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Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti

Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti. LCDR Aaron Middlekauff – US Coast Guard Air Station Miami, Florida. CPE Information and Disclosures.

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Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti

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  1. Rescuing a Nation: Post Earthquake Pharmacy Operations and Patient Care Challenges in Haiti LCDR Aaron Middlekauff – US Coast Guard Air Station Miami, Florida

  2. CPE Information and Disclosures LCDR Middlekauff declares no conflicts of interest, real or apparent, and no financial interests in any company, product, or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. To receive credit for this activity, participants will be required to actively participate in the entire session and complete an online evaluation and CPE recording form using the voucher code assigned to this session. The American Pharmacist Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

  3. Learning Objectives 1. Describe the roles and responsibilities of a Coast Guard pharmacist 2. Discuss collaborative inter-agency cooperation efforts 3. Describe pharmacy logistical and operational surge during relief operations 4. Identify limitations and opportunities to excel during a time of crisis

  4. Self-Assessment Questions 1. The roles and responsibilities of a Coast Guard pharmacist are multi-faceted. True or False. 2. Personnel processing through Air Station Miami required: a. Anti-malarial agent b. H1N1 c. Typhoid d. DEET e. All of the above 3. The Coast Guard AOR expanded to include transiting cutters and personnel from other agencies downrange into theater operations. True or False.

  5. Coast Guard Mission & Structure • Forces - Active Duty (42,000), Reservists (7,500), Auxiliarists (29,000), Civilians (7,700) • Primary Missions – Humanitarian, SAR, Law Enforcement, Alien Migrant Interdiction Operations, Port Security, Ice Operations, etc. • Medical Structure – health care is provided by Public Health Service Officers - 60 Physicians - 7 Mid-Level Providers (+30 CG) - 55 Dentists - 15 Pharmacists - 675 Corpsmen

  6. My Introduction to the Coast Guard

  7. Coast Guard Assimilation 1. 2.

  8. Coast Guard Pharmacy • 15 pharmacists (13 field billets and 2 admin) • Ambulatory Care Clinics • Collateral duty assignments • Regional Pharmacy Executive (RPE) role • Provide oversight for tech training, P&T, CSAB, logistics, inspections, AOR, and patient care.

  9. Haiti Earthquake • 7.0 Magnitude • 16 miles west of capital • Tuesday 12 Jan 2010 • 52 aftershocks greater than 4.5 by 24 Jan • Estimated 230,000 dead • Essential services and damage to infrastructure

  10. Presidential Palace Before and After

  11. Cathedral Before and After

  12. Coast Guard Response - Evolution • 12 Jan 2010 – earthquake occurred • 13 Jan 2010 – four CG cutters and nine aircraft operating aid • 13 Jan 2010 – CO of AS Miami interviewed by multiple news networks

  13. Coast Guard Response - Evolution • 15 Jan 2010 – four simultaneous emergency prime vendor orders to meet mission requirements • 15 Jan 2010 – CGC Tahoma & Mohawk feedback • 19 Jan 2010 – collaborative delivery arranged from ASCW/ASCC/ASM • ~20 Jan 2010 – USNS Comfort arrived on scene

  14. Force Health Protection Guidance • Anti-Malarial Medication • Typhoid Vaccine • DEET • Sunscreen • IV Fluids • Oral Rehydration Packs • AMIO Supplies • Rabies Immunoglobulin/Vaccine • H1N1 vaccine

  15. Other Issues and Concerns • Coordinating with D-7 Incident Management Team (IMT) • Positive control of narcotic delivery into theater • Accounting Issues • Coast Guard Strategic Priorities • Medevac personnel • Conduct port assessment • Humanitarian supplies • Deter mass migration

  16. Answers To Self-Assessment Questions • 1. The roles and responsibilities of a Coast Guard pharmacist are multi-faceted. Trueor False. 2. Personnel processing through Air Station Miami required: a. Anti-malarial agent b. H1N1 c. Typhoid d. DEET e. All of the above 3. The Coast Guard AOR expanded to include transiting cutters and personnel from other agencies downrange into theater operations. Trueor False.

  17. Closing Remarks and Questions *Picture references from this talk are available upon request LCDR Aaron P. Middlekauff USCG Air Station Miami aaron.p.middlekauff@uscg.mil 786-999-4184

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