Resusc bay. Looks good but remember…. No wall o2. No contin suction. No running water in the ED.power goes off all the time and we have to resort to headlamps. Still this is vastly better than when they were in tents a month ago.
Recent patients included: 2 yr o girl c pneumonia who looked terrible but rallied post IVF and rocephin. Ruptured globe from glaucoma. Bad asthma that would have been fatal elsewhere. Chloroquine OD blindness. Today GSW to neck, gsw to abd. Gsw to calf. Prim TB. Urinary retention due to 3CM bladder stones.
“Clinical Practice Guidelines”
This week we will be closing the Love a Child Disaster Recovery Center which has been supported by Harvard Humanitarian Initiative since it’s inception. Here is a link to some of the pictures of the field hospital I worked at as deputy of operations.Click HERE
As a multinational effort which included support from many academic institutions, the Disaster Recovery Center cared for over 2000 injured Haitians and their families.
This phase of our activites are soon to close, but the ongoing needs are still palpable. There are still 2 million people displaced from their homes and communities.-Jennifer Chan
Starting night shift tonight. My buddy Erik was on nights last pm when they brought in a 16 yr old with diptheria. He was very sick with secretions and inflamation all over his throat and airway requiring intubation.(tube in the windpipe). Challenge is that this is a very communicable disease and concern for outbreak is high. Not so much among us-we’re all immunized-but among the Haitians the concern is high.
I’m still amazed at the level of tallent here with respect to medical knowledge and effort. There is a harvard infectious disease md -meagan coffee – who put her fellowship on hold and has been here near continuously since the earthquake. She singlehandedly manages over a hundred patients in the TB tents and is also avail 24 hours to help with any crazy Id issue.
Overall I’m eating fine, doing a better job of staying hydrated and getting a better since of the people and their suffering. Sometimes all we can do is treat them with respect and communicate that there is nothing further that could have been done. It is saddening to see the way the family members experience death. It may at first seem detached and remote but I think it’s just blunted from having seen so much allready. Well we’ll do our best tonight.
Tonight I received a text from a friend in Haiti urgently looking for Diptheria Antitoxin. From Chicago I texted my colleagues at Love a Child Disaster Recovery Center in Fond Parisien and also Mark Courtney at HUEH. Mark, already networked well at HUEH, referred me to a ID physician from PIH (Partners in Health). http://www.standwithhaiti.org/haiti
Mobile technologies are amazing asset in global health; and when networks are up and running they can be very helpful in providing health care services in disaster or post disaster settings.
Information Communication technology (ICT) has the potential to improve humanitarian response. Check out Ushahidi’s work in Haiti. http://haiti.ushahidi.com/
…..My friend was already connected with Mark’s contact at PIH….. they are transporting the diptheria antitoxin back to the IDP (internally displaced persons) camp at this very moment…..
“Starting day three. Yesterday worked triage. This was challenging. Due to the very limited resources you really have to figure out if you should bring people back. They almost have to be in some respiratory distress, AMS, or high fever. Almost all else gets sent out or Rxd in a triage chair. seeing lots of cerebral malaria. They get better quick c iv quinine.”Mark Courtney via text message at HUEH, Port au Prince, Haiti