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Emergency Medicine Graduate Among First Responders to Haiti Earthquake

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Handful of former medical residents respond in the South, more on their way

Posted on Aug 31, 2021

Paul Guy Eletair, a 48-year-old man injured in the Aug.14 earthquake, arrives at Hôpital Universitaire de Mirebalais in Haiti via helicopter. (Photo by Nadia Todres for PIH)

Immediately after the 7.2-magnitude earthquake struck Haiti, Dr. Dyemy Dumerjuste and his colleagues quickly assessed the situation from Port-au-Prince. And shortly after, he was on a helicopter, as part of the first team to evacuate survivors from the Nippes department, a devastated region in the South near the epicenter of the Aug. 14 earthquake. 

Upon arriving on site and bringing children into an ambulance, he soon faced the heart-wrenching task of declaring multiple deaths due to blunt trauma and head trauma–injuries typically seen after a massive earthquake. Other children with the most critical injuries were triaged and then evacuated on a helicopter to receive care at Hôpital Universitaire de Mirebalais, the 350-bed teaching hospital built by the Haitian government and Zanmi Lasante, Partners In Health’s sister organization in Haiti. Since then, 23 patients have been transported, including five children under 12-years-old. More than two weeks after the earthquake, clinicians continue to work around the clock to respond to health emergencies.

“I already lost a patient from tetanus directly related to his wound from the earthquake,” says Dumerjuste, an emergency medicine physician at Health Equity International (formerly St. Boniface Haiti Foundation) and a flight physician at Haiti Air Ambulance. 

The flight crew in front of the helicopter used to transport injured patients to Hôpital Universitaire de Mirebalais.  From left to right: Dr. Dyemy Dumerjuste, emergency medicine physician and flight physician; Dr. Junior Jacotin, emergency medicine physician and flight physician; and Prime Ferdinand, EMT. (Photo by Fred Kenly / PIH)

As an emergency medicine physician, Dumerjuste is accustomed to devastating scenes and injuries. And he’s well-trained to properly react and provide high-quality care. During his three-year emergency residency program at Hôpital Universitaire de Mirebalais, the first and only program of its kind in Haiti, Dumerjuste received training to deal with natural disasters, epidemics, gun violence, motor vehicle accidents, and more. The training equips clinicians to respond across different settings, both in and out of the hospital. Since the program began in 2014, twenty emergency medicine physicians have graduated–Dumerjuste among them.

He is also among a handful of Hôpital Universitaire de Mirebalais graduates currently working in the hardest hit areas of southern Haiti, where at least 2,200 were killed and 12,200 injured, with both numbers still rising. In the coming days, additional alumni are expected to offer care across settings. 

Since 2012, Hôpital Universitaire de Mirebalais’s medical education program has trained 152 Haitian clinicians across specialties including family medicine, pediatrics, internal medicine, surgery, emergency medicine, and OBGYN. There are also fellowships in neurology, nurse anesthesia, and point-of-care emergency ultrasound. Of those graduates, 98% currently work in Haiti, with 88% working in PIH-supported or other rural health facilities. Hôpital Universitaire de Mirebalais, an internationally accredited teaching hospital, is a world-class facility built following the country’s 2010 earthquake, with 127 residents currently in training.

Originally published on pih.org

Emergency Care Key to Earthquake Response in Haiti

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