Images from Haiti
ASA members have also shared key images of their work in Haiti. They are very powerful. They speak of human compassion amidst devastation. Their work can be seen below.
Photos courtesy of Kelly McQueen, M.D. and Alex Hannenberg, M.D. (February, 2011)
Dr. Alex Hannenberg, ASA immediate past president, delivers two Anestheisa Liberaries donated by Elsevier to the Haitian Anestheisology Society and the University Hospital in Port au Prince.
Dr.'s Hannenberg and McQueen visit the operating rooms of the University Hospital and meet the anesthesiology residents and staff.
Dr.'s Hannenber and McQueen with the Medishare Anesthesiology Team in Port au Prince.
Photos courtesy of Elizabeth Drum, M.D.
Mom and baby after c-section.
Resuscitating a baby during stat c-section.
Schneider leaving the hospital after several weeks after snagging my flashlight.
Yellow in-patient tent.
Pre-op waiting area.
OR team and patient.
Orthopods and their view box.
Photo courtesy of Dr. Chris Meriam, an orthopaedic surgeon who was with me: Operating without electricity by flashlight.
Sorting supplies for Haiti.
Photos courtesy of Michele Misher-Harris, M.D.
Our pediatric surgical team (from Miami Children’s Hospital) taking a lollipop/lunch break.
The triage area...
As there was very little available oxygen access in the camp, I needed to share between 2 patients!
Under the dressings, after the smiles and thumb’s up, a significant ankle injury!
Application of an external fixator device for stabilization of a femur fracture, without the use of x-ray, as the machine just broke!
We tried to give all our pediatric patients a stuffed animal before surgery to be a source of comfort.
A happy post-op patient!
Photos courtesy of Peter Hession, M.D.
Photos courtesy of Brian Redmond, M.D.
Many patients required deep sedation for wound I and D and dressing changes. This photo shows recently constructed and stocked shelves. At first, no shelves were available so all drugs and supplies were in boxes all over the tent.
Note plywood floors and rope for hanging IV's.
This photo is of a child we found naked, neglected and covered with flies on the side of the street adjacent to the destroyed Port au Prince Cathedral. We gave her a scrub shirt and bouffant cap. Also, a bottle of water and a pack of crackers. Soon a woman appeared with a plate of rice for the child. We inquired about the parents but were told the mother had died and the father couldn't be located. The adults present refused our offer to take her to an orphanage.
Showing off our new OR tables made of shipping pallets. Now with mattresses! Initially, we used folding tables raised to surgical height by resting on top of pallets but we had no cushions.
I was in Haiti with the Univ. of Miami/ Project Medishare. The hospital is adjacent to the runway at the Port au Prince airport and consists of four large tents including a pediatric ward with four OR's, and an ICU; an adult ward, a tent for staff quarters and a large storage tent for supplies. Additionally, there is a triage center, wound treatment tents, a communications center and sleeping in the tent city as well.
The hospital I worked in is operated by the University of Miami/ Project Medishare. It is currently has four operating rooms, an ICU and at 260 beds is thought at this time to be the largest hospital functioning in a country of 9 million people. Most if not all of the volunteers at the hospital lived in our own tent city. Most of the dome tents you see were donated by shelterbox.com which is a project of Rotary International. Thousands of shelter boxes have been provided to Haitians as well. They are designed to provide a family of four shelter for up to one year. Each box contains a tent, stove, cooking utensils, water purification, bedding, a shovel and a saw.
This too is a familiar sight. Thousands of families hastily erect shelters from stick, sheets, cardboard and scraps of plastic. This is where the sleep, eat, cook and care for their children, the injured and the elderly.
Photos courtesy of Perrin Jones, M.D.
Photos courtesy of Will Curtis, M.D.
We flew two donated jets into Haiti with supplies we had gathered from the local hospitals here in Austin. When we got there we cleared out a laboratory room at a missions clinic and set up a makeshift OR. We brought an autoclave someone had donated so were able to use sterile equipment but had no anesthesia machine, no ventilator, no oxygen, and no xray for the orthopedic surgeons to evaluate patients. We were able to do many cases with regional anesthesia (while there we were there did femoral nerve blocks, sciatic nerve blocks, axillary nerve blocks, interscalene nerve blocks and one time a paravertebral nerve block) and spinal anesthesia with sedation (we had been given a lot of ketamine by one of our hospitals). We only had minimal monitoring ability (had one pulse oximeter and no ECG or blood pressure monitors). The first few days people from the surrounding villages brought injured people to the clinic and we were able to do surgeries such as amputations, external fixations, open reductions with internal fixations, tendon/nerve repairs and wound cleanings. Toward the end of the week people were starting to be flown in for surgery via helicopter.
Will Curtis, Austin Anesthesiology Group
Unloading a helicopter bringing surgical patients in for operations in our makeshift OR.
Van Garman, anesthesiologist from Dallas and Paul Le from Austin (back turned).
Mike Loeb (orthopedic surgeon), Will Curtis (anesthesiologist) , Joel Hurt (orthopedic surgeon).
The three anesthesiologists on the trip - Van Garman (Dallas), Will Curtis (Austin), Paul Le (Austin).
Photos courtesy of Robert Turner, M.D.
Photos courtesy of Ashok Shroff, M.D.