Dennis Amundson, DO, MS; Greg Dadekian, MD; Mill Etienne, MD, MPH; Todd Gleeson, MD, MPH; Thomas Hicks, MD; Dermot Killian, MBBS; Kristina Kratovil, MD; Chris Lewis, MD; Michael Monsour, MD; Bret Pasiuk, MD; Dolores Rhodes, MD; Edward J. Miller, MD, PhD
On 12 January 2010, a 7.0-magnitude earthquake devastated the island nation of Haiti, leading to the world's largest humanitarian effort in over 6 decades. The catastrophe caused massive destruction of homes and buildings and overwhelmed the Haitian health care system. The United States responded immediately with a massive relief effort, sending U.S. military forces and civilian volunteers to Haiti's aid and providing a tertiary care medical center aboard the USNS COMFORT hospital ship. The COMFORT offered sophisticated medical care to a geographically isolated population and helped to transfer resource-intensive patients from other treatment facilities. Working collaboratively with the surgical staff, ancillary services, and nursing staff, internists aboard the COMFORT were integral to supporting the mission of the hospital ship and provided high-level care to the casualties. This article provides the perspective of the U.S. Navy internists who participated in the initial response to the Haitian earthquake disaster onboard the COMFORT.
Back row (left to right): Todd Gleeson, MD, MPH; Dolores Rhodes, MD; Chris Lewis, MD; Greg Dadekian, MD; Edward Miller, MD, PhD; Michael Monsour, MD; Thomas Hicks, MD; Dennis Amundson, DO, MS. Front row (left to right): Mill Etienne, MD, MPH; Kristina Kratovil, MD; Bret Pasiuk, MD. Not pictured: Dermot Killian, MBBS.
The total USNS COMFORT census includes patients on adult and pediatric wards and intensive care units. Top. Intensive care unit admissions per day, census, and cumulative number of intensive care unit admissions for the first 14 days of Haitian patient reception onboard the USNS COMFORT during Operation Unified Response. The peak number of intensive care unit admissions (n= 17) occurred on 25 January 2010, and the peak total census (n= 44) occurred on 27 January 2010. Bottom. Total USNS COMFORT admissions and discharges per day, census, and cumulative number of admissions during the same period depicted in the top part of the figure. The peak number of admissions was 104 on 21 January 2010, and peak total patient census (excluding patient escorts) was 433 on 28 January 2010.
The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.
Amundson D, Dadekian G, Etienne M, Gleeson T, Hicks T, Killian D, et al. Practicing Internal Medicine Onboard the USNS COMFORT in the Aftermath of the Haitian Earthquake. Ann Intern Med. 2010;152:733-737. doi: 10.7326/0003-4819-152-11-201006010-00215
Download citation file:
Published: Ann Intern Med. 2010;152(11):733-737.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only