Guidelines on Recommendations for Medical Rehabilitation of Persons Injured After an Earthquake

'The document "Recommendations for Medical Rehabilitation of Persons Injured after an Earthquake" has been prepared by an expert team with great efforts. The booklet contains recommendations based on scientific literature and experience gained over several years. It suggests adapting these recommendations in individual cases, considering factors such as the injured person's condition, available resources, and skills of manpower.

The initial assessment should be done to ensure clinical stability and no threat to life. Key points to note are the person's medical and surgical management to date, any precautions, known health conditions, or previous surgeries, and availability of caregivers.

Rehabilitation goals include reducing edema, preserving joint movement, restoring muscle power, and activity of daily life training. The document provides exercises for musculoskeletal injuries, including stretching of muscles/joints, range of motion (ROM) exercises, strengthening exercises of weak muscles, and isometric contractions.

The booklet also includes rehabilitation protocols for lower limb injuries, upper limb injuries, peripheral nerve injuries, neck and back injuries, persons with amputations, spinal cord injuries, head injuries, and common sites of pressure point prone to develop pressure injury.

It emphasizes the importance of early rehabilitation, starting from ensuring clinical stability and no threat to life. The document also highlights the need for adapting recommendations in individual cases based on factors such as resources available, skills of manpower, and other resources like equipment and space.'