Open Journal of Anesthesiology, 2018, 8, 183-197 http://www.scirp.org/journal/ojanes ISSN Online: 2164-5558 ISSN Print: 2164-5531 DOI: 10.4236/ojanes.2018.86019 Jun. 29, 2018 183 Open Journal of Anesthesiology Utilizing Anesthesiologists, Emergency and Critical Care Physicians with Telemedicine Monitoring to Develop Intubation and Ventilation Services in an Intensive Care Unit in the Austere Medical Environment: A Case Series. Expansion of the EP/CC GAS Project Richard Skupski 1 , Arthur Toth 1 , Michael T. McCurdy 2 , Shane Kappler 2 , James Lantry 2 , Gerson Pyram 2 , Donald Zimmer 1 , Joseph Dynako 3* , Anne Grisoli 3 , David Zimmer 3 , John Wilson 4 , Bhavesh M. Patel 5 , Hannelisa Callisen 5 , Alyssa Chapital 5 , Lovely Nathalie Colas 6 , Marc Edson Augustin 6 , Nathalie Edema 6 , Enzo Del Brocco 6 , Richard Frechette 6 , Mark Thompson 1 , James Corcoran 6 , Michael Mazowiecki 7 , Mark Walsh 3,8* 1 Memorial Hospital Trauma Center, South Bend, IN, USA 2 University of Maryland School of Medicine, Baltimore, MD, USA 3 Indiana University School of Medicine, South Bend Campus, South Bend, IN, USA 4 Mayo Clinic, Rochester, MN, USA 5 Mayo Clinic, Phoenix, AZ, USA 6 Hôspital Saint Luc, Port-Au-Prince, Haiti 7 Excela Health Westmoreland Hospital, Greensburg, PA, USA 8 Saint Joseph Regional Medical Center, Mishawaka, IN, USA Abstract Background: Significant resource constraints and critical care training gaps are responsible for the limited development of intensive care units (ICUs) in resource limited settings. We describe the implementation of an ICU in Haiti and report the successes and difficulties encountered throughout the process. We present a consecutive case series investigating an anesthesiologist, emer- gency, and critical care physician implemented endotracheal intubation and mechanical ventilation protocol in an austere environment with the assistance of telemedicine. Methods: A consecutive case series of fifteen patients admit- ted to an ICU at St. Luc Hospital located in Port-au-Prince, Haiti, between the months of February 2012 to April 2014 is reported. Causes of respiratory fail- ure and the clinical course are presented. Patients were followed to either death or discharge. Results: Fifteen patients (eight women and seven men) were in- How to cite this paper: Skupski, R., Toth, A., McCurdy, M.T., Kappler, S., Lantry, J., Pyram, G., Zimmer, D., Dynako, J., Grisoli, A., Zimmer, D., Wilson, J., Patel, B.M., Callisen, H., Chapital, A., Colas, L.N., Au- gustin, M.E., Edema, N., Del Brocco, E., Frechette, R., Thompson, M., Corcoran, J., Mazowiecki, M. and Walsh, M. (2018) Utilizing Anesthesiologists, Emergency and Critical Care Physicians with Telemedicine Monitoring to Develop Intubation and Ventilation Services in an Intensive Care Unit in the Austere Medical Environment: A Case Series. Expansion of the EP/CC GAS Project. Open Journal of Anesthesiol- ogy, 8, 183-197. https://doi.org/10.4236/ojanes.2018.86019