380 likes | 499 Vues
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
E N D
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 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
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
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
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?