Download - 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
The American Pharmacist Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
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.
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
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.
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
My Introduction to the Coast Guard
Coast Guard Assimilation
1.
2.
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.
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
Presidential Palace Before and After
Cathedral Before and After
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
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
Force Health Protection Guidance
• Anti-Malarial Medication
• Typhoid Vaccine
• DEET
• Sunscreen
• IV Fluids
• Oral Rehydration Packs
• AMIO Supplies
• Rabies Immunoglobulin/Vaccine
• H1N1 vaccine
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
Answers To Self-Assessment Questions
Closing Remarks and Questions
LCDR Aaron P. Middlekauff
USCG Air Station Miami
786-999-4184