Author Topic: 1 Field Hospital in Haiti  (Read 4175 times)

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1 Field Hospital in Haiti
« on: January 22, 2010, 15:58:50 »
Field hospital gets its orders
By SEAN CHASE
Pembroke Daily Observer
http://www.thedailyobserver.ca/ArticleDisplay.aspx?e=2268818
   

Petawawa's involvement in Canada's rescue mission to earthquake stricken Haiti escalated Tuesday as the 1st Canadian Field Hospital received orders to deploy to the devastated island nation.

The unit will be sending some 100 surgeons, nurses and medics, with the first group leaving as soon as this weekend, to join Operation HESTIA, the Canadian rescue and humanitarian assistance mission in Haiti.

The base is already dispatching 88 soldiers with the Disaster Assistance Response Team (DART) as the security situation in Haiti deteriorates one week after the 7.0 magnitude quake, which has likely killed tens of thousands.

"The nations of the world are descending on Haiti and are trying to bring order out of that chaos," Lt.-Col. Dyrald Cross, 2 Canadian Mechanized Brigade Group chief of staff, told a briefing for families and soldiers at the base following the announcement of the impending deployment.

Most of the 200-member DART company, which is commanded by Maj. Paul Payne, of the 2nd Regiment, Royal Canadian Horse Artillery (2RCHA), is already on the ground providing security to the Canadian embassy in Port-au-Prince and a Belgian field hospital, while continuing to assist in search and rescue efforts and delivering food, water and supplies.

The Canadian mission will focus on Jacmel, a town of 80,000 about 25 kilometres south west of the capital.

The community has an airstrip where a Canadian Hercules has already landed successfully.

"That will be the centre of our Canadian area of operations," said Lt.-Col. Cross. "Canada is responsible for a chunk of ground and will have the responsibility to aid the people in that chunk of ground."

Once personnel and resources are on the island, the 1st Canadian Field Hospital will be equipped with a hospital complete with intensive care unit and 40 to 50 beds.

It will be manned by two surgical teams each complete with a general surgeon and orthopedic surgeon, operating room nurses and technicians.

Maj. Patrick Brizay, who will be commanding the field hospital in Haiti, said the unit will be ready for all possible medical contingencies.

The unit currently has most of its regular members deployed so it required considerable augmentation from bases across Canada.

In the last few days, those augmentees have been arriving in Petawawa.

"When we got the call to ramp up the mission, the people wanted to contribute and the units stepped up," said Maj. Brizay. "It's pretty amazing."

The hospital will be centrally located with teams of medics being sent to communities within the Canadian area of responsibility.

Military surgeons expect to provide care and relief for severe medical cases such as patients suffering orthopedic injuries from collapsed buildings or other injuries that may require amputations.

They anticipate patients will also suffer from chronic illnesses, infections and dehydration. Lt.-Col. Chris Berger, a military anesthesiologist, said it will be unlike the situation Canadian medics have faced in Afghanistan.

"We' re looking at a less intensive situation but with equally debilitating injuries and a higher volume of patients," said Lt.-Col. Berger.

Lt.-Col. Cross later provided some insight into the chain of events which led to Petawawa's rapid deployment of the DART. While in Fort Irwin, California, where 2,000 local troops are training for Afghanistan, the commanding officer received a warning order last Tuesday around 10:30 p.m. to prepare the DART.

The first member of the DART was on a flight bound for Haiti by 6 a.m. the next morning.

DART personnel from Petawawa include medics from 2 Field Ambulance and the field hospital, force protection soldiers from the 1st and 3rd Battalions, Royal Canadian Regiment and the Royal Canadian Dragoons, and a headquarters from 2RCHA.

The brigade is involved in all four major Canadian Forces operations at the moment. While local soldiers are in California and on the Haiti mission, there is a reconnaissance squadron currently in Kandahar, Afghanistan.

In addition, they are preparing to send troops to provide security at the Vancouver Olympics and the G-8/G-20 Summit.

"It's a significant undertaking," Lt.-Col. Cross added. "I don't think any other base can say that."

Petawawa troops could be in Haiti for up to 60 days, however, Lt.-Col. Cross remarked the length of the deployment will be decided by the federal government.







Mobile hospital ready to deploy to Haiti
By SEAN CHASE, QMI Agency
22 January 2010
http://www.winnipegsun.com/news/haiti/2010/01/22/12576511.html


CFB PETAWAWA, Ont. - The 1st Canadian Field Hospital is awaiting the final word before deploying to Haiti, to assist with medical relief efforts still desperately needed in the quake-ravaged country.

After Defence Minister Peter MacKay announced Thursday the medical unit will be made available to set up operations in Leogane, a costal community 29 kilometres west of Port-au-Prince, where 90% of the buildings were destroyed, the unit was put on four-hour standby at the base.

On Friday, the field hospital's 112 doctors, nurses, specialists and medics were packing the last of their supplies, preparing to ship out as early as that evening.

The unit already has a two-man advance team in Leogane conducting a reconnaissance of the area.

"We're desperately needed there," said Deputy Commanding Officer Maj. Patrick Brizay, who will be leading the field hospital in Haiti.

The deployed hospital will include an operating room with two surgical teams, two resuscitation beds, two critical-care beds and 100 immediate and minimum-care beds. It will be powered by its own generators, and will have laboratory and diagnostic-imaging capabilities.

The unit will also come with two ambulances.

"Once we're on the ground, we're configured to receive casualties and treat people right away," said Maj. Brizay, adding it will take one day to completely set up the facility, partially constructed out of tents and metal sea containers. "We can do anything a regular hospital can do, except we're under a tent."

The population in Leogane and the surrounding region prior to the Jan. 12 quake was about 200,000. However, relief organizations and the United Nations have estimated the death toll just in this area could be between 20,000 and 30,000. Food and supplies have taken longer to reach Leogane because the main roads were wiped out, a factor Maj. Brizay added may delay their move into the city.

"They don't have anything standing," he explained. "Even if they have the doctors or nurses the hospitals are flattened."

This is the first time the field hospital has deployed as a unit since the 1991 Gulf War. For many of its members, this will be their first disaster assistance operation.

"We're kind of anxious," said Cpl. Stephanie Shaw, a medical technician who has been to Afghanistan twice. "We're trying to think ahead, plan and make sure we have everything."

Surgeons expect to deal with severe medical cases, such as patients with severely broke bones, crushed by collapsed buildings. Many of those injuries, festering since the quake, now require amputations.

"People are suffering so we're looking forward to doing our part to help," said Sgt. Simon Charlebois, a veteran of Bosnia and Afghanistan.

As a lab technician, Sgt. Charlebois will be assisting the physicians in diagnosing ailments and selecting the appropriate treatments. He'll also prepare blood transfusions and monitor patients for side effects.

Able Seaman Greg Cornect, a medical technician, said he was excited about heading out on his first deployment anywhere. While his job will be to assist the nurses in the Intensive Care ward, the sailor said he hopes to help as many of the Haitian people as he can.

"They're devastated by this earthquake," said Able Seaman Cornect. "They're going through the trial of a lifetime."

The base has already sent 88 soldiers with the Disaster Assistance Response Team (DART) as part of Operation HESTIA, the Canadian humanitarian response in Haiti. A total of 2,000 Canadian Forces personnel have been committed to the rescue mission.

Petawawa troops could be in Haiti for up to 60 days, however the federal government will make the final decision as to the length of their stay.



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« Last Edit: January 29, 2010, 02:07:47 by old medic »
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Re: 1 Fd Hospital Ready to Deploy
« Reply #1 on: January 22, 2010, 16:38:43 »
To all I know, hope they have a good go - one young guy was sent from here in Vic, and I know more than a few of the others on the way.

MM
MM

Remember the basics of Medicine - "Pink is GOOD, Blue is BAD, Air goes in AND out, Blood Goes Round and Round"

I may sound like a pessimist, but I am a realist.

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Re: 1 Fd Hospital Ready to Deploy
« Reply #2 on: January 27, 2010, 02:58:04 »
DART produces clean drinking water for Haitians
CTV.ca News Staff
26 Jan 2010
http://www.ctv.ca/servlet/ArticleNews/story/CTVNews/20100126/haiti_aid_100126/20100126?hub=TopStoriesV2

Canada’s Disaster Assistance Response Team was able to start producing much-needed drinking water in Haiti Tuesday, two weeks after a massive earthquake caused widespread destruction.

The team was forced to filter salt water from the Caribbean Sea because river waters are too polluted, resulting in a process that takes twice as long as normal.

Maj. Earl Maher, an engineer with DART, said a crew has been working 20-hour days to get the water purification system working.

There is some water in Haiti "but it's been tested and it is just not anywhere near a drinking standard," Maher told The Canadian Press.

About 5,000 litres of drinking water were sent to Jacmel, a city outside Port-au-Prince.

However, the problem is now a distribution one, something that has plagued aid in Haiti.

"As long as we can get trucks to come in and take it and deliver it to people they will have fresh water to drink," said Maher.

Haitians are still in dire need of food and shelter, according to the UN’s humanitarian relief co-ordinator.

John Holmes said he’s frustrated that aid has so failed to reach everyone in need.

“We are still struggling to get as much aid out to people on the streets, not only in Port-au-Prince but in the cities around there, as we would like,” Holmes told CTV News Channel on Tuesday.

“We certainly haven’t reached everybody with everything they need, and we’re still quite a long way away from that. That’s frustrating for us, but everybody is doing everything they possibly can, straining every nerve to make it happen.”

While the UN’s World Food Program has been able to distribute some food to survivors, the agency is appealing for tens of millions of ready-to-eat meals until supply routes can be cleared to better dispense rice, vegetables and oil.

And while the Haitian government has appealed for 200,000 tents to house those displaced by the quake, Holmes estimates as many as one million people are now homeless, and that many tents are required before the rainy season begins in the spring.

Holmes said he believes his agency has the right mechanisms in place to distribute aid. But until everyone has enough food, water, shelter, as well as the medical care they require, “of course we can’t be satisfied.”

The global agency supplying tents, the International Organization for Migration, said Tuesday it had 10,000 tents stored in Haiti and at least 30,000 more on the way.

Haitian President Rene Preval has appealed for hundreds of thousands of tents and, in a show of solidarity with the quake’s victims, said he plans to move into a tent on the grounds of his former home, the National Palace, which crumbled during the quake.

UN peacekeeping forces have cleared five hectares north of Port-au-Prince and plan to establish a half-dozen other sites that will serve as tent cities, to be set up before the rainy season begins in April.

Col. Delcio Monteiro Sapper, a Brazilian army engineer serving with the UN force, said the Interamerican Development Bank plans to clear 100 hectares of government-owned land to house upwards of 100,000 people.

Canadians providing medical aid

As the UN makes headway in its relief efforts, Canadian Forces personnel have established a solid foothold in Haiti by offering direct medical assistance to those who need it, just one week after arriving in the devastated nation.

Capt. Art McDonald, Task Group Commander of Operation HESTIA which includes HMCS Athabaskan and HMCS Halifax, said the crews have set up hospitals and provided frontline medical assistance in the aftermath of the powerful quake.

"There's much more to be done but we have over 1,400 soldiers, sailors and airmen on the ground here in Haiti and we're working together jointly, working very well to make a difference as one taskforce to save lives and mitigate human suffering," McDonald told CTV's Canada AM on Tuesday.

The 500 sailors aboard the two ships are working with members of Canada's DART, soldiers and Air Force personnel and medical staff.

The sailors' efforts have focused on Jacmel and Leogane, two cities outside the capital Port-au-Prince which were hard hit by the quake.

"Medical assistance is something that was identified even by the Haitian prime minister as very important in these two areas and from our arrival that has been a focus of Canadian efforts," McDonald said.

He said the crews have made great strides since their arrival about a week ago. At that time the main challenges were logistical, such as where to moor the ships and how equipment and aid would be delivered to the hardest-hit areas.

Now many of those initial challenges have been overcome and the focus is on delivering medical aid.

In Jacmel, the crew of HMCS Halifax has worked with DART to establish two hospitals -- facilities McDonald said have made a major difference to the injured survivors of the quake.

"And now we assess the medical situation to be stable in Jacmel," he said.

In Leogane, sailors from HMCS Athabaskan are working with Quebec's Royal 22nd Regiment, or Van Doos regiment. Much of their work has been in concert with a non-governmental Canadian medical assistance team.

"They estimate that when our teams are providing security, personnel control, processing, general labour and support we're able to double the capacity of what the doctors bring to the ground."

The teams are also working to bring a Canadian field hospital into operation by Tuesday or Wednesday, which is expected to have surgical capabilities by Thursday, McDonald said.
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Re: 1 Field Hospital in Haiti
« Reply #3 on: January 29, 2010, 01:44:46 »
From the fact sheet
Information updated 27 January 2010
http://comfec-cefcom.forces.gc.ca/pa-ap/ops/fs-fr/hestia-eng.asp

1 Canadian Field Hospital

    * Site preparation complete; first tent erected
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Re: 1 Field Hospital in Haiti
« Reply #4 on: January 29, 2010, 15:21:32 »
From the fact sheet
updated 29 January 2010

In Léogâne

The primary Joint Task Force Haiti activity in Léogâne is the field hospital.
1 Canadian Field Hospital

    * Now at full strength with all essential equipment; operating room block delivered on 28 January
    * Receiving first patients on 29 January
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Re: 1 Field Hospital in Haiti
« Reply #5 on: February 02, 2010, 22:48:03 »
From the fact sheet
updated 02 Feb 2010
http://comfec-cefcom.forces.gc.ca/pa-ap/ops/fs-fr/hestia-eng.asp

In Léogâne

The primary Joint Task Force Haiti activity in Léogâne is the Role 2 field hospital, supported by the 3rd Battalion Royal 22e Régiment Battalion Group (3 R22eR BG) and HMCS Athabaskan cruising offshore.........

1 Canadian Field Hospital

      Role 2 field hospital offering limited surgery
      First patients admitted 29 January
          surgical procedures completed to date: 24
          patients treated to date: 897
      Receiving potable water from U.S. Marines
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Re: 1 Field Hospital in Haiti
« Reply #6 on: February 05, 2010, 17:47:40 »
There has been almost zero media coverage of 1 Fd Hospital, but this article showed up from
army news.

http://www.army.forces.gc.ca/land-terre/news-nouvelles/story-reportage-eng.asp?id=4101

Field hospital set up in Léogâne

Thursday, February 04, 2010



Quote
The medical team coordinates their final preparations before patients start arriving at the field hospital on January 29.

Léogâne, Haiti — January 29 saw the first patients admitted to the Role 2 field hospital located in  Léogâne, a city that sustained massive damage in the January 12 earthquake.

The hospital, which was set up by 1 Canadian Field Hospital (1 Cdn Fd Hosp), is the main focus of the Joint Task Force’s work in Haiti.

"In my opinion, the work the team did to deploy the hospital so quickly was unprecedented," said Major Patrick Brizay, Deputy Commander of 1 Cdn Fd Hosp.

The local residents learned about the hospital's opening on the radio.

"People already knew we were open," said Maj Amélie Proulx of 1 Cdn Fd Hosp. "At 10:00 am, people were already waiting in line."


Quote
Corporal Jérôme Boulay was one of the first medical technicians to see Haitian patients.

Emergencies treated around the clock
From the moment it opened, the hospital welcomed patients and performed surgeries. The hospital offers regular service during the day and is open around the clock to handle emergencies.

The local population was hit hard by the earthquake, and since no medical institutions survived the disaster the need is great.

The 116 staff members include medical technicians, surgeons, nurses and other personnel. The hospital has two operating rooms, a laboratory, a pharmacy, a radiology room and many beds.


Quote
Captain Neil Parker, chaplain, blessed the medical team and all of Role 2 at the official opening of the hospital.

"If there are injuries caused by the earthquake, we will certainly see amputations," explained Maj Brizay.

"We can also expect to perform debridement, treating open wounds that were poorly treated and have become infected."

Security for the hospital is provided by soldiers from 3 R22eR BG and the crew of HMCS Athabaskan, who are controlling access.

By February 2, the hospital in Léogâne had completed 24 surgical procedures and treated 897 patients.


Article: MCpl Jean-Nicolas Minville, Army News, Montreal
Photos: Cpl Julie Turcotte, Army News, Montreal
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Re: 1 Field Hospital in Haiti
« Reply #7 on: February 05, 2010, 17:53:38 »
Medics must improvise in Haiti

http://www.army.forces.gc.ca/land-terre/news-nouvelles/story-reportage-eng.asp?id=4107

Monday, February 08, 2010

Léogâne, Haiti — The arrival of Canadian soldiers and scores of non-governmental organizations means that the population is now benefiting from improved medical care in the aftermath of the January 12th earthquake. But there are still Haitians who have yet to receive care for lack of transportation.



Quote
Limited resources force medics to transport wounded in flat bed truck.

The roads are in poor shape, and most Haitians get around on motorcycles. Getting a family member to a medical clinic can be a daunting challenge.

When given directions, medics take the wheel of a flat bed truck to evacuate the wounded. Because of the lack of time and resources, only the most serious cases are dealt with this way.

“Haiti is the only place I’ve seen this,” explained Corporal Mélanie Mascolo of 5 Field Ambulance. “We never have to use a truck bed to evacuate wounded, but it does the trick.”

“An amputee lived far away, and no one in her family had any means of transportation,” she added. “It’s so sad. Good thing we were there.”


Quote
Master Corporal Macha Khoudja-Poirier and Corporal Mélanie Mascolo evacuate an 18-year-old woman.

Medics act quickly, but sometimes information takes time getting through to the medical personnel. For example, an 18-year-old who had been bedridden since January 12 due to a fracture in her right leg received care only when her brother made her plight known on January 31.


Quote
Medical team comes to assist woman requiring medical care.

Article and photos: Corporal Julie Turcotte, Army News, Montreal
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Re: 1 Field Hospital in Haiti
« Reply #8 on: February 08, 2010, 16:39:44 »
Update from the fact sheet;
http://comfec-cefcom.forces.gc.ca/pa-ap/ops/fs-fr/hestia-eng.asp

as of 05 Feb 2010

1 Canadian Field Hospital

    - Role 2 hospital offering limited surgery
    - First patients admitted 29 January
             surgical procedures completed to date: 47
             patients treated to date: 1,336
    - Receiving potable water from U.S. Marines


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Re: 1 Field Hospital in Haiti
« Reply #9 on: February 12, 2010, 13:57:06 »
Update from the fact sheet;
http://comfec-cefcom.forces.gc.ca/pa-ap/ops/fs-fr/hestia-eng.asp

as of 12 Feb 2010

1 Canadian Field Hospital

    - Role 2 hospital offering limited surgery
    - First patients admitted 29 January
           surgical procedures completed to date: 102
           patients treated to date: 2,148
     - Assessing capabilities of Haitian medical resources in Léogâne and Jacmel as part of transition planning
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Re: 1 Field Hospital in Haiti
« Reply #10 on: February 25, 2010, 16:14:11 »
The fact sheet has become rather generic, but here is the update as of 23 Feb 2010

Update from the fact sheet;
http://comfec-cefcom.forces.gc.ca/pa-ap/ops/fs-fr/hestia-eng.asp


Patients seen to date at Role 1 clinics and Role 2 hospital: more than 15,500

Field hospital

With more than 100 staff, the Role 2 field hospital offers two operating rooms, 100 beds, a pharmacy, a laboratory, a radiology section, and dental services. The first patients were admitted on 29 January 2010. As part of transition planning, the hospital staff are also assessing the capabilities of medical facilities in Léogâne and Jacmel.



« Last Edit: February 25, 2010, 16:26:12 by old medic »
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Re: 1 Field Hospital in Haiti
« Reply #11 on: February 26, 2010, 09:04:11 »
Anyway, whatever the issue is, the hospital is really being needed to for the victims. It is a kind that the Canadians mobile hospital has been set up there.