1. Haiti, Disaster Medicine: the Tale of Two Earthquakes

2. 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?

3. Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the quake Geography and culture

4. Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the quake Geography and culture Population & location

5. Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the quake Geography and culture Population & location Law & order

6. Haiti, Disaster Medicine: the Tale of Two Earthquakes 1994 before LA quake Geography & culture

7. Haiti, Disaster Medicine: the Tale of Two Earthquakes 1994 before the LA quake Geography and culture Population & location

8. Haiti, Disaster Medicine: the Tale of Two Earthquakes 1994 before the LA quake Geography and culture Population & location Law & order

9. Haiti, Disaster Medicine: the Tale of Two Earthquakes Haiti before the quake Geography and culture Population & location 1994 before the LA quake Geography and culture Population & location -Law & Order -Neighbors -Search & Rescue -Trauma Care

10. Haiti, Disaster Medicine: the Tale of Two Earthquakes After the quakes neighbors

11. Haiti, Disaster Medicine: the Tale of Two Earthquakes After the quakes Neighbors Search & Rescue

12. Haiti, Disaster Medicine: the Tale of Two Earthquakes After the quakes Neighbors Search & Rescue

13. Haiti, Disaster Medicine: the Tale of Two Earthquakes After the quakes Neighbors Search & Rescue Trauma Care

14. Haiti, Disaster Medicine: the Tale of Two Earthquakes After the quakes Neighbors Search & Rescue Trauma Care

15. 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

16. 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

17. Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster Principles Priorities Categorize victims

18. Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster Principles Priorities Categorize victims Optimize use Personnel Logistical support

19. Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster Principles Priorities Obstructions Lack of medical personnel

20. Haiti, Disaster Medicine: the Tale of Two Earthquakes Medicine after a Disaster Principles Priorities Obstructions Lack of medical personnel Lack of access

21. 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

22. 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

23. 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

24. Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere environment No autoclave No intra-operative xr

25. Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere environment

26. Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere environment Orthopaedic surgery Ex fix open fractures

27. Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere environment Orthopaedic surgery Ex fix open fractures Ex fix femur fractures

28. Haiti, Disaster Medicine: the Tale of Two Earthquakes Austere environment Orthopaedic surgery Ex fix open fractures Ex fix femur fractures Casting

29. Haiti, Disaster Medicine: the Tale of Two Earthquakes 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

30. Haiti, Disaster Medicine: the Tale of Two Earthquakes Total Patients Dept of defense Aboard 1100 Land 3500 Dept of health & human services 28400

31. 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?

32. Haiti, Disaster Medicine: the Tale of Two Earthquakes