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What Happens When You Can’t Operate – The Hurricane Sandy

ExperienceLewis Teperman, MD, FACSDirector of Transplantation &Vice Chair of SurgeryNYU Langone Medical CenterFebruary 7, 2014

Maimonides Grand RoundsBrooklyn, New York

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Superstorm Sandy-Overall devastation The most powerful storm to hit the northeast In

recorded history A 14 foot Storm surge combines with up to 90

mile a hour winds to create massive flooding and disruption

53 deaths in New York 8.5 Million People without power / ~10,000

downed trees All mass transit ( including subway, rail, bus) are

shut downhttp://en.wikipedia.org/wiki/Effects_of_Hurricane_Sandy_in_New_York accessed 1/15/2013

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Disclosures I work for NYU

Mayor Michael Bloomberg-Dec 17, 2013 in the wake of the Newtown shooting

I am not an Authority on Emergency Preparedness

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Anderson Cooper goes to many dangerous places.

So when he comes to your hometown…

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Superstorm Sandy-Overall Devastation

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SLED CARRIED BY MEDICAL STUDENTS

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Superstorm Sandy-- Hospital Evacuations NYU Langone Ron Simon-Director of Acute Care Surgery at

NYU-Tisch Hospital and Trauma Medical Director at Bellevue. “Thru hard work, dogged determination, manipulation

of the system, and just plain heavy lifting, we evacuated 2 ICU's (NYU and Bellevue SICU’s) without a single mortality. The only thing scarier than carrying a 200 pound intubated patient on vasopressors down 15 flights of stairs is being told to hurry up by a nurse carrying an intubated preemie, post cardiac reconstruction, in her arms behind you”.*

*Personal Communication ( Written) Jan 16, 2015

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Flow of Patients from NYU

Patients also sent to Beth Israel, St Luke’s Hosp. and Roosevelt Hosp.

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Evacuation Critical Care - NYU to Mount Sinai

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http://www.youtube.com/watch?feature=player_detailpage&v=emAoT7Nnty0#t=0s

http://www.cbsnews.com/8301-201_162-57542723/behind-the-scenes-of-the-nyu-hospital-evacuation/

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Superstorm Sandy-- Hospital Evacuations- NYU Langone

NYU Langone Evacuates 215 patients during the storm ( down the stairs and out into the wind and the rain) due to failure of back up generators and closes for months (Reopens partially, the last week in December of 2012) The Chairman of the Board Langone himself

( CEO of home depot) is in the hospital with Pneumonia during the storm.*

* http://www.bloomberg.com/news/2012-10-30/chairman-langone-was-nyu-hospital-patient-in-storm-evacuation.html

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  Deaths on Waitlist 30

  Transfers to Other Centers 29

  Transplanted Elsewhere 10

  Removals (other reasons) 124

     

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NYU TRANSPLANT CENTER – STATS

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Two Multicenter Publications Randomized trial of emtricitabine/tenofovir

disoproxil fumarate after hepatitis B immunoglobulin withdrawal after liver transplantation – Liver Transplantation 19 June 2013

Lewis W. Teperman Fred Poordad Natalie Bzowej Paul Martin Surakit Pungpapong Thomas Schiano John Flaherty Phillip Dinh Stephen Rossi G. Mani Subramanian James Spivey - DOI: 10.1002/lt.23628

Calcineurin Inhibitor–Free Mycophenolate Mofetil/Sirolimus Maintenance in Liver Transplant: The Randomized Spare-the-Nephron Trial - Liver Transplantation 19 July 2013Lewis Teperman, Dilip Moonka, Anthony Sebastian, Linda Sher, Paul Marotta, Christopher Marsh, Baburao

Koneru, John Goss,Dennis Preston, and John P. Roberts for the STN Liver Transplantation Study Group-DOI: 10.1002/lt.236578