The SCCM Disaster Field Team has made significant progress in identifying active interventions to increase critical care capacity in the Dominican Republic.  After consultation with the Ministry of Health and other stakeholders, a request was made of the SCCM team to assist with delivery of an education program to help with current and future surges in demand for critical care.  A customized curriculum was developed in conjunction with DR medical leadership including the Fundamental Critical Care Support (FCCS) course, along with earthquake disaster relevant elements of the Fundamental Disaster Management (FDM) course and the Pediatric Fundamental Critical Care Support (PFCCS) course.

SCCM Disaster field team joining the Haiti/ DR daily update from the Iberoamerican University.

The team spent considerable time today touring educational facilities at the Iberoamerican University medical school in preparation for the FCCS/FDM/PFCCS course early next week.  A decision was made to identify potential instructor candidates to be certified as FCCS instructors, thus creating the infrastructure for future courses.  An estimated enrollment of 60 medical residents is being confirmed.

Dr. Pablo Smester, director of the first FCCS course in the Dominican Republic, discussing details of the course with Dr. M.J. Reed.

There remain persistent challenges in the distribution of health care delivery to patients throughout regions of the DR near the Haiti border, along with huge demands in Haiti.  As the initial excitement of the disaster response wanes, many medical and humanitarian groups are leaving or have already left the area.  The political issues related to the transfer of patients across the DR/Haiti border remain complex.  The DR will likely be faced with ongoing demand on their healthcare and ICU resources. Members of the team will remain in Santo Domingo to continue planning and delivery of the requested SCCM courses and will provide ongoing updates to SCCM over the coming days.

Hatian quake victims donation box at the Iberoamerican University in Santo Domingo.