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Disaster Response NetWork

April 13, 2010
Influenza A(H1N1) Infection - CHEST Collection

This CHEST collection is made up mainly of original research articles on this timely topic.

March 09, 2010
NetWork Special Presentations from CHEST 2009
All presentations are in read-only PDF format. Printing is restricted. To download a presentation to your computer, click on the presentation title.
February 11, 2010
Life has evolved somewhat.

Life has evolved somewhat, both on the ground and on the ship.

February 07, 2010
Down on new admits other then post-ops.

Actually just got up from an hour nap! We have been essentially down on new admits other then post-ops. It’s very cagie what cases come in so they can get medical personnel out.

February 05, 2010
Overload and Backlog

Day 3 of the attempt at decreasing the overload and backlog.

February 02, 2010
We’re still operating 24 hours a day.

The ship took on over 350 patients and the backlog for surgery was about a week long for reconstructive and limb salvage surgery. Each day we get more surgical staff and the operating rooms fly.

January 27, 2010
A photo inside one of the ICUs on board.

This is dialysis row. We have 4 lined up for scrubbing in this picture. We have 2 machines and they run around the clock. We usually wait until some event pushes us.

January 27, 2010
Long day—about 3 hours of sleep last night.

Long day—about 3 hours of sleep last night and now on the go with the team at 7:30 pm. I need to go to bed.

There were two pediatric infant deaths today, one adult death in the unit, and two on the floor. The morgue is getting full. We found 2 cases of acinetobacter baumannii today, so will need to spread out a little and rethink infection control and spacing.

January 26, 2010
Everyday we advance.

We now have 35 active beds—one nurse to four beds (all full) and moving about 40 patients through a day. There are 125 operations to go, and sepsis and tetanus now rampant.

January 26, 2010
Tuesday, January 26th, 10PM

So, 10pm and will be rounding on the crew in a few. Not a bad day, perhaps 4 patients to us and some to peds. So far the wards, with our current 400 patients, have not been too bad in terms of calls or codes.

January 24, 2010
Sunday.

We are now serving as a tertiary care facility (the only one). It is remarkable to see what has happened on the ground—emergent access used and field amputations galore, many now with stump infections and complications. How many more are alive and ok out there, I do not know, but believe there are many.

January 22, 2010
End of a long day

End of a long day—over 500 inpatients and 30 to the ICU.

January 22, 2010
Friday. Did not know what day it was.

We got a third critical care doc and are now able to do shifts. We have about 500 patients on board now and have slowed to 20 in the ICU. Surgeries are on-going, but we are doing resupply for the ship and then will continue with the patient load.

January 21, 2010
Day 2 on site.

Patients are rolling in via helicopter and now by ship.

January 20, 2010
The Onslaught Continues

Our casualty receiving center is full and more are on the way.

January 20, 2010
We are Now in the Thick of It!

The Carl Vinson is steaming toward us.

January 19, 2010
Busy Day as We Approach Helicopter Distance

Patients are waiting in makeshift shelters. What facilities exist are overwhelmed and intend to discharge patients to us to alleviate their stress and allow for resupply.

January 18, 2010
Everyone is Positive and We All Want to Get to Haiti ASAP

Monitor the work of Dr. Amundson and others as he reports his experiences on the USNS Comfort in Haiti.

November 01, 2008
NetWork Special Presentations from CHEST 2008
All presentations are in read-only PDF format. Printing is restricted. To download a presentation to your computer, click on the presentation title.
May 05, 2008
Experts Announce New Strategy for Disaster Preparedness
(NORTHBROOK, IL, May 5, 2008)—In an unprecedented initiative, US and Canadian experts have developed a comprehensive framework to optimize and manage critical care resources during times of pandemic outbreaks or other mass critical care disasters. The new proposal suggests legally protecting clinicians who follow accepted protocols for the allocation of scarce resources when providing care during mass critical care events.
November 01, 2007
Current Recommendations and Best Practices of ICU Disaster Plans
A Workshop to Create and Review Your Disaster Plan
November 01, 2007
NetWork Special Presentations from CHEST 2007
All presentations are in read-only PDF format. Printing is restricted. To download a presentation to your computer, click on the presentation title.