The role of the orthopaedic surgeon in natural disasters

A natural disaster is a phenomenon causing significant human, material, economic, and environmental losses, exceeding the capacity of the affected community or country to respond with its own resources. These events progress through phases: hyperacute, acute, subacute, chronic, and rehabilitation/recovery. Orthopedic surgeons play a vital role in each phase, from initial rescue to long-term rehabilitation. In the acute phase, their responsibilities include triaging and managing injuries such as fractures (commonly in the lower limbs), wound infections, and crush injuries. Effective treatment is crucial to minimizing morbidity and mortality. Coordination between emergency medical teams (EMTs) and local authorities is essential for an efficient response, while poor organization can hinder relief efforts. Orthopedic surgeons must adapt to limited resources, respect cultural contexts, and address socio-economic realities. Their role is increasingly critical due to the rising frequency of natural disasters linked to climate change, emphasizing the need for preparation and collaboration.