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 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 before the quake Geography and

culture Population & location Law & order


1994 before LA quake Geography & culture


1994 before the LA quake Geography and


Haiti, Disaster Medicine: the Tale of Two Earthquakes 1994 before

the LA quake Geography

and culture Population &

location Law & order


Haiti before the quake Geography and


1994 before the LA quake Geography and


-Law & Order-Neighbors-Search &

Rescue-Trauma Care


After the quakes neighbors


After the quakes Neighbors Search & Rescue


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


Medicine after a Disaster Principles Priorities

Categorize victims


Disaster Principles Priorities

Categorize victims

Optimize use Personnel Logistical

support


Disaster Principles Priorities Obstructions

Lack of medical personnel




Lack of access




Lack of access

Shortage of equipment


Principles Priorities Obstructions


Lack of access Shortage of equipment

Lack of transportation


Principles Priorities Obstructions


Lack of access Shortage of equipment Lack of transportation

Inadequate medical facilities


Austere environment No autoclave No intra-operative xr


Austere environment

Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere

environment Orthopaedic surgery

Ex fix open fractures


Austere environment Orthopaedic surgery


Ex fix femur fractures

Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere

environment Orthopaedic surgery



Casting


Austere environment Orthopaedic surgery



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


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

Documents

disaster medicine

earthquakes medicine

earthquakes haiti

quake geography culture

la quake geography

quake contrast

la quake effects

use of personnel