK 52 74

24 Mr Naheed Shah CHC Member 12 70

25 Mr Hikmat Khan CHC Member 22 60

Dr Abu Zar Taizai


26 Islam Badshah 42 94

27 Dr Jehanzeb SMO RHC Akora Khattak 54 98

28 Mis Nosheen Amjed LHV 35 70

29 Miss Ashi 31 72

30 Mir Saidul Amin DSM PPHI Nowshera 30 90

Average Score 41 88

Dr Abu Zar Taizai


DISTRICT BUNER TEST SCORE (BATCH-1)

S.No Name of the ParticipantTotal

MarksPre-Test Score Pre-Test %

Post-Test Score Post-Test %

1 Yasmin LHV Merlin DHQ 120 52 43 100 83

2 Zarfarosh Dispenser 120 42 35 38 32

3 M.Haram Dispenser Merlin 120 32 27 60 50

4 Ali Khan THQ 120 72 60 110 92

5 Dr Sajid Iqbal 120 82 68 110 92

6 Hamraj Dispenser Merlin 120 12 10 110 92

7 Bakht Rehman DHQ 120 52 43 104 87

8 Dr Syyed Sajid Ali THQ 120 102 85 90 75

9 Dr Fawad Merlin 120 82 68 110 92

10 Farzana Nurse Daggar 120 52 43 90 75

11 Qiaser Khan DHQ 120 62 52 96 80

12 HaleemaRahim DHQ 120 82 68 94 78

13 Anwar M/N DHQ 120 52 43 100 83

14 M. Tahir Pharmacy Tech THQ 120 50 42 110 92

Dr Abu Zar Taizai


15 Amir Rehman 120 50 42 92 77

16 Israr Ahmed Anaesthesia Tech 120 52 43 88 73

17 Abdullah RHC Jowar 120 42 35 80 67

18 Gohar Ali Dispenser DHQ 120 92 77 60 50

19 Sher Rahim Dispenser RHC Jowar 120 42 35 88 73

20 Abullah RHC Jowar 120 50 42 100 83

21 Amjed Ali Merlin Buner 120 42 35 50 42

22 Dr Sayyed Madoon Shah 120 42 35 110 92

23 Inayat Hussain MT DHQ 120 62 52 60 50

24 Amir Khatam DHQ 120 72 60 86 72

25 Bakht Jaaml Pharm Tech 120 32 27 64 53

26 Dr Amanullah CH 120 42 35 100 83

Average Score= 56 46 88 74

DISTRICT BUNER TEST SCORES (BATCH-2)

S.No Name of the Participant

Total

Marks

Pre-Test

Score Pre-Test %

Post-Test

Score Post-Test %

1 Zafar Ali CH Totalai 120 56 47 110 92

Dr Abu Zar Taizai


2 M. Zahid BHU Cheena 120 36 30 92 77

3 Abdullah Disp DHQ Dager 120 52 43 104 87

4 Fayyazuddin LHWS Merlin 120 62 52 116 97

5 Dr Sher Alam Khan CH Totalai 120 61 51 118 98

6

Sardar Alam Khan EPI Tech

Nagrai 120 40 33 92 77

7 Fazal Wadood X-Ray Tech 120 64 53 108 90

8 Samina LHV BHU Cheena 120 56 47 86 72

9

Ezaat Gul Dispenser CH

Nawagai 120 22 18 72 60

10

M. Tahir Lecturer AWK

university 120 44 37 74 62

11 Alam Gul 120 42 35 82 68

12 Fazal Rabi X-Ray Tech 120 54 45 62 52

13 Bahram Shah Dispenser THQ 120 42 35 102 85

14 Zari Gul DHQ 120 52 43 54 45

15 Ijaz KarIm Transport Officer 120 44 37 74 62

16 Amir Azam Khan 120 45 38 98 82

Dr Abu Zar Taizai


17 Abdali Khan CH Pacha 120 32 27 114 95

18 M.Asif THQ Pacha 120 42 35 106 88

19 Mustafa Office Assitt 120 42 35 82 68

20 Saiqa Zafar LHV CH Totalai 120 34 28 90 75

21 Kaosar Saeed Lecturer 120 34 28 82 68

22 Namroz Khan Dispenser 120 64 53 100 83

23 Shah Wazir Khan RHC 120 64 53 118 98

24 Ajmareen Dispenser RHC 120 66 55 106 88

25 Sajjad Ahmed 120 44 37 92 77

26 Abdul Karim DHQ 120 32 27 68 57

Averages 47 39 92 77

Dr Abu Zar Taizai


DISTRICT BUNER TEST SCORE (BATCH-3)

S.No Name of the Participant

Total

Marks

Pre-Test

Score Pre-Test %

Post-Test

Score Post-Test %

1 Anisur Rehman 120 72 60 52 84

2 Wisal Gigyani 120 42 35 66 55

3 Safia DHQ 120 42 35 108 90

4 Zahir Ahmed Lecturer 120 42 35 110 92

5 Basroon Staff Nurse DHQ 120 42 35 92 77

6 Gulzarina Shah 120 12 10 22 18

7 Tofail 120 64 53 102 85

8 Sangeen Khan AWK University 120 74 62 82 68

9 Naik Amal Khan EPI Tech 120 82 68 52 43

10 Gul Shah BHU 120 72 60 70 58

11 Sarhad Ali MSc Student 120 44 37 96 80

12 Shakir Ullah DHQ 120 40 33 102 85

13 Shokat CH Pacha 120 60 50 110 92

14 Abdul Hamid DHQ Dager 120 50 42 82 68

Dr Abu Zar Taizai


15 Sharafat Nurse DHQ 120 42 35 118 98

16 Nazma DHQ Dager 120 42 35 120 100

17 Bimla Kumari DHQ Dager 120 52 43 118 98

18 Hussain Khan 120 20 17 42 35

19 Said Amir CH 120 22 18 82 68

20 Akhtar 120 12 10 98 82

21 Mumlikat Farman DHQ 120 42 35 112 93

22 Amjad Khan AWK University 120 62 52 110 92

23 Zafar ALI CH Totalai 120 62 52 72 60

24 Hamid Ur Rehman DHQ 120 72 60 92 77

25 Dr M. Riaz 120 32 27 92 77

26 Naeemullah AWK University 120 32 27 102 85

27 Zaheer Ahmed 120 36 30 102 85

28 Zarim Zada 120 50 36 96 80

29 Rashid Ahmed 120 50 22 96 80

30 Sher Akbar Shah Dispenser 120 46 46 100 83

31 M. Imran DHQ 120 26 22 72 60

Dr Abu Zar Taizai


32 Ikram 120 32 40 88 73

33 Dr. Syed Zakir Ali 120 32 27 92 77

Average Scores 46 38 89 76

Dr Abu Zar Taizai


DISTRICT BADIN SINDH TEST SCORE

BADIN TEST SCORE

S.No Name of the Participant Designation Staff Pre-Test % Post-Test %

1 Dr. Farazana Bukhari W.M.O MoH 29 64

2 Dr.Muhammad Zama M.O MoH 64 100

3 Dr. Ali Razza M.O MoH 36 64

4 Shahriyar Shahzad Dispensor MoH 64 100

5 M.Hanif Soomro Dispensor MoH 14 79

6 Muhammad Arab Vaccinator MoH 21 79

7 Dr. Abdullah M.O MoH 29 71

8 Abdul Munium Vaccinator MoH 21 86

9 Mahboob Ali Vaccinator MoH 29 86

10 Ali Sher Dispensor Merlin 21 79

11 Dr. Farazana W.M.O Merlin 21 57

12 Nusrat.A.Hakeem Staff Nurse C.H.B 36 64

13 Dr. Ashfaque Burgari M.O MoH 50 79

Dr Abu Zar Taizai


14 Dr.Rukhasana Samoon W.M.O MNCH 29 79

15 Shamim Ara LHV MoH 29 79

16 Shazima Jamali LHV Merlin 21 71

17 Raheela Suleman LHV MoH 36 64

18 Asma Lakho LHV Merlin 36 71

19 Bashir Ahmed Supervisor Merlin 29 64

20 Isharat Khaskhely LHV Merlin 21 71

21 Shumaila Qambrani LHV Merlin 21 64

22 Tanshad Qambrani LHV Merlin 21 79

23 Shafique-ul-Rehman Dispensor Merlin 36 86

24 Hava Talpur LHV Merlin 36 93

25 Hafiza LHV MoH 57 86

26 Ambreen Staff Nurse MoH 57 93

27 Dr. Nazir W.M.O MoH 50 93

28 Zarnina Akhlaque LHV MoH 50 93

29 Tanzeela Kousar LHV Merlin 43 86

30 Momal Nizamani Mide wife MoH 29 71

Dr Abu Zar Taizai


31 Nasim Khawaja LHV MoH 21 64

32 Kiran Bhatti LHV Merlin 29 71

33 Seema Akbar Jamali LHV Merlin 21 64

34 Dr. Rais Ahmed M.O Health 36 71

35 Mamtaz Dispensor Dispnesor 21 79

36 Tanseeem LHV MoH 21 86

Average Score 33 77

Dr Abu Zar Taizai


DISTRICT THATTA TEST SCORES

10-11 October 2012

S.No

Name of the

Participant Designation Staff

Pre-

Test %

Post-

Test %

1

Dr. Mohammad

Saeed M.O Merlin 54 86

2 Allah Bachayo Dipensor Merlin 46 79

3 Ameer Bux Dipensor MoH 36 64

4 M.Usman Mallah Dipensor MoH 32 71

5 Sajeela LHV MoH 57 86

6 Sinkandar Ali Vaccinator Merlin 64 79

7 Abdul Hafiz Vaccinator Merlin 57 86

8 Imran Ali Vaccinator Merlin 50 86

9 Razia Aman LHV Merlin 61 86

10 Sikandar Ali Dispnesor Merlin 68 100

11 Gul Bahar Vaccinator Merlin 29 79

12 Dr.Ambreen Ayaz M.O Merlin 64 100

Dr Abu Zar Taizai


13 Samina Naz LHV Merlin 57 93

14 Lubna Shahzad LHV Merlin 64 100

15 Nazia Ali Abro LHV Merlin 61 86

16 Qurtalain Bhatti LHV Merlin 54 79

17 Humera Ali LHV Merlin 57 86

18 Isharat Jahan LHV Merlin 61 93

19 Kiran Shahzad LHV Merlin 54 93

20 Saima Umrani LHV Merlin 54 93

21 Shazia Murtaza LHV Merlin 36 79

22 Rooma Hussain Vaccinator Merlin 21 68

23 Shazia Ali Baghul LHV Merlin 18 68

24 Shahnaz Khawaja LHV Merlin 57 71

25 Kanwal Noor LHV Merlin 57 93

26 Gul Shakar Khawaja Vaccinator MoH 39 71

27 Dr. Shamila Memon M.O Merlin 39 71

28 Fahmida Khawaja LHV MoH 25 86

29 Mohammad Yousif Dispnesor MoH 25 86

Dr Abu Zar Taizai


30 Dr. Kamlesh M.O Merlin 57 93

31 Ghulam Rasool Dispnesor MoH 54 64

32 Muhammad Rizwan Vaccinator Merlin 43 71

33 Zamir Hussain Khoso Vaccinator Merlin 50 86

34 Dr. Jamshed M.O Merlin 68 96

35 Khuda Bachayo Dispnesor MoH 57 79

36 Amir Bux Dispnesor MoH 29 71

37 Rasool Bux Khaskheli M.Supervisor MoH 21 75

38 Zeb-un-Nisaa Staff Nurse MoH 50 100

39 Sanam Sattar Staff Nurse MoH 21 93

40 Mayam Soomro LHV MoH 29 68

41 Abdul Aziz Vaccinator MoH 39 79

Average Score 47 83

Dr Abu Zar Taizai


BAHRAIN, DISTRICT SWAT TEST SCORES

S.No Name of the ParticipantTotal

MarksPre-Test

Score Pre-Test % Post-Test Score Post-Test %

1 Affaf Khan 140 20 1

7 130 93

2 Zahoor Ali 140 50 4

2 125 89

3 Abdul Kareem 140 50 4

2 108 77

4 Abdul Hameed Teacher 140 40 3

3 90 64

5 Ayaz 140 30 2

5 115 82

6 Imran Khan LDC Supervisor 140 60 5

0 130 93

7 Ihtasham Govt High School 140 50 4

2 85 61

8 Bakht Bilal Teacher 140 55 4

6 95 68

9 Hanif Jamali Shopkeeper 140 20 1

7 65 46

10 Saminaz 140 25 2

1 130 93

11 M. Ijaz Salik Principal 140 60 5

0 120 86

12 M. Siraj Teacher 140 70 5

8 140 100

13 Saqib 140 50 4

2 110 79

14 Raza Ur Rehman 140 80 6

7 130 93

15 Imran Khan Teacher 140 50 4

2 140 100

16 M. Sadiq Teacher 140 60 5

0 120 86

17 Zarif Khan Merlin 140 40 3

3 135 96

18 Raheela Teacher 140 40 3

3 90 6419 Nyela Teacher 140 40 3 140 100

Dr Abu Zar Taizai


3

20 Rumana Merlin 140 20 1

7 130 9321 Tamanna 140 40 33 110 79

22 Nahid Braniyal Academy 140 20 1

7 130 93

23 Khan Azam Merlin 140 60 5

0 72 51

24 Ashfaq Volunteer 140 70 5

8 95 68

25 Ghufran Ali Teacher 140 50 4

2 115 82

26 Arshad Teacher 140 90 7

5 102 73

27 Arif Bashir Student 140 80 6

7 130 93

28 Zahuril Haq 140 60 5

0 110 7929 Zahoor Shakir 140 30 25 100 71

30 Hajra Ali BA 140 20 1

7 105 75

31 Shukria Khan 140 30 2

5 120 86

32 Mehnaz Ali 140 30 2

5 88 63

33 Nadia Rehman Teacher 140 60 5

0 92 66

34 Rabia Teacher 140 50 4

2 120 86

35 Tauheed Rehman BA 140 30 2

5 130 93

36 Perveen Akhtar 140 30 2

5 65 46

37 Salma BA 140 30 2

5 60 43

38 Dr Naveed 140 80 6

7 140 100

39 Bakht Zaiba 140 60 5

0 120 86

40Mujeebur Rehman

Teacher 140 30 2

5 115 8241 Mohammad Zeshan 140 40 3 90 64

Dr Abu Zar Taizai


3

42 M. Sadeeq 140 40 3

3 100 71

43 Mr Ijazul Haq 140 40 3

3 140 100

44 Khan Azhar 140 30 2

5 70 50

Average Scores 46 3

8 110 79

Average Pre-Test % age

Average Post Test % age

Bahrain Test Score 46 79

Dr Abu Zar Taizai


TEST SCORE OF MINGORA DISTRICT SWAT

S.No Name of the Participant Total Marks Pre-Test Score Pre-Test %

Post-Test

Score Post-Test %

1 M. Ayaz HC 140 20 17 95 68

2 Sher Alam Merlin HC 140 20 17 115 82

3 Khurshid Ali Merlin HC 140 20 17 90 64

4 Abdul Wahab Surgical Tech 140 70 58 120 86

5 Aftab Ali X-Ray Attendant 140 60 50 75 54

6 Bashir Ahmed JCT 140 90 75 95 68

7 M. Iqbal Merlin HC 140 0 - 90 64

8 M. Bilal 140 10 8 70 50

9 M. Tahir 140 20 17 100 71

10 Samiullah 140 30 25 100 71

11 Salman Farooque 140 30 25 95 68

12 M. Younas Chowkidar 140 0 - 100 71

13 Rehmat Ali Ward Orderly DoH 140 0 - 130 93

14 Shahid Anwar P.Tech 140 30 25 100 71

15 Dr M.Atique Swati 140 50 42 120 86

16 Raziat Charge Nurse 140 30 25 110 79

Dr Abu Zar Taizai


17 Zakia LHS 140 30 25 110 79

18 M. Rehman W/O MoH 140 80 67 110 79

19 Bahadur Ali Dispensor 140 70 58 120 86

20 Abdul Waheed J/C 140 40 33 110 79

21 M. Rafiq Pharmacy Tech 140 50 42 140 100

22 M. Shoaib PHC Tech 140 60 50 120 86

23 Azmat Ali Male Nurse 140 60 50 130 93

24 Ali Mehmood W/O 140 60 50 135 96

25 Dr Shah Kamran Khan 140 50 42 135 96

26 Saifur PHC 140 90 75 130 93

27 Akhtar Zeb Male Nurse 140 90 75 140 100

28 M. Ghafar 140 30 25 100 71

29 Sarwar Iqbal 140 10 8 115 82

30 Karim Shah 140 20 17 100 71

31 Dr Sharafat Ali 140 110 92 130 93

32 Rukhsana C/ Nurse 140 30 25 130 93

33

Zonaira Ashraf Clinical

Supervisor 140 90 75 135 96

34 Ghazal Clinical Supervisor 140 100 83 140 100

Dr Abu Zar Taizai


35 Rakhil Clinical Supervisor 140 100 83 130 93

36 Abdussalam TCT Pharmacy 140 80 67 130 93

37 Shahidullah OTO 140 40 33 95 68

38 Dr Israrul Haq 140 80 67 140 100

39 Dr Saeed Ahmed 140 100 83 140 100

40 Dr saqlain Shah 140 110 92 140 100

41 Zeeshan 140 60 50 115 82

45 Abdul Wadud 140 65 54 115 82

46 M. Anwar 140 60 50 130 93

47 Raheem Shah 140 50 42 95 68

49 Dr Murad Khan 140 80 67 140 100

44 83

Average

Pre-Test %

age

Average Post

Test % age

Test Score Mingora 44 % 83 %

Dr Abu Zar Taizai


41

56

39 3843

33

47 46 44

88 88

77 76

88

7783

7983

0

10

20

30

40

50

60

70

80

90

100

Average Pre-Test Score

Average Post TestScore

Dr Abu Zar Taizai


TrainingContents

First Aid

In Mass Casualty Management

Dr Abu Zar Taizai


Dr Abu Zar Taizai


TOP TEN POINTS

TO REMEMBER WHILE

MANAGING MASS CASUALTY

A Presentation for Doctors, Paramedics

&

Community Workers

Dr Abu Zar Taizai


Dr Abu Zar Taizai

mass casualty management trainings conducted by dr abu zar taizai

Education

capacity building

building capacity

total pre

greater capacity

test paper

encouraging people

test post

learning