Two things I learned from this book:
When nature turns on us, no amount
of preparedness is enough.
When you lose air conditioning in
a warm climate, civility goes out the window.
Five Days at Memorial
is exactly that. It is about five days at Memorial Hospital in New Orleans,
prior to, during and after Hurricane Katrina in 2005. This is a very sad story
and a wake-up call for anyone who thinks they’d be okay in a storm of that
magnitude. The answer is, no, you probably won’t. Why? Because as I said
above, no matter how much hospitals practice emergency procedures, no matter
how well-prepared the National Guard is, no matter how many times the Red Cross
has served at natural disasters, each disaster presents a unique scenario for
which there is no procedure.
At first it seems that Memorial Hospital is the place to be
in a hurricane. Nurses and doctors bring in their families and pets and picnic
baskets to “wait it out” in safety. They’d done it before. No big deal. But
Katrina had other plans.
The water soon got so high that the generators, illogically
installed in the hospital basement, went out, and the hospital was without
light, without air conditioning (imagine New Orleans in August without AC),
without ventilators pumping oxygen into critically ill patients, without
elevators in an eight-story building, without flushing commodes, and without
drinking water.
(Photo is of Memorial Hospital during the flood)
When people started dying, they were moved into the chapel, and the heat spread the smell of decaying bodies throughout the hospital. When
rescue helicopters tried to land on the top floor of the adjacent parking
garage to rescue people from the hospital, there wasn’t a reasonable way to get
the patients from the hospital to the helicopters.
No one was in charge, and no one was communicating
effectively from the outside to coordinate rescues. Every rescue effort was
horribly overwhelmed and evacuations were needed all over the city. Families
had no idea of the fate of their loved ones because there simply was no
communication. People were asked to bring their boats to rescue people, but
then they had to stop because of snipers and looters.
The protocol for evacuation was that
the sickest went last, a policy that seemed both horribly right and wrong to me. Pets were euthanized because the rescue helicopters wouldn't transport animals. And then, one of the doctors makes the decision to euthanize eight patients she
deems too ill to move, and one too overweight to move.