- December 10 , 2010
Report Says Careful Planning and Preparation Allow Academic Medical Centers to Mount Effective Disaster Response Protocols
PHILADELPHIA – On Tuesday, January 12, 2010 a 7.0 magnitude earthquake struck Haiti and sent the small island country into a disaster of mammoth proportions. Thousands of doctors and other medical professionals from around the world immediately mobilized to volunteer their services to the more than 300,000 people injured in the quake. Anesthesiologists played a critical role as part of medical-surgical teams responding to the devastating earthquake. Now a new report in the December issue of Anesthesia & Analgesia details the experiences and response system used in Haiti by the University of Pennsylvania School of Medicine’s Department of Anesthesiology and Critical Care.
“Despite the crucial role of anesthetics in surgical procedures, there is very little available literature or published guidelines to guide preparation for anesthesia response to disaster,” said lead report author Maureen McCunn, MD, assistant professor of Anesthesiology and Critical Care. “After the earthquake, one of the first steps we took was to search for recommendations on protocol from others who had gone through this process….we found few reports. We sought to describe our experience and to define a ‘best list’ for others.”
Dr. McCunn and colleagues detail the structured and organized processes followed by the Penn team in preparing for their mission. The team was invited to go to Haiti with a nongovernmental organization, Partners in Health (PIH) with experience working in Haiti. They traveled to the village of Cange, where PIH has a hospital, arriving 14 days after the earthquake.
Team members were selected from volunteers from the Departments of Anesthesiology, Surgery, Orthopedics, and Nursing. The current report describes the development of equipment and medication lists, as well as a vaccination program for team members.
The team performed a total of 76 operations during their stay in Cange, along with other anesthetic procedures outside the operating room. "An organized system for international medical response to a natural disaster emergency can be accomplished safety and effectively by an academic anesthesiology department within 6 to 12 days," McCunn and co-authors conclude. They note that this "may be the ideal timeframe to bridge the gap between emergency response and longer-term relief care."
For more information on the report refer to the journal’s news release:
Penn Medicine is one of the world's leading academic medical centers, dedicated to the related missions of medical education, biomedical research, and excellence in patient care. Penn Medicine consists of the Raymond and Ruth Perelman School of Medicine at the University of Pennsylvania (founded in 1765 as the nation's first medical school) and the University of Pennsylvania Health System, which together form a $4.3 billion enterprise.
The Perelman School of Medicine has been ranked among the top five medical schools in the United States for the past 16 years, according to U.S. News & World Report's survey of research-oriented medical schools. The School is consistently among the nation's top recipients of funding from the National Institutes of Health, with $398 million awarded in the 2012 fiscal year.
The University of Pennsylvania Health System's patient care facilities include: The Hospital of the University of Pennsylvania -- recognized as one of the nation's top "Honor Roll" hospitals by U.S. News & World Report; Penn Presbyterian Medical Center; and Pennsylvania Hospital -- the nation's first hospital, founded in 1751. Penn Medicine also includes additional patient care facilities and services throughout the Philadelphia region.
Penn Medicine is committed to improving lives and health through a variety of community-based programs and activities. In fiscal year 2012, Penn Medicine provided $827 million to benefit our community.