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

• 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