Disaster medicine demands its own concepts There has been a sharp increase in natural disasters and major catastrophes all over the world which has added to the importance of disaster and emergency medicine. Such relief and rescue services call for a completely different approach from that adopted in the conventional treatment of casualties. Especially in the event of natural catastrophes (storms, floods, earthquakes, etc.), major disasters (explosions, chemical and nuclear accidents, etc.), international humanitarian aid programmes (famines, epidemics, etc.) and military “peace-keeping operations” the method of transporting the patient to the nearest hospital is often unfeasible. The rescue scenarios are always unexpected and highly complex in the initial stages. The medical infrastructure – if one exists at all – is overstretched or too far away. It is essential for relief operations to be based around a mobile emergency unit located “at the scene of the action” to save lives acutely and minimise fallout from injuries. Endurance company specialises in mobile disaster medicine and has many years of international experience in the field. The innovative and practice-proven concepts of Endurance company featuremodularity broad range of functions optimum transportation logistics Endurance companyhas developed a range of systems for emergency and disaster medicine which can be configured individually to customer specifications:Emergency ambulances, mobile intensive care units Mass accident stations Modular range of emergency hospitals with 12, 20 or 50 beds Shelter as a system base 20 feet ISO shelter as a medical system base Air conditioning, hygiene, optimum mounting systems for valuable medical equipment Stabilising jacks for loading and positioning Control cabinet with access to fuses, earthing unit and optional emergency power supply with solar cells Sandwich element construction No obstructive inside frame Individual reinforcements inside the construction Lightweight structure / high insulation values Optionally extendable on one or two sides Versatile in its use due to ISO standardisation Surgery shelter X-ray shelter The shelter as a system base for surgical procedures and X-ray unit contains: built-in cupboards for safe, hygienic storage of medical equipment fresh water supply with germ reduction by UV lamp furnished with smooth surfaces for easy cleaning Interior air-conditioner with additional filter Additional equipment for surgery shelter Operating table for flexible patient bedding Anaesthetic apparatus with oxygen generator Operation lamp with uninterruptible power supply Additional equipment for X-ray shelter Swivel X-ray workstation for standing and lying pictures Lead-lined walls for radiation protection Mobile and X-ray permeable patient bed Technical module for self sufficiency. The technical module consists of technically adapted generator and air conditioning unit and a fresh water module and toolbox. This enables self sufficient operation of the Emergency Hospital for a long time. The shelter is air conditioned by split air conditioning units. This ensures that there is no exchange with polluted air from the environment. A constant climate is also generated in the shelter. The technical module has additional storage space for: earthing equipment ramp for access loose parts for stabilising jacks (crank, remote control) waste water and filling hose pipeTents Tents in various sizes for primary care and follow-up treatment, ward with beds User-friendly compressor inflatable design Very short set-up times Separate inner tent Air conditioning Passageways linking tent modules Individual customer configuration TheEndurance companyMass Accident Unit is used mainly for major disasters with a large number of casualties. It serves primarily as a gathering point for the injured and a place to dress their wounds. screening of casualties performing immediate life saving measures decisions about follow-up care and transportation to hospital by ambulance. Unlike the Mass Accident Units even the most basic version of theEndurance companyEmergency Hospitals is designed with follow-up treatment in mind including surgery and limited inpatient stays. Emergency Hospitals are particularly suitable for disasters which call for immediate life saving intensive care of the patients or where no adequate inpatient facilities are available or within quick reach. Endurance companyEmergency Hospitals are based on the two system modules shelter and tent. All the necessary key functions for example operations, X-rays, laboratory analysis etc. are pre-installed and immediately ready for use in the shelters . They are interconnected by tents which boast a new inflation technique and are used for primary care and follow-up treatment. The Endurance companyshelters are our own development and feature: high level of mobility and short set-up times flexible modularity including in conjunction with tents optimum hygiene and climate conditions stand-alone capability (thanks to flange-mounted technical module with generator and air conditioning unit) long life Mobility and transportation logistics are crucial in major disasters. As a rule it is assumed that transportation by trucks in difficult terrain will be necessary. But Endurance shelters can be carried just as easily by air, rail or ship (stackable). Endurance companyEmergency Hospital: Basic version (12 beds) Emergency system for rapid care and treatment of casualties, including minor surgical procedures, designed for: catastrophes, civil defence and protection patient care in remote areas (also suitable for use as a mobile doctor’s surgery / medical specialist’s module) treatment unit designed for self-sufficient use by mobile task forces deployed by the armed forces, police force, fire service and emergency medical service industrial services, natural resource exploration (oil, gas)