In August 2021 Haiti was hit with a significant earthquake bringing heavy damage to the South region of the country. Over the next weeks, in addition to daily transport operations, the staff at Haiti Air Ambulance found themselves operating the triage and treatment at the Toussaint Louverture Airport where they step outside of the traditional disaster model to incorporate critical care and community paramedicine to the approximately 300 patients seen. This presentation will describe and discuss the various treatments and techniques incorporated in the care.