Facing the risk of new earthquakes, Puerto Rico lacks a coordinated massive response plan for trauma emergencies
The greatest immediate death threat after earthquakes, such as those Puerto Rico has experienced for more than two weeks, are traumas that people may be exposed to in the face of a structural collapse. But Health Secretary Rafael Rodríguez-Mercado has not shared a plan to address this risk nor has contacted his specialized trauma team since the earthquakes began, dangerously exposing the public. So far, the director of the only trauma center on the island, the Medical Center’s Trauma Hospital, and president of the Puerto Rico Trauma Committee before the American College of Surgeons, Dr. Pablo Rodríguez-Ortiz, has not been contacted by Rodríguez-Mercado neither before nor during the emergency that has already claimed two lives, has downed dozens of structures, resulting in more than 2,000 evacuees. Rodríguez-Mercado has not shared the current written plan —the Public Health and Medical Services Emergency Management Operational Plan — with his Trauma director, nor has he addressed the hospital’s structural deficiencies, according to internal sources and documents obtained by the Center for Investigative Journalism (CPI, in Spanish). The 1,048-page plan only mentions the Trauma Hospital once and makes brief mentions about the Medical Center’s role in an emergency such as an earthquake.