This article first appeared in Third Sector.
It’s 10 years this December since the Indian Ocean Boxing Day tsunami. We salute those who died, those who mourn, those who tended; and we celebrate those who’ve since sought to improve response to disasters and emergencies: they’ve been remarkably effective.
For doctors in unfamiliar situations, the first port of call is The Cochrane Collaboration, a huge set of high-quality reports that collate and synthesise the (reliable) evidence about what to do. Its Cochrane Reviews are produced by more than 34,000 researchers in 120 countries, most of whom do them voluntarily, coordinated by a small band of experts from a tiny office in a residential street in north Oxford.
The day after the tsunami, the former co-chair of the collaboration, Mike Clarke, realised that The Cochrane Library, where the reviews are published, was pretty unhelpful for disaster situations. Reports on fractures might assume you’re in a first-world hospital with several hours to spare per patient. You’re not, and you don’t: you’re in a makeshift field hospital with patients queueing up. Worse, relevant Cochrane Reviews are scattered, filed under umpteen categories, and you’ve got no time to search and a dodgy internet connection. And some reviews are paywalled. Continue reading

school in the world. And its leading centre on decision science is highly relevant since decisions are so integral to giving.]

