![Neil](ImagesHaiti2010/1HN4-02aTHM Neil packed for Haiti.jpg) Do I have everything???
| ![Goodbye](ImagesHaiti2010/1HN4-02bTHM Neil waves a good-bye.jpg) Bye Bye
| ![Leaving](ImagesHaiti2010/1HN4-02cTHM Neil is off on his mission.jpg) Off (guess Michal took these because she wanted a record)
|
![MIAMI AIRPORT](ImagesHaiti2010/H-THMP1010278.jpg)
Ready to leave Miami for PAP. He obviously does not know what is to come . . .
| ![Cot](ImagesHaiti2010/H-thmP1010293.jpg) After a briefing by the Chief Doc, we located a vacant cot and dressed for work
| ![bandaid station](ImagesHaiti2010/H-thmP1010380.jpg)
Pre-ER "Bandaid Station"
|
![Adult ER](ImagesHaiti2010/H-thmP1010381.jpg)
Adult ER, 3 beds, outside tent, canvas roof & walls, gravel floor
| ![Pedi ER/Holding](ImagesHaiti2010/H-thmP1010384.jpg)
Pedi ER and "holding"
| ![Pedi advanced care](ImagesHaiti2010/H-thmP1010385.jpg) Pedi Advanced Care
|
![ICU](ImagesHaiti2010/H-thmP1010387.jpg)
Yes, that sign says ICU/CCU
| ![Lab](ImagesHaiti2010/H-thmP1010390.jpg)
Our Lab. Very fast but limited
| ![Surgery](ImagesHaiti2010/H-thmP1010321.jpg)
1/2 of surgery area, 1 other table on R side. Note gaps in walls/ceiling
|
![Surgery](ImagesHaiti2010/H-thmP1010322.jpg)
Yes, that surgery table is made locally. Our sterilizer guy in the foreground worked very
long hours sterilizing using the tubs in the background and Clorox type liquids & water
| ![Dressing change](ImagesHaiti2010/H-thmP1010319.jpg)
One of my 1st jobs was pedi dressing changes under sedation.
Done in the surgery area
| ![Supply dump](ImagesHaiti2010/H-thmP1010328.jpg)
Supplies needing sorting and to be moved inside
|
![Crutches](ImagesHaiti2010/H-thmP1010327.jpg) Good, & needed, supply of
crutches and walkers.
| ![Child walker](ImagesHaiti2010/H-thmP1010330.jpg) Child walker modified by
supply people to add seat
| ![Med Surg](ImagesHaiti2010/H-thmP1010402.jpg)
60-75 bed Med Surg, usually
4 RNs, including working Charge (We only had 1 die in Med Surg while I was there)
|
![Neil & Claudio](ImagesHaiti2010/H-thmP1010354.jpg) Neil & Claudio, MD in
Med Surg. Haitian nursing student in front
| ![Homemade breathing exersizer](ImagesHaiti2010/H-thmP1010365.jpg)
This nice man and his family were great to work with. Here a
daughter helps him with a breathing exercise tool.
| ![Sterile](ImagesHaiti2010/H-thmP1010370.jpg) . . . .'nuf said
|
![AC](ImagesHaiti2010/H-thmP1010371.jpg) One of 2 15" AC inlets into the Med Surg tent. A clever Haitian has found a place to cool a drink
| ![Choppper](ImagesHaiti2010/H-thmP1010372.jpg)
The copter noise added a MASH quality; L is entrance to sleeping(?)
| ![Isolation & Jet](ImagesHaiti2010/H-thmP1010392.jpg) The jet noise was great too. At right is our TB isolation tent.
|
![Baby](ImagesHaiti2010/H-thmP1010391.jpg) New arrival delivered previous
afternoon. RN Sue helped deliver.
| ![Spraying for bugs](ImagesHaiti2010/H-thmP1010347.jpg) Bug control was sprayed 2 or 3 times a day
| ![Pharmacy](ImagesHaiti2010/H-thmP1010349.jpg)
Pharmacy. To right is "lead wall" to protect us from X-Ray
|
![Chart](ImagesHaiti2010/H-thmP1010350.jpg) Charts were all kept on patients
cot. Each patient allowed 1 sheet.
| ![](ImagesHaiti2010/H-thmP1010348.jpg) Haitian nursing student, RN "Kat",
happy patient and me
| ![Door openers](ImagesHaiti2010/H-thmP1010407.jpg) Like any hospital, we had
automatic door openers! Really - that was their job
|
![](ImagesHaiti2010/H-thmP1010399.jpg) L to R: silver "potable" water tank,
mens urinal, 4 bay unisex shower - cold only, port-a-potties. The white tank in the forground did NOT warm or clean water. It was apparantly to hold up rocks.
| ![Urinal](ImagesHaiti2010/H-thmP1010394.jpg) Mens Urinal
| ![Urinal](ImagesHaiti2010/H-thmP1010397.jpg)
Urinal detail
|
![Shower](ImagesHaiti2010/H-thmP1010304.jpg) Shower detail - 30 seconds of water per shower.
| Following are shots from around Port-au-Prince. Thanks to Rob Scheifer for some of these.
| ![Main Cathedral](ImagesHaiti2010/H-thmP1010411.jpg) Main cathedral
|
![Kids](ImagesHaiti2010/H-thmP1010417.jpg) Living on the street with tarp and shower curtain walls
| ![Church](ImagesHaiti2010/H-thmP1010419.jpg) Another church
| ![Pancake](ImagesHaiti2010/H-thmP1010420.jpg) Pancake collapse was the most
common, sometimes with tilting
|
![Buildings](ImagesHaiti2010/H-thmP1010424.jpg) Most of these were 1-2 stories higher before the quake
| ![Collapse](ImagesHaiti2010/H-thmP1000118rob.jpg) Mulit-floor collapse
| ![Tent city](ImagesHaiti2010/H-thmP1000096rob.jpg) One of many tent cities
|
I was lucky to work in most nursing areas of the hospital and get some interesting photos but if you are a bit squimish you may want to stop here! As you medical types look at these, remember this is a "field hospital", and conditions are not quite what we think as standard
| ![Child with walker](ImagesHaiti2010/H-thmP1000062rob.jpg) One of our small BTK
amputees trying out her new walker with the customized seat
| ![Neil-pharmacy](ImagesHaiti2010/H-thmP1010311.jpg) I was even a pharmacy tech
for a few hours - scary!
|
![Foot amputation](ImagesHaiti2010/H-thmP1010331.jpg) Starting a foot amputation
(note the T shirt observer)
| ![Foot amputation](ImagesHaiti2010/H-thmP1010334.jpg) About to take off. Note angle cut of skin and muscle so that can be used to flap over bone stump - bone will be cut at the top
| ![Foot gone](ImagesHaiti2010/H-thmP1010335.jpg) Foot gone - ready to flap and sew the stump cover
|
![Escharotomy](ImagesHaiti2010/H-thmP1010339.jpg) Plastic surgeon - escharotomy on ~ 2-3y/o burn victim
| ![Back surgery](ImagesHaiti2010/H-thmP1010344.jpg) Back surgery. Note locally made step stool
| ![caught eating](ImagesHaiti2010/H-thmP1010346.jpg) Oops! Caught eating some left-over patient rice while
"hiding" in pharmacy
|
![Digital disimpaction](ImagesHaiti2010/H-thmP1010351.jpg) Besides amputees, we had a large number of paralyzed patients. Sometimes that meant a need for digital disimpaction
| ![Preacher](ImagesHaiti2010/H-thmP1010374.jpg) Frequently a preacher would come in to encourage the patients
| ![The End](ImagesHaiti2010/H-thmP1010400.jpg) The last full day was a tad busy. I went from having 20 patients, to being the only RN and 49 patients, to charge nurse with a new crew to orient, to a resourse for the new crew, to "not here" - a welcome change in title after 9 busy days. I would do it again!
|