.Security concerns cause doctors to leave hospital, quake victims
Port-au-Prince, Haiti (CNN) -- Earthquake victims, writhing in pain and grasping at life, watched doctors and nurses walk away from a field hospital Friday night after a Belgian medical team evacuated the area, saying it was concerned about security.
The decision left CNN Chief Medical Correspondent Sanjay Gupta as the only doctor at the hospital to get the patients through the night.
CNN initially reported, based on conversations with some of the doctors, that the United Nations ordered the Belgian First Aid and Support Team to evacuate. However, Belgian Chief Coordinator Geert Gijs, a doctor who was at the hospital with 60 Belgian medical personnel, said it was his decision to pull the team out for the night. Gijs said he requested U.N. security personnel to staff the hospital overnight, but was told that peacekeepers would only be able to evacuate the team.
He said it was a "tough decision" but that he accepted the U.N. offer to evacuate after a Canadian medical team, also at the hospital with Canadian security officers, left the site Friday afternoon. The Belgian team returned Saturday morning.
Gijs said the United Nations has agreed to provide security for Saturday night. The team has requested the Belgian government to send its own troops for the field hospital, which Gijs expects to arrive late Sunday.
Responding to the CNN report that Gupta was the only doctor left at the Port-au-Prince field hospital, U.N. spokesman Martin Nesirky said Saturday that the world body's mission in Haiti did not order any medical team to leave. If the team left, it was at the request of their own organization, he said.
Edmond Mulet, the U.N. assistant secretary general for peacekeeping operations, told reporters later that local security officers deemed the makeshift hospital unsafe.
"It seems that we've heard some reports in the international media that the United Nations asked or forced some medical teams to not work any more in some clinic -- that is not true, that is completely untrue," Mulet said Saturday.
CNN video from the scene Friday night shows the Belgian team packing up its supplies and leaving with an escort of blue-helmeted U.N. peacekeepers in marked trucks.
Gupta -- assisted by other CNN staffers, security personnel and at least one Haitian nurse who refused to leave -- assessed the needs of the 25 patients, but there was little they could do without supplies.
More people, some in critical condition, were trickling in late Friday.
"I've never been in a situation like this. This is quite ridiculous," Gupta said.
With a dearth of medical facilities in Haiti's capital, ambulances had nowhere else to take patients, some of whom had suffered severe trauma -- amputations and head injuries -- under the rubble. Others had suffered a great deal of blood loss, but there were no blood supplies left at the clinic.
Gupta feared that some would not survive the night.
He and the others stayed with the injured all night, after the medical team had left and after the generators gave out and the tents turned pitch black.
Gupta monitored patients' vital signs, administered painkillers and continued intravenous drips. He stabilized three new patients in critical condition.
At 3:45 a.m., he posted a message on Twitter: "pulling all nighter at haiti field hosp. lots of work, but all patients stable. turned my crew into a crack med team tonight."
He said the Belgian doctors did not want to leave their patients behind but were ordered out by the United Nations, which sent buses to transport them.
"There is concern about riots not far from here -- and this is part of the problem," Gupta said.
There have been scattered reports of violence throughout the capital.
"What is striking to me as a physician is that patients who just had surgery, patients who are critically ill, are essentially being left here, nobody to care for them," Gupta said.
Sandra Pierre, a Haitian who has been helping at the makeshift hospital, said the medical staff took most of the supplies with them.
"All the doctors, all the nurses are gone," she said. "They are expected to be back tomorrow. They had no plan on leaving tonight. It was an order that came suddenly."
She told Gupta, "It's just you."
A 7.0 magnitude earthquake flattened Haiti's capital city Tuesday afternoon, affecting as many as 3 million people as it fanned out across the island nation. Tens of thousands of people are feared dead.
Haiti, the poorest nation in the Western hemisphere, lacked adequate medical resources even before the disaster and has been struggling this week to tend to huge numbers of injured. The clinic, set up under several tents, was a godsend to the few who were lucky to have been brought there.
Retired Army Lt. Gen. Russel Honore, who led relief efforts for Hurricane Katrina in 2005, said the evacuation of the clinic's medical staff was unforgivable.
"Search and rescue must trump security," Honoré said. "I've never seen anything like this before in my life. They need to man up and get back in there."
Honoré drew parallels between the tragedy in New Orleans, Louisiana, and in Port-au-Prince. But even in the chaos of Katrina, he said, he had never seen medical staff walk away.
"I find this astonishing these doctors left," he said. "People are scared of the poor."
CNN
The decision left CNN Chief Medical Correspondent Sanjay Gupta as the only doctor at the hospital to get the patients through the night.
CNN initially reported, based on conversations with some of the doctors, that the United Nations ordered the Belgian First Aid and Support Team to evacuate. However, Belgian Chief Coordinator Geert Gijs, a doctor who was at the hospital with 60 Belgian medical personnel, said it was his decision to pull the team out for the night. Gijs said he requested U.N. security personnel to staff the hospital overnight, but was told that peacekeepers would only be able to evacuate the team.
He said it was a "tough decision" but that he accepted the U.N. offer to evacuate after a Canadian medical team, also at the hospital with Canadian security officers, left the site Friday afternoon. The Belgian team returned Saturday morning.
Gijs said the United Nations has agreed to provide security for Saturday night. The team has requested the Belgian government to send its own troops for the field hospital, which Gijs expects to arrive late Sunday.
Responding to the CNN report that Gupta was the only doctor left at the Port-au-Prince field hospital, U.N. spokesman Martin Nesirky said Saturday that the world body's mission in Haiti did not order any medical team to leave. If the team left, it was at the request of their own organization, he said.
Edmond Mulet, the U.N. assistant secretary general for peacekeeping operations, told reporters later that local security officers deemed the makeshift hospital unsafe.
"It seems that we've heard some reports in the international media that the United Nations asked or forced some medical teams to not work any more in some clinic -- that is not true, that is completely untrue," Mulet said Saturday.
CNN video from the scene Friday night shows the Belgian team packing up its supplies and leaving with an escort of blue-helmeted U.N. peacekeepers in marked trucks.
Gupta -- assisted by other CNN staffers, security personnel and at least one Haitian nurse who refused to leave -- assessed the needs of the 25 patients, but there was little they could do without supplies.
More people, some in critical condition, were trickling in late Friday.
"I've never been in a situation like this. This is quite ridiculous," Gupta said.
With a dearth of medical facilities in Haiti's capital, ambulances had nowhere else to take patients, some of whom had suffered severe trauma -- amputations and head injuries -- under the rubble. Others had suffered a great deal of blood loss, but there were no blood supplies left at the clinic.
Gupta feared that some would not survive the night.
He and the others stayed with the injured all night, after the medical team had left and after the generators gave out and the tents turned pitch black.
Gupta monitored patients' vital signs, administered painkillers and continued intravenous drips. He stabilized three new patients in critical condition.
At 3:45 a.m., he posted a message on Twitter: "pulling all nighter at haiti field hosp. lots of work, but all patients stable. turned my crew into a crack med team tonight."
He said the Belgian doctors did not want to leave their patients behind but were ordered out by the United Nations, which sent buses to transport them.
"There is concern about riots not far from here -- and this is part of the problem," Gupta said.
There have been scattered reports of violence throughout the capital.
"What is striking to me as a physician is that patients who just had surgery, patients who are critically ill, are essentially being left here, nobody to care for them," Gupta said.
Sandra Pierre, a Haitian who has been helping at the makeshift hospital, said the medical staff took most of the supplies with them.
"All the doctors, all the nurses are gone," she said. "They are expected to be back tomorrow. They had no plan on leaving tonight. It was an order that came suddenly."
She told Gupta, "It's just you."
A 7.0 magnitude earthquake flattened Haiti's capital city Tuesday afternoon, affecting as many as 3 million people as it fanned out across the island nation. Tens of thousands of people are feared dead.
Haiti, the poorest nation in the Western hemisphere, lacked adequate medical resources even before the disaster and has been struggling this week to tend to huge numbers of injured. The clinic, set up under several tents, was a godsend to the few who were lucky to have been brought there.
Retired Army Lt. Gen. Russel Honore, who led relief efforts for Hurricane Katrina in 2005, said the evacuation of the clinic's medical staff was unforgivable.
"Search and rescue must trump security," Honoré said. "I've never seen anything like this before in my life. They need to man up and get back in there."
Honoré drew parallels between the tragedy in New Orleans, Louisiana, and in Port-au-Prince. But even in the chaos of Katrina, he said, he had never seen medical staff walk away.
"I find this astonishing these doctors left," he said. "People are scared of the poor."
CNN
posted by madtom at 9:37 AM
1 Comments:
Doctors today have a sense of entitlement more than a sense of duty. We need new doctors that see themselves as warriors rather than merchants.
Warriors don't retreat from a bit of danger. They protect themselves and then face the danger.
First responders should be willing to risk at least as much to save a victim as they do to kill an enemy.
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