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volume 16 issue 1 .
human interest
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truck hospital to patient med-1


 

Will trucks rush the
hospital to the patient?

A few years ago, Dr. Tom Blackwell, an emergency medicine specialist, decided to apply two decades of experience to create a whole new way to deliver medical care.

Working with a whole team of experts, Tom came up with the idea of outfitting tractor-trailers to take care where it’s needed. So far, MED-1 (short for “Mobile Emergency Department”) units have treated over 10,000 patients, saving untold numbers of lives after disasters in Mississippi, Louisiana and Indiana.

MED-1 tractor-trailer units are bringing care to Ecuador. Zambia may soon create a new model for disaster and emergency care – and even routine medical care for remote areas, based on MED-1.


 

dr tom blackwell med-1

Dr. Tom Blackwell

How did you get the idea to create MED-1?

Dr. Tom Blackwell: “As emergency physician, I was concerned about the problem of what hospitals can do when they’re overwhelmed, whether by a disease outbreak, a disaster or a terrorist incident.

“You need more capacity, instantly, but there’s no way to build an emergency facility instantly. Meanwhile, I was also medical director for the Charlotte Motor Speedway, and had seen a lot of the specially outfitted trailers used by racing teams.

“We started thinking about how we could turn a 53-foot trailer into a mobile emergency department. Eventually, we got together with Featherlite, who manufactures the shells for many of the racing trailers, and with their largest dealer, Golden Gait Trailers, which is here in the Charlotte area.

“By 2003, we had received a grant to start work, and in 2004, we had a trailer built and were training the staff who would run it.”

When did you get your trial by fire?

“Our first deployment was in Mississippi, in the aftermath of Hurricane Katrina, where the devastation was incredible.

“In about six weeks, we treated over 7,500 patients in a K-Mart parking lot. That’s about as many as a Level 1 hospital trauma center could see.

“The next year, we went to New Orleans to help out during Mardi Gras, and treated 575 patients in two weeks.

“Then, in 2008, we sent our MED-1 unit to Columbus, Indiana, where they’d had a flood which disabled their hospital. In six weeks there, we treated 2,500 patients.”

So one unit has already taken care of over 10,000 people?

“Yes. Since then, we’ve delivered a MED-1 unit to the city of Los Angeles, two to Ecuador and are working on a program for Zambia. Ecuador has a national healthcare crisis, and is using the MED-1 units to take some of the burden off its hospital system.”

And Zambia?

“Zambia is planning on doing something very innovative. MED-1 units aren’t designed to just sit and wait until a disaster or crisis happens. They function best when they’re working all the time.

“What Zambia plans on doing is to use several units to bring healthcare to remote areas of the country. Each unit might travel to where the road ends, so to speak, and set up to provide care for a week or so, then move on to the next location.

“People in countries like Zambia sometimes have to walk 30 miles or more to the nearest clinic. MED-1 would shorten those trips and vastly improve the health of Zambia’s people.

“In case of a disaster, Zambia could deploy its MED-1 units wherever needed, then return them to the more routine public health service after the emergency was over.

“Our units can deliver the highest level of emergency medical care anyplace it’s needed – on a moment’s notice. We literally can see our first patient no more than 30 minutes after we put on the brakes. And, we can have a 250-bed hospital functioning within eight hours.”

We also spoke with Tim Masud,
head of Golden Gait Trailers of Concord, North Carolina,
on his firm’s work outfitting these MED-1 units.

 

tim masud golden gait trailers

Tim Masud

Are there special challenges building hospitals in truck trailers?

Tim Masud: “We build all kinds of specialty trailers, including horse trailers, race car trailers, vending trailers, restaurants on wheels and communications vehicles, among others, but these MED-1 units have truly extreme requirements.

“The tolerances on everything are incredibly tight, and they have to be completely self-sufficient, with power, water, communications, IT, climate control, oxygen and vacuum systems, satellite communications and even air purification for the operating rooms. Plus, because people’s lives are at stake, we have to have redundancy on every critical system.

“The ride has to be incredibly smooth, because there are lots of high tech x-ray machines and other equipment on board.

“It’s challenging, but very rewarding. Every single person who has stepped into one of these MED-1 units has had a jaw-dropping experience: When the door closes behind you, there is absolutely no way you would be able to tell that you’re not inside a state-of-the-art hospital.”ra_logo
med-1 mobile emergency dept under canvas can hospitalize 250 patients
Artist’s concept of how MED-1 units might be deployed in Zambia. When fully under canvas, 250 patients can be hospitalized.
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