Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti, Disaster Medicine: the Tale of Two Earthquakes Objectives
Explain the devastation Haitian earthquake in the context of conditions before quake
Contrast with 1994 LA quake effects Understand difference between disaster
medicine & everything you know What can an orthopaedic surgeon do in an
austere environment?
Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the
quake Geography and
culture
Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the
quake Geography and
culture Population & location
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti before the quake Geography and
culture Population & location Law & order
Haiti, Disaster Medicine: the Tale of Two Earthquakes
1994 before LA quake Geography & culture
Haiti, Disaster Medicine: the Tale of Two Earthquakes
1994 before the LA quake Geography and
culture Population & location
Haiti, Disaster Medicine: the Tale of Two Earthquakes 1994 before
the LA quake Geography
and culture Population &
location Law & order
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti before the quake Geography and
culture Population & location
1994 before the LA quake Geography and
culture Population & location
-Law & Order-Neighbors-Search &
Rescue-Trauma Care
Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes neighbors
Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue
Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue
Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue Trauma Care
Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue Trauma Care
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles
Cannot do the best for each individual victim
Do the best for the largest number of victims
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster
Principles Cannot do the best for each individual victim Do the best for the largest number of victims
Priorities Categorize victims Optimize use of personnel at site Optimize use of logistical support and
equipment
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Medicine after a Disaster Principles Priorities
Categorize victims
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities
Categorize victims
Optimize use Personnel Logistical
support
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities Obstructions
Lack of medical personnel
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities Obstructions
Lack of medical personnel
Lack of access
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities Obstructions
Lack of medical personnel
Lack of access
Shortage of equipment
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster
Principles Priorities Obstructions
Lack of medical personnel
Lack of access Shortage of equipment
Lack of transportation
Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster
Principles Priorities Obstructions
Lack of medical personnel
Lack of access Shortage of equipment Lack of transportation
Inadequate medical facilities
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment No autoclave No intra-operative xr
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment
Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere
environment Orthopaedic surgery
Ex fix open fractures
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment Orthopaedic surgery
Ex fix open fractures
Ex fix femur fractures
Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere
environment Orthopaedic surgery
Ex fix open fractures
Ex fix femur fractures
Casting
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment Orthopaedic surgery
Ex fix open fractures
Ex fix femur fractures
Casting
Between 18 jan & 8 feb Orthopaedic cases
Conscious sedation 100
General anesthesia
50
ex fix 20
Haiti, Disaster Medicine: the Tale of Two Earthquakes Total Patients
Dept of defense Aboard 1100 Land 3500
Dept of health & human services 28400
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Summary Why was the haiti earthquake so deadly? Compare disaster medicine to what you do every
day What can be done in an austere environment?
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti, Disaster Medicine: the Tale of Two Earthquakes