• Home
  • About
    • About
    • Policies
  • Submissions
    • Op-eds
    • News / Announcements
  • Contact
  • Donate
  • Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

eJewish Philanthropy

Your Jewish Philanthropy Resource

  • News Bits
  • Jewish Education
  • Readers Forum
  • Research
  • Show Search
Hide Search
You are here: Home / In the Media / Israel’s Field Hospital in Haiti: Ethical Dilemmas

Israel’s Field Hospital in Haiti: Ethical Dilemmas

March 4, 2010 By eJP

The Israeli Field Hospital in Haiti – Ethical Dilemmas in Early Disaster Response
by Ofer Merin, M.D., Nachman Ash, M.D., Gad Levy, M.D., Mitchell J. Schwaber, M.D., and Yitshak Kreiss, M.D., M.H.A., M.P.A.

Within 48 hours after the massive earthquake that struck Port-au-Prince, Haiti, on January 12, the government of Israel dispatched a military task force consisting of 230 people: 109 support and rescue personnel from the Israel Defense Forces (IDF) Home Front Command and 121 medical personnel from the IDF Medical Corps Field Hospital. The force’s primary mission was to establish a field hospital in Haiti.

We landed in Port-au-Prince 15 hours after leaving Tel Aviv and began to deploy immediately. The first patients arrived at our gates and were admitted even before the hospital was fully built, within 8 hours after our equipment arrived. In its 10 days of operation, the field hospital treated more than 1100 patients.

Our mission was to extend lifesaving medical help to as many people as possible. The need to manage limited resources that fell far short of the demands continuously presented us with complex ethical issues. Every mass-casualty event raises ethical issues concerning the priorities of treatment, but the Haiti disaster was exceptional in several ways. Haiti is a poor country with minimal civil facilities, and the earthquake’s destruction of infrastructure left millions of people homeless and hundreds of thousands in need of medical assistance. When we arrived, there was no functioning authority coordinating the distribution of the available medical resources. We were faced with the challenge of establishing an ethical and practical system of medical priorities in a setting of chaos.

… To deal with the ethical aspects of decisions regarding patient placement and treatment options, we created a system of ad hoc ethics committees. The physician who was directly in charge of caring for a certain patient would present the case to a panel of three senior physicians, who would decide how to proceed – a system that relieved individual physicians of the burden of determining a given person’s fate. Decisions that were reached by the committee were recorded and became part of the patient’s file.

… From the outset, our hospital functioned at full capacity. With the exception of patients requiring urgent care, we operated on the basis of a one-to-one exchange between discharges and admissions. Given this policy and the level of activity, in order to function effectively, we also adopted a policy of very early discharge. … This policy, while necessary, clearly did not allow us to provide in-house medical care for the duration for which we are accustomed to providing it in a non-disaster setting.

… Our guidelines for triage, management, and discharge were subject to continuous reevaluation and revision, but throughout our deployment, we were guided by our objective of providing lifesaving medical care to as many people as possible.

The complete article is available in The New England Journal of Medicine.

Print Friendly, PDF & Email

Share this:

  • Click to share on Twitter (Opens in new window)
  • Click to share on Facebook (Opens in new window)
  • Click to share on LinkedIn (Opens in new window)

Filed Under: In the Media, Inside Israel, Jewish Philanthropy Tagged With: Tikkun Olam

Click here to Email This Post Email This Post to friends or colleagues!

Primary Sidebar

Join The Conversation

What's the best way to follow important issues affecting the Jewish philanthropic world? Our Daily Update keeps you on top of the latest news, trends and opinions shaping the landscape, providing an invaluable source for inspiration and learning.
Sign Up Now
For Email Marketing you can trust.

Continue The Conversation

  • Email
  • Facebook
  • RSS
  • Twitter

Recent Comments

  • Bruce Powell on An Invitation To Transparency: Reflections on an Open Salary Spreadsheet
  • Sara Rigler on Announcement: Catherine Reed named CEO of American Friends of Magen David Adom
  • Donna Burkat on The Blessings in 2020’s Losses
  • swindmueller on Where Do We Go From Here?
    Reflections On 2021
    A Jewish Response to These Uncertain Times
  • Alan Henkin on Where Do We Go From Here?
    Reflections On 2021
    A Jewish Response to These Uncertain Times

Most Read Recent Posts

  • Jewish Agency Accuses Evangelical Contractors of “Numerous Violations” but Denies They Evangelized New Immigrants
  • Breaking: Birthright Israel & Onward Israel Seek to Join Forces to Strengthen Jewish Diaspora Ties with Israel
  • An Invitation To Transparency: Reflections on an Open Salary Spreadsheet
  • Why One Zoom Class Has Generated a Following
  • The Blessings in 2020’s Losses

Categories

The Way Back Machine

Footer

What We Do

eJewish Philanthropy highlights news, resources and thought pieces on issues facing our Jewish philanthropic world in order to create dialogue and advance the conversation. Learn more.

Top 40 Philanthropy Blogs, Websites & Influencers in 2020

Copyright © 2021 · eJewish Philanthropy · All Rights Reserved