Amir K. Jaffer, MD; Rafael E. Campo, MD; Greg Gaski, MD; Mario Reyes, MD; Ralf Gebhard, MD; Enrique Ginzburg, MD; Michael A. Kolber, PhD, MD; John Macdonald, MD; Steven Falcone, MD, MBA; Barth A. Green, MD; Lazara Barreras-Pagan, RN, BHSA; William W. O'Neill, MD
The Miller School of Medicine of the University of Miami and Project Medishare, an affiliated not-for-profit organization, provided a large-scale relief effort in Haiti after the earthquake of 12 January 2010. Their experience demonstrates that academic medical centers in proximity to natural disasters can help deliver effective medical care through a coordinated process involving mobilization of their own resources, establishment of focused management teams at home and on the ground with formal organizational oversight, and partnership with governmental and nongovernmental relief agencies. Proximity to the disaster area allows for prompt arrival of medical personnel and equipment. The recruitment and organized deployment of large numbers of local and national volunteers are indispensable parts of this effort. Multidisciplinary teams on short rotations can form the core of the medical response.
Arrow A is the location of the operating room in the posterior part of the first tent. Arrow B is where the wound center was located. Arrow C is the triage area. Arrow D is the second triage tent, where the pediatric patients were admitted. Arrow E is the tent where staff and health care workers were housed. The supplies tent is to the left but is not included in the photograph.
Teams were created with a lead person responsible for each team, including finance, fundraising, IT, security, personnel and flight logistics, material donations, airport operations, supply chain, public relations and communications, and volunteers. IT = information technology.
Top. Initial presentation documents the initial impression for an earthquake victim admitted on 13 January 2010. Bottom. Radiographic diagnosis confirms the initial impression of pelvic fracture 9 days later on plain radiographs.
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.
Jaffer AK, Campo RE, Gaski G, Reyes M, Gebhard R, Ginzburg E, et al. An Academic Center's Delivery of Care After the Haitian Earthquake. Ann Intern Med. 2010;153:262–265. doi: 10.7326/0003-4819-153-4-201008170-00266
Download citation file:
Published: Ann Intern Med. 2010;153(4):262-265.
Emergency Medicine, Healthcare Delivery and Policy.
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