2010 Haiti Earthquake: Orthopaedic Relief Effort

This survey is intended for orthopaedic surgeons who traveled to Haiti in the first 30 days following the January 12th earthquake. Thank you for taking out the time to visit our site and consider participating in this survey. Please allow 15-30 minutes to complete. We welcome questions and comments; refer to the contact information provided on the side bar.

Section 1: General Info
Name (Optional): First Last
Email (Optional):
Practice type in the United States: University Faculty Private Practice US Military Retired Other
If you selected "other" from the previous question, please specify:
Affiliation while in Haiti: University NGO Governmental/Military Other
Name of Affiliate Program:

i.e. MSF, ICRC, IMSuRT, IMC, MTI, etc
Arrival date in Haiti: / MM / DD YYYY
Departure date from Haiti: / MM / DD YYYY
Section 2: Pre-deployment
When did you make the decision to go to Haiti? Day of earthquake (Jan 12, 2010) Within 1 week (Jan 13-19, 2010) After 1 week
Did you bring your own equipment and/or medications? (Please select all that apply): No, I brought only personal supplies Yes, Surgical Equipment (gloves, gowns, kits) Yes, Medication (including IV bags) Yes, Implants Yes, other
If you selected "other" from the previous question, please specify:
What other personnel accompanied you? (Please select all that apply): Orthopaedic surgeons (not including yourself) Non-orthopaedic surgeons Non-surgical physicians (ED, Peds, etc) Anaesthesiologists Nursing Staff OR technicians and device representatives Other support staff
Please specify the number of each personnel type that accompanied you from the previous question. If you selected other, please specify position and number:

i.e. 2 Anesthesiologists, 4 Nursing Staff, etc.
Did the organization you were traveling with exist prior to the earthquake? Yes No
Are you officially credentialed with any US government programs? (Please select all that apply): National Disaster Medical System (NDMS) International Medical Surgical Response Team (IMSuRT) Military Other
If you selected "other" from the previous question, please specify:
Have you had any formal training in disaster management? Yes No
Had you previously served in a disaster or other resource limited capacity? Yes No
How long was the time from when you landed in Haiti until you arrived at the medical facility where you planned to perform your surgeries? 0-1 hours 1-2 hours 3-6 hours 6-12 hours 12-24 hours Greater than 24 hours
How long was the time from when you arrived at the medical facilty where you planned to perform your surgeries until you evaluated your first patient? 0-1 hours 1-2 hours 3-6 hours 6-12 hours 12-24 hours Greater than 24 hours
How long was the time from when you evaluated your first patient until you performed your first surgery? 0-1 hours 1-2 hours 3-6 hours 6-12 hours 12-24 hours Greater than 24 hours
At which facility(s) did you plan to operate from? (Please select all that apply): Port-au-Prince, St. Francois De Sales Hospital, aka University Hospital Port-au-Prince, Kings Hospital Port-au-Prince, CDTI Hospital Airport, University of Miami Hospital Airport, Other temporary hospital USNS Comfort Hopital de la Communaute Haitienne, Petion-Ville Centre Hospitalier du Sacre-Coeur Hospital St Michel, Jacmel Albert Schweitzer Hospital Hopital Adventiste d’Haiti Cange Church La Trinity MSF Hospital New Testament Mission, La Croix Double Harvest Hospital, Croix du Bouquet Beracah Medical Center, Port de Paix Hopital Sacre Coeur, Milot Unknown, planned to determine upon arrival Other
If you selected "other" from the previous question, please specify:
At which facility did you actually operate from during your stay? (Please select all that apply): Port-au-Prince, St. Francois De Sales Hospital, aka University Hospital Port-au-Prince, Kings Hospital Port-au-Prince, CDTI Hospital Airport, University of Miami Hospital Airport, Other temporary hospital USNS Comfort Hopital de la Communaute Haitienne, Petion-Ville Centre Hospitalier du Sacre-Coeur Hospital St Michel, Jacmel Albert Schweitzer Hospital Hopital Adventiste d’Haiti Cange Church La Trinity MSF Hospital New Testament Mission, La Croix Double Harvest Hospital, Croix du Bouquet Beracah Medical Center, Port de Paix Hopital Sacre Coeur, Milot Other
If you selected "other" from the previous question, please specify:
Section 3: On the ground
If you were part of the first wave, did you spend time surveying potential facilities or did you immediately begin treating patients? Surveyed facilities Immediately treated patients
If you were part of a second wave, when did the first member of your team arrive in Haiti? / MM / DD YYYY
Appreciating that everything was challenging given the circumstances, please rate the challenge of each of the following aspects of managing equipment:
Unloading the plane?
Transporting to treatment site
Security during transport
Security during storage at site
Installing equipment
Maintaining equipment
Managing distribution
How were patients identified? (Please select all that apply): No patient identification mechanism Charts kept with the patient Hand written labels on stickers or tape Pre-numbered bracelets or tags Other mechanism
If you selected "other" from the previous question, please specify:
What medical records did you produce during your stay? (Please select all that apply): None Patient charts Personal notebook Entered cases online into American College of Surgeons database
If there was no OR already in place, how long did it take to construct one suitable for your work? Less than 12 hours 12-24 hours 24-48 hours 3-5 days More than 5 days
The following questions address 11 common procedures performed during the relief effort. Please fill in as much information as possible:
Amputation, lower limb, guillotine:
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Amputation, lower limb, non-guillotine:
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Amputation, upper limb, guillotine:
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Amputation, upper limb, non-guillotine:
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
External fixation, lower limb
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
External fixation, upper limb
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
External fixation, other (pelvis, halo, etc)
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Internal fixation
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Skin graft
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Debridement
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
Fasciotomy/Compartment decompression
Number of primary surgeries performed
Number of revisions performed
Percentage of cases which were infected prior to you operating
On average, how many procedures did you perform per day? None, did not operate 1-6 per day 7-12 per day >12 per day
(Overtriaging is a situation when too many non-critically injured patients are deemed critical, thus overwhelming the treatment system.)
Overall, how do you feel the majority of triaging went during your stay? Appropriately triaging Overtriaging Undertriaging N/A, no triaging mechanism was in place
(Overtriaging is a situation when too many non-critically injured patients are deemed critical, thus overwhelming the treatment system.)
Section 4: Personal health
Please complete the questions below for CDC recommended vaccines when travelling to Haiti:
Hepatitis A
Hepatitis B
Typhoid
Yellow Fever
Did you use malaria prophylaxis medication (Malarone, chloroquine, doxycycline, or mefloquine)? Yes No
Did you contract any of the following illnesses/conditions while in Haiti? (Please select all that apply): Heat stroke Leptospirosis Anthrax Malaria Dengue fever Other diarrheal disease
The CDC recommends all health workers in Haiti be tested for Tb exposure 8-10 weeks after returning. Have you already had this performed or do you intend to do this? Yes No
Section 5: Hand-off/Reflections
Was there a longitudinal medical officer or clinic manager at the site where you operated? Yes No
If you affiliated with an organization, were you required to complete a trip summary or document your experience upon completion? Yes No
What entities gained positive public relations because of your work in Haiti? (Please select all that apply): Yourself Your university Your church Your hospital at home Your affiliate organization in Haiti Your country
Please choose TWO aspects of your experience which you feel have the greatest potential for improvement in future efforts: Pre-deployment planning On-site equipment/supplies management On-site personnel management Funding Patient Triage, including who has surgery immediately and who is delayed Communication between relief teams Communication within relief teams Overall coordination of the relief effort
How did your field activity meet your pre-deployment expectations about how you could personally contribute to the people of Haiti? Exceeded expectations (did more than I thought I would be able) Met expectations Failed to meet expectations but was content with what was accomplished Failed to meet expectations and was unsatisfied N/A - Did not form any expectations prior to deployment
Did you or a member of your team use social media networking (i.e. blogs, facebook) to relay your experiences? Yes No
Would you deploy again if a similar disaster occurred within the next 2 years? Yes No
If you were to distribute 300 AAOS surgeons to Haiti in the first 30 days, how would you allocate this resource? 75 surgeons per shift in 7 day shifts 150 surgeons per shift in 14 day shifts 200 in the first 2 weeks, 100 in the following 2 weeks 100 in the first 2 weeks, 200 in the following 2 weeks Would fill available positions as they arose Other
If you selected "other" from the previous question, please specify:
What could the American orthopaedic community do differently for future disaster situations to support their volunteers and maximize patient care? (Please write as little or as much as you see fit):

2010 Haiti Earthquake: Orthopaedic Relief Effort

2010 Haiti Earthquake: Orthopaedic Relief Effort

Section 1: General Info

Section 2: Pre-deployment

Section 3: On the ground

Appreciating that everything was challenging given the circumstances, please rate the challenge of each of the following aspects of managing equipment:

The following questions address 11 common procedures performed during the relief effort. Please fill in as much information as possible:

Amputation, lower limb, guillotine:

Amputation, lower limb, non-guillotine:

Amputation, upper limb, guillotine:

Amputation, upper limb, non-guillotine:

External fixation, lower limb

External fixation, upper limb

External fixation, other (pelvis, halo, etc)

Internal fixation

Skin graft

Debridement

Fasciotomy/Compartment decompression

Section 4: Personal health

Please complete the questions below for CDC recommended vaccines when travelling to Haiti:

Section 5: Hand-off/Reflections