haiti, disaster medicine: the tale of two earthquakes
TRANSCRIPT
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
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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?
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the
quake Geography and
culture
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the
quake Geography and
culture Population & location
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
Haiti before the quake Geography and
culture Population & location Law & order
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
1994 before LA quake Geography & culture
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
1994 before the LA quake Geography and
culture Population & location
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Haiti, Disaster Medicine: the Tale of Two Earthquakes 1994 before
the LA quake Geography
and culture Population &
location Law & order
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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
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes neighbors
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue Trauma Care
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
After the quakes Neighbors Search & Rescue Trauma Care
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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
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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
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
Medicine after a Disaster Principles Priorities
Categorize victims
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities
Categorize victims
Optimize use Personnel Logistical
support
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities Obstructions
Lack of medical personnel
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a
Disaster Principles Priorities Obstructions
Lack of medical personnel
Lack of access
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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
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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
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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
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment No autoclave No intra-operative xr
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere
environment Orthopaedic surgery
Ex fix open fractures
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
Austere environment Orthopaedic surgery
Ex fix open fractures
Ex fix femur fractures
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere
environment Orthopaedic surgery
Ex fix open fractures
Ex fix femur fractures
Casting
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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
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Haiti, Disaster Medicine: the Tale of Two Earthquakes Total Patients
Dept of defense Aboard 1100 Land 3500
Dept of health & human services 28400
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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?
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
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Haiti, Disaster Medicine: the Tale of Two Earthquakes
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Haiti, Disaster Medicine: the Tale of Two Earthquakes