For medics in Haiti everything is in short supply — except the wounded
By Jorge Barrera, Canwest News Service
January 17, 2010
http://www.canada.com/news/world/medics+everything+short+supply+except+wounded/2450897/story.htmlThe injured continued to arrive at the gates to the field hospital Saturday in front of the Laboratoire National de Sante Public in Port Au Prince where Canadian Forces medical personnel tried to mend broken bodies with cardboard.
Facing limited supplies and an endless need, Canadian military personnel were forced to reuse latex gloves and resort to cardboard ripped from supply boxes for splints, said Cpl. Alexander Robitaille, a medic with the Canadian Disaster Assistance Response Team (DART).
“We use what we have. We don’t have a lot of supplies. That is why we use cardboard. It works, it is stable,” said Robitaille, after a day mending bodies. “We just try to use less things ... we are waiting for more (supplies).”
Robitaille said he did not know when additional medical material would arrive.
The team was working out of two field hospital tents with their patients laying on stretchers at one end, and the operating room at the other.
A young girl whose foot was amputated was carried out by her father, and a young woman with an amputated arm was helped through the gates by two women late Saturday afternoon. A baby was also delivered Saturday at the Belgian-run field hospital.
Medical staff often have to turn to amputation because wounds are infected beyond healing, some crawling with maggots, said Robitaille.
“Some people have been caught in the rubble for three four days, so they couldn’t move, they couldn’t do anything to clean it,” he said.
The Belgian doctors perform the amputations.
On Friday, the Canadian medical crew treated 42 patients.
But the mended faced a high chance of aggravating their wounds from infection and failure to take their medication, said Robitaille. Those whose legs are put into cardboard splints often don’t have crutches or wheelchairs to allow for the rest needed to mend broken bones, he said. Many also cannot read and could forget the instructions for their medicine.
Across the street a makeshift city has sprung up and those that live there often go to the field hospital for help.
“It is not really clean there and it has all the things for infections and disease,” said Robitaille, who is on his first deployment and landed Wednesday with the DART reconnaissance team.
“It is a drop in the bucket,” said Master Cpl. Richard Robichaud, also with the medical team. “I would rather have a drop in the bucket, than the bucket empty.”
Robichaud said one man gave them “two thumbs up” after they mended his leg the day before.
Outside the gates Saturday, a crowd of Haitians gathered, some pleading to get in. Others just watched.
Dave Coffie, 12, had been waiting for two days to get into the field hospital for treatment for a broken lower leg, said his father Prinston Coffie, 46.
“A block of cement fell on his leg,” said the elder Coffie. “My son is my life, my life is broken.”
Moments after he uttered those words, the gates opened and his son was taken into the field hospital.
Next door, at Hospital de la Paix, it was chaos. Patients lay outdoors, in the hallways, flies landing on their exposed limbs, rags used as bandages soaked with blood. The smell of rotting flesh soiled the air.
Handwritten notes outlining their ailments were taped to the metal frames of some of their beds.
Iva Juan-Batista, 18, couldn’t stop crying as she held her two-year-old son whose nose had been broken when Tuesday’s earthquake destroyed their house.
He was being held by his paternal grandmother when the earth shook. The grandmother died. So did the boy’s father, Ricardo Regulier, 26.
“I am so very sad, I am so sad. I am depressed,” said Juan-Batista. “I have no help.”
She began to weep again, holding her son.
Dr. Mark Edwin Casseus, whose aunt lives in Montreal, said he had been working non-stop since Tuesday when he started at 6 p.m. and treated the wounded until 6 a.m. the next day with nine other doctors.
“It was horrible,” said Casseus. “There was only 10 of us, it was horrible — 400 people, open fractures, crushing trauma.”
He said they lack gauzes, IV bags, antibiotics, an X-ray machine and a functioning operating room.
“We manage to get by, but it’s not adequate,” said Casseus.
Medical teams from Spain, Chile and Cuba, however, were beginning to take charge of the hospital Saturday, first by separating patients by severity and limiting the number of family members allowed inside.
They were also bringing in medical supplies and commencing operations, said Hediberto Perez, with the Chilean medical team.
Order also returned to the front gates of the Canadian embassy where Canadian citizens seeking to flee Haiti had gathered, clamouring to get through the gates.
Canadian soldiers stepped in Friday to organize the lines, easing the processing by embassy staff.
Another load of 40 Canadians were put on an aircraft Saturday morning, bringing the total of evacuated to about 550 people, the military said.
==============================================================
Canada's medical relief team gets to work
By Jorge Barrera, Canwest News Service
19 January 2010
Copy at:
http://www.theprovince.com/health/Canada+medical+relief+team+gets+work/2458017/story.htmlMedics and doctors from Canada's Disaster Assistance Response Team landed in Haiti's coastal city of Jacmel Monday and immediately began healing broken bodies.
They treated patients under tarps outside a local hospital, damaged by the earthquake, where local doctors were doing their best to heal the badly wounded despite acute shortages.
"They have no surgery capability right now and that is the major problem," said Maj. Annie Bouchard, DART medical platoon commander. "Their anesthesia machine is broken and they have no supplies."
Bouchard said half of the 64 patients needed surgery to "either save their limb or save their life."
Jacmel, which sits south of Port-au-Prince, is the focus of Canada's efforts in Haiti.
"It's clear there is a need here for potable water and medical and construction equipment," said Col. Bruce Ewing, DART commander. "It's a perfect set up for the DART."
Ewing said that DART plans to set up a medical clinic that will be able to treat 250 people a day and there are plans to also provide care in the surrounding areas through mobile medical units.
"It's terrible for a lot of people, a lot of people lost their homes," said Colette Chandler, a local woman who said she was a cousin of Governor General Michaelle Jean, whose family lived in Jacmel.
Ewing said the area was at the top of the list for Canadian deployment shortly after the first reconnaissance team landed.
"No one else appeared to be thinking about coming," he said.
HMCS Halifax is expected Tuesday to arrive off Jacmel's coast and will provide some 50 sailors.
Ewing said 60 DART members were on the ground Monday, including 25 medics and "four or five" doctors, the rest are security forces.
The team, however, faces major logistical challenges as the roads remain blocked and the port is damaged, meaning the navy will have to come ashore in smaller boats.
The UN is also currently on the ground along with Colombian and Brazilian search-and-rescue teams.
The local Haitian police have since abandoned their posts and local government is non-existent.
A UN force from Sri Lanka is also currently deployed in Jacmel, where an estimated 84,000 people are homeless.
..........
article continued at link above.
==============================================================
Canadian medics bring hope
Aid station a symbol to Haitians
By THANE BURNETT, QMI Agency
26 Jan 2010
link :
http://www.torontosun.com/news/haiti/2010/01/26/12615966.htmlAs world powers met in Montreal on Monday to help Haiti survive a hard future, Canadian medics in this port town were dealing with lines of suffering that grow longer each day.
Canadian soldiers and sailors, aided by their air force peers flying above, have built a small medical aid station on the docks. To the people of Jacmel, it has come to symbolize a line of hope, between the disaster and the sea.
Last Saturday, 60 patients made their way to the guarded gate.
On Sunday, the number was 140.
As Canadian sailors from HMCS Halifax help clear routes in the town, the wounded and the sore arrive on foot.
The survivors of the magnitude 7 earthquake that claimed as many as 200,000 people hold ripped cloth over festering wounds or try to comfort feverish babies under a hot sun.
The Canadians have also helped to secure aid drops, a process that was near calamity, locals explain, before the military showed up.
Maj. Annie Bouchard, the medical platoon commander with Canada's Disaster Response Team (DART), told QMI Agency on Monday that word is spreading high into the nearby hills, that the Canadians are offering aid and comfort.
Nursing a broken right hand from a fall on shattered ground, Dr. Bouchard added the line at the gate has often been packed with sick and frail children.
As she spoke, behind her in one of the tents, Canadian navy medic Jennifer MacDonald checked the tender belly of a little girl who had been vomiting.
It's the able seaman's first foreign deployment.
"The people are appreciative -- they're just looking for any help at all," said the Petawawa, Ont.-based sailor.
The child she checked stayed perfectly still. Quality medical care has long been scarce around Jacmel. Even the children seem to appreciate this fact.
Marie Chelan nudged to the front of the line, hoping to have her feverish three-month-old son, John, checked out. She and the child have been sleeping on the street with no coverings since the earthquake.
"Where else could I take him but here?" she asked.
Nearby, there's a box of toys -- trucks and dolls handed out for sudden wonderment.
But it's not just the young the Canadians treat gingerly.
On Monday, Leris Adonis made his way, with one leg, to the medical outpost.
He lost the leg before the quake. That's not what was bothering the 90-year-old Haitian -- an age he only guesses at since his birth certificate was lost long ago.
Instead he explained: "I'm just angry all the time, and I can't eat.
"Not since the earthquake."
The Canadians took time with him, before sending him off with some pills for other ailments.
"I'm glad I came," Adonis said as he walked up the street. "I only feel a little angry now."
This week, the dominion watched over by the Canadians is expected to grow.
DART officials plan to start chopper flights, to check on more remote mountain communities.
Rather than waiting for them to come down to show up at the medic station, a dose of hope may finally come to them.