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Haiti, Disaster Medicine: the Tale of Two Earthquakes

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

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Haiti, Disaster Medicine: the Tale of Two Earthquakes

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  1. Haiti, Disaster Medicine: the Tale of Two Earthquakes

  2. 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?

  3. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Haiti before the quake • Geography and culture

  4. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Haiti before the quake • Geography and culture • Population & location

  5. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Haiti before the quake • Geography and culture • Population & location • Law & order

  6. Haiti, Disaster Medicine: the Tale of Two Earthquakes • 1994 before LA quake • Geography & culture

  7. Haiti, Disaster Medicine: the Tale of Two Earthquakes • 1994 before the LA quake • Geography and culture • Population & location

  8. Haiti, Disaster Medicine: the Tale of Two Earthquakes • 1994 before the LA quake • Geography and culture • Population & location • Law & order

  9. Haiti before the quake Geography and culture Population & location 1994 before the LA quake Geography and culture Population & location Haiti, Disaster Medicine: the Tale of Two Earthquakes -Law & Order -Neighbors -Search & Rescue -Trauma Care

  10. Haiti, Disaster Medicine: the Tale of Two Earthquakes • After the quakes • neighbors

  11. Haiti, Disaster Medicine: the Tale of Two Earthquakes • After the quakes • Neighbors • Search & Rescue

  12. Haiti, Disaster Medicine: the Tale of Two Earthquakes • After the quakes • Neighbors • Search & Rescue

  13. Haiti, Disaster Medicine: the Tale of Two Earthquakes • After the quakes • Neighbors • Search & Rescue • Trauma Care

  14. Haiti, Disaster Medicine: the Tale of Two Earthquakes • After the quakes • Neighbors • Search & Rescue • Trauma Care

  15. 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

  16. 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

  17. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Medicine after a Disaster • Principles • Priorities • Categorize victims

  18. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Medicine after a Disaster • Principles • Priorities • Categorize victims • Optimize use • Personnel • Logistical support

  19. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Medicine after a Disaster • Principles • Priorities • Obstructions • Lack of medical personnel

  20. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Medicine after a Disaster • Principles • Priorities • Obstructions • Lack of medical personnel • Lack of access

  21. 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

  22. 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

  23. 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

  24. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Austere environment • No autoclave • No intra-operative xr

  25. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Austere environment

  26. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Austere environment • Orthopaedic surgery • Ex fix open fractures

  27. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Austere environment • Orthopaedic surgery • Ex fix open fractures • Ex fix femur fractures

  28. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Austere environment • Orthopaedic surgery • Ex fix open fractures • Ex fix femur fractures • Casting

  29. 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

  30. Haiti, Disaster Medicine: the Tale of Two Earthquakes • Total Patients • Dept of defense • Aboard 1100 • Land 3500 • Dept of health & human services • 28400

  31. 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?

  32. Haiti, Disaster Medicine: the Tale of Two Earthquakes

  33. Haiti, Disaster Medicine: the Tale of Two Earthquakes

  34. Haiti, Disaster Medicine: the Tale of Two Earthquakes

  35. Haiti, Disaster Medicine: the Tale of Two Earthquakes

  36. Haiti, Disaster Medicine: the Tale of Two Earthquakes

  37. Haiti, Disaster Medicine: the Tale of Two Earthquakes

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