{"id":222226,"date":"2010-01-24T12:31:23","date_gmt":"2010-01-24T17:31:23","guid":{"rendered":"http:\/\/childrenshospitalblog.org\/?p=4559"},"modified":"2010-01-24T12:31:23","modified_gmt":"2010-01-24T17:31:23","slug":"nelson-aquino-day-four-in-haiti-pure-adrenaline","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/222226","title":{"rendered":"Nelson Aquino day four in Haiti: pure adrenaline"},"content":{"rendered":"<\/p>\n

Today we all made huge progress with our new OR. Our Children\u2019s team<\/p>\n

\n\t\"One<\/p>\n

One of the operating rooms the Children's team is using<\/p>\n<\/div>\n

now\u00a0has teamed up with the Brigham and Women\u2019s and NYU teams to do\u00a0surgery. Early this morning, our first group headed out to set up\u00a0the OR and seek out our potential patients.<\/p>\n

At the general hospital, we opened a preop area, 4 OR tables and a\u00a0 PACU. Our team leaders worked hard today with the IMC (International Medical\u00a0 Corporation) to make this happen.<\/p>\n

While searching for extra beds, and the right Red Cross tent, Jay Hartford,\u00a0a 7 South nurse, and I stumbled upon some chaos. A 2 day old baby\u00a0had been\u00a0 seizing on and off since birth. A team of paramedics were screaming for intubation, but only had large endotrachial tubes (ETT). So being a\u00a0 pediatric CRNA, I naturally swarmed over and told the team that.\u00a0Immediately they moved everyone aside and said, \u201cLet him intubate.\u201d As\u00a0 the paramedic removed the ambu bag off the neonate, I used a large\u00a0blade and intubated this 3 kg baby. As they listened for breath\u00a0sounds and confirmed placement, everyone was clapping. The U.S.\u00a0military arrived and helped us transport this neonate in a hummer. With no monitors, no meds and an unstable IV, the military guys shut\u00a0 the doors and it was pitch black and 100 degrees.<\/span><\/p>\n

Both Jay and I looked at each other and really couldn\u2019t believe this\u00a0was happening. This small baby’s life was in our hands. During the 10\u00a0minute ride to the DMAT (Disaster Medical Assistance Team) unit, I\u00a0manually ventilated the baby as Jay held the ETT. We were both praying\u00a0and hoping this baby would make it there. We felt no pulse at one time\u00a0and started CPR. When the doors on the hummer opened we rushed the\u00a0baby to the disaster tent.<\/p>\n

When we arrived we were greeted by Dr. Mooney<\/a> and pharmacist Shannon\u00a0Manzi from CHB! We couldn\u2019t believe it!!! Also, I was greeted by a\u00a0fellow Nurse Anesthetist Mike Storey, CRNA (who trained me). We handed\u00a0off to Dr. Mooney and his team. The baby was alive and stabilized.\u00a0What a miracle.<\/p>\n

As we rode back in the hummer, we were wondering if our team knew we had been gone? When we arrived our first post-op arrived. Our teams\u00a0today did 7 to 8 cases. Our anesthesiologists, Craig McClain, MD<\/a>, and David\u00a0Waisel, MD<\/a>, teamed up with and did some amazing work. Dr. John Meara<\/a> and\u00a0Dr. Gary Rogers<\/a> worked the entire day repairing broken bones and\u00a0optimizing wound healing.<\/p>\n

Lisa Pixley, a nurse from 7 south, and a team of MGH and Brigham and Women\u2019s nurses,\u00a0treated wounds, changed dressings and provided pain relief in many\u00a0tents. Everyone pitched in and at one point I scrubbed in handing over\u00a0surgical equipment. Joann, our scrub tech, did amazing work translating\u00a0and working at the same time.<\/p>\n

One challenge we had was making sure all our postops had beds and\u00a0would be cared for tonight. We found a group of paramedics and EMTs to\u00a0look over everyone!<\/p>\n

By the end if the day, everyone was exhausted. We tried to keep up on\u00a0water and food, but several of us needed IVs for hydration.<\/p>\n

We headed home early around 6:30 pm and were welcomed home to\u00a0mattresses in our tents, dinner, snack room and showers!!!<\/p>\n

What an unbelievable day! Tomorrow is another adventure. Everyone here\u00a0misses all our families and friends! Thank you for all your support!<\/p>\n

Nelson J. Aquino, CRNA<\/p>\n

PS – Also read an amazing story from Partners in Health Medical Director Joia Mukherjee about how a team that included Children’s Plastic-Surgeon-in-Chief John Meara, MD, DMD, MBA, saved the life of a critically ill newborn<\/a>.<\/p>\n

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<\/p>\n","protected":false},"excerpt":{"rendered":"

Today we all made huge progress with our new OR. Our Children\u2019s team One of the operating rooms the Children's team is using now\u00a0has teamed up with the Brigham and Women\u2019s and NYU teams to do\u00a0surgery. Early this morning, our first group headed out to set up\u00a0the OR and seek out our potential patients. At […]<\/p>\n","protected":false},"author":480,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-222226","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/222226","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/480"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=222226"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/222226\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=222226"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=222226"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=222226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}