
LOUISVILLE, Ky. 鈥 As this year鈥檚 volatile Atlantic hurricane season progressed, Montray Smith knew it was a question of when 鈥 not if 鈥 she would be called to help.
Smith, a University of Louisville School of Nursing assistant professor, recently returned from a two-week deployment to Puerto Rico where she provided medical care in the wake of Hurricanes Irma and Maria with a federal (DMAT).
Part of the National Disaster Medical System, DMATs across the country are made up of physicians, nurse practitioners, paramedics and other health care professionals who leave their regular jobs and quickly mobilize to provide medical aid when local and state resources are overwhelmed after natural disasters or terrorist attacks. They also prepare to respond to major national events, including presidential inaugurations, if an emergency arises.
鈥淢ost health care providers want to jump in and help during a disaster, and that鈥檚 what we get to do,鈥 said Smith, M.S.N., R.N.
Smith鈥檚 DMAT, along with personnel from the U.S. Public Health Service and non-governmental agencies, set up a federal medical station in Bayam贸n and treated 150-200 people every day at a similar station in Manat铆.
鈥淭he patients were incredibly resilient. They did what they had to do to survive,鈥 Smith said. 鈥淭heir infrastructure is gone and it鈥檚 going to be a long time before the island recovers from the storms.鈥
Traffic lights and electrical poles were gone, buildings were destroyed and trees were scattered. Still lacking electricity in their homes, some patients needed power to operate ventilators and feeding tube machines. Most were treated for conditions related to mold exposure, including pink eye, asthma, nausea and vomiting. Critical patients were stabilized and transported by the Army to local hospitals.
Smith takes pride in caring for disaster victims as well as bringing relief to fellow medical personnel who reside in the ravaged areas.
For 15 years, she has been a member of the DMAT based in Jacksonville, Fla., which last mobilized after Hurricane Sandy in 2012.
Her first deployment was to Pensacola, Fla., after 2004鈥檚 Hurricane Ivan where her team supported a badly damaged hospital that was depending on generators and had no running water.
鈥淭he hospital staff were taking care of patients while not knowing if their families were okay or if their homes were still standing,鈥 Smith said. 鈥淲e came in the middle of the night to set up and started seeing patients the next morning. The staff were so relieved that we were there to help. We told them, 鈥楪o home. Take care of your family. Take care of yourself.鈥欌
Smith鈥檚 DMAT could be re-deployed to Puerto Rico after Thanksgiving.




















