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
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
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Published: Ann Intern Med. 2010;153(4):262-265.
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.
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