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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

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World Journal of Orthopedics 2020年第2期11卷 76-81页

作者： Nathan Lanham Kyle Bockelman Fernando Lopez Marc M Serra Bradford Scanlan Department of Orthopaedic Surgery Martin Army Community HospitalFort BenningGA 31905United States Department of Orthopaedic Surgery William Beaumont Army Medical CenterEl PasoTX 79920United States Department of Anesthesiology Surgery Martin Army Community Hospital Fort BenningGA 31905United States Department of Oral and Maxillofacial Surgery Womack Army HospitalFort BraggNC 28310United States

On September 20,2017 Hurricane Maria,a category 4 hurricane,made landfall on the eastern coast of Puerto *** was preceded by Hurricane Irma,a category 5 hurricane,which passed just off the coast 13 d *** destruction from both Hurricane Irma and Maria precipitated a coordinated federal response which included the Federal Emergency Management Agency(FEMA)and the United States *** 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 *** 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 *** the 14^th CSH deployment to Puerto Rico,1157 patients were evaluated and ***-seven operative cases were performed to include 23 orthopaedic *** 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 *** 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 *** 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 *** 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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