L’AMHE à L’Hôpital Justinien 2009 – 2013 Louis J Auguste, MD

Background Visiting Professor Programs at HUEH Initiated under the Presidency of Yves Manigat, MD 1999 Participation in the SHONC Annual Conventions Annual AMH Congresses Lectures at HUEH Interruption of the Program Departure of Marie-Eveline Moise, MD Political Turmoil – Strikes – Threats to Students etc

The Beginning When, Where, Who, How Decision made to continue the Program in more Stable environment Annual Cruise Convention of AMHE/NJ Chapter 2009 Meeting with Drs. Guerline Roney, Marlyse Dominique and Jean-Lenic Joseph When, Where, Who, How

The Concept To raise the level of medical care in Haiti (one physician at a time) To empower the Haitian Health Care professional to practice better medicine To support the national health system with learning material, medications and equipment To cooperate with the local resources so that our impact may last beyond our physical stay in the country

Missions of AMHE to Justinien Hospital 1st Mission: November 23 – 27, 2009 L. J. Auguste A. Dufresne Y. Manigat D. Westerband L. H. Thelusmond 2nd Mission: May 22 – 29, 2010 L.J. Auguste M.F. Conde J. Garvey J. Satterfield 3rd Mission: P. Nacier S. Grisseau W. Macenat 4th Mission: February 26 –March 2, 2012 L G Angus LJ Auguste C. Bijoux M. Coles MC Dejoie-Robinson Y. Ducheine I. Jean-Pierre G. Laroche H. Leveque A Lihau-N’Kanza F. Momplaisir

Vth AMHE Medical Mission November 10 – 17, 2013 The Team Erwin Douyon, MD Trauma Surgeon/Critical care Specialist New Jersey Alix Dufresne, MD Internal Medicine. Cardiology Brooklyn, NY Maxime Coles, MD Orthopedist/Trauma Surgeon Newport, ME Danielle Colwell, RN OR Nurse North Shore-LIJ System Arvin K. George, MD Urologist North Shore-LIJ System Jamie Golden, MD PGY 2- Surgery North Shore-LIJ System Jacques Guillaume, MD Obsterician/Gynecologist Brooklyn, NY Jean-Baptiste Jasmin, MD General Surgeon Boca Raton, Florida Michel Jasmin, RN Pediatric Nurse Boca Raton, FL Anne Lihau-N’Kanza, MD Trauma Surgeon/Critical care Specialist New Jersey David Livingston, MD Anesthesiologist North Shore/LIJ System Jean-Michel Loubeau, MD General and Vascular Surgeon Larchmont, NY Patricia Loubeau, RN, PhD Professor of Marketing Larchmont, NY Sanique Lubin, RN OR Nurse North Shore/LIJ System Joelle Pierre, MD Pediatric Surgeon Buffalo, NY Cosandre Romain, MD PGY 1-Surgery North Shore/LIJ System Laalitha Surapaneni, MD PGY 2- Medicine Cleveland, Ohio Louis Herve Thelusmond, MD Internal Medicine/Cardiology Brooklyn, NY Andrew Tyan, MD PGY 2- Radiology Minneapolis, MN Dany Westerband, MD Trauma Surgeon/Critical Care Specialist Maryland Nadine Zekam, MD Obstetrician/Gynecologist Jackson, MS Michael Ziegelbaum, MD Urologist North Shore/LIJ System Louis J. Auguste, MD Surgical oncologist/General Surgeon North Shore/LIJ System  

Achievements Creation of the Residents Library Distribution of oral Hydrating solution, IV fluids and antibiotics at the peak of the Cholera epidemic EKG and Echocardiography courses Two Seminars on Diabetes mellitus Grant to provide Insulin to Type 1 Diabetics for 1 year Advanced Trauma Management Training Purchase of manikins for life support training More than 150 lectures to Surgery, Medicine, Urology, Pediatrics, Ob/GYN, Family Medicine, Anesthesiology, Orthopedics residents

Achievements Large supply of medications at each visit (HTN, DM, Asthma, PUD antibiotics, etc…) Donation of 3 EKG machines, 1 Defibrillator, 1 Doppler machine and > 30 glucometers Shipping of several tons of medical material and equipment from North Shore/LIJ Health System Internet Access for two years (P. Nacier) Observership at Brooklyn Hospital (P. Nacier and Simact)

Impact Recognition of AMHE as a significant player and a Partner in the Field of Health Care in Haiti News media Greater participation of Non Haitian Physicians and other Health care professionals in the effort with the AMHE concept Possible creation of regular residency rotations in Haiti Coalescence and integration of the multiple efforts initiated by foreign groups in Haiti

IVth AMHE Mission

Vth AMHE Mission to Justinien

Advanced Trauma Course in Cap-Haitien

Urologists at Justinien

Future of the Program Continuity is Key – Extend the concept to other cities Trauma and Cardiac courses in other cities Collection of Supplies from North Shore/LIJ Pet Project : Tele-Pathology Perhaps Joint Venture with the private sector NEEDS Funding Newsletter to Donors TAX forms for Donors

Liste of Items Needed at HUEH List of items needed in the Operating Room of HUEH Kick buckets Mayo Tables Regular OR tables Orthopedic Tables Suture Materials Disposable cautery plates Disposable Scrub suits, Boots, Masks and caps Sterile Gloves (All sizes) Sterile surgical drapes Paper wraps for sterilization of surgical trays and instrument sets Betadine brushes K-Y Jelly Sterile Gauzes Overhead lights Surgical Instruments Clamps (Allis, Babcock, Towel, Hemostats) Scalpel handles Full specialty trays Pediatric Surgery Neurosurgery Vascular surgery List of Items needed by the Department of Anesthesiology Pressure Gauge for Oxygen tanks Anesthetic Agents Rocuronium Pancuronium Halothane Sevoflurane Depolarizing agents EKG monitors Also Technical Support for Service and Maintenance of Equipment Training of local technicians Calibration of equipment