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Orthopaedic care provided by the 14th combat support hospital in support of humanitarian and disaster relief after hurricane Maria in Puerto Rico

查看全文 作　　者：Nathan [1]Lanham;Kyle [2]Bockelman;Fernando [3]Lopez;Marc M [4]Serra;Bradford [4]Scanlan 高影响力作者 机构地区：[1]Department of Orthopaedic Surgery,Martin Army Community Hospital,Fort Benning,GA 31905,United States;[2]Department of Orthopaedic Surgery,William Beaumont Army Medical Center,El Paso,TX 79920,United States;[3]Department of Anesthesiology Surgery,Martin Army Community Hospital Fort Benning,GA 31905,United States;[4]Department of Oral and Maxillofacial Surgery,Womack Army Hospital,Fort Bragg,NC 28310,United States高影响力机构 出　　处：《World Journal of Orthopedics》索引2020年第11卷第2期,共6页高影响力期刊 摘　　要：On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto Rico.This was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d prior.The destruction from both Hurricane Irma and Maria precipitated a coordinated federal response which included the Federal Emergency Management Agency(FEMA)and the United States military.The United States Army dispatched the 14^th Combat Support Hospital(CSH)to Humacao,a city on the eastern side of the island where Maria made landfall.The mission of the 14^th CSH was to provide medical humanitarian aid and conduct disaster relief operations in support of the government of Puerto Rico and FEMA.During the 14^th CSH deployment to Puerto Rico,1157 patients were evaluated and treated.Fifty-seven operative cases were performed to include 23 orthopaedic cases.The mean age of the orthopaedic patients treated was 45.7 years(range 13-76 years).The most common operation was irrigation and debridement of open contaminated and/or infected wounds.Patients presented a mean 10.8 d from their initial injury(range 1-40 d).Fractures and infections were the most common diagnoses with the greatest delay in treatment from the initial date of injury.The deployment of the 14^th CSH to Puerto Rico was unique in its use of air transport,language and local customs encountered,as well as deployment to a location outside the continental United States.These factors coupled with the need for rapid deployment of the 14^th CSH provided valuable experience which will undoubtedly enable future success in similar endeavors. 关 键 词：Hurricane Maria Disaster relief Combat support hospital Army
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