Abstract
During the flood after Hurricane Katrina in August 2005, health care providers in marooned New Orleans hospitals worked in almost unimaginably difficult conditions while awaiting rescue. Nowhere was the situation more desperate than at Memorial Medical Center, where for 4 days a small staff struggled to care for critically ill patients in a dark building with no electric power, no fresh water, a flooded first floor, a nonfunctional sanitation system, and an interior temperature above 100°F.

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