Leonard R B, Spangler H M, Stringer L W
Department of Emergency Medicine, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina, USA.
Prehosp Disaster Med. 1997 Jul-Sep;12(3):189-94.
Many geographical areas are subject to devastating disasters that leave the citizens not only without homes, but also without their local medical systems. Now medical-aid stations consisting of personnel, supplies, and equipment quickly can be deployed when needed to such areas under the aegis of the National Disaster Medical System (NDMS). Such teams can provide emergent medical care as well as daily medical care. However, these aid stations are of no help for the home-bound or nursing home patients too infirm to reach them. Thus, these citizens only can obtain medical care if medical teams make planned outreach excursions to reach them.
To describe a planned outreach program that was implemented for such patients on St. Thomas Island after it was devastated by Hurricane Marilyn in 1995.
Over a five-day period, the outreach team provided medical care for 67 patients ranging in age from 11 days to 90 years. Play and art therapy was provided for non-injured children. The most common needs in the elderly were anti-hypertensive medications and insulin-loaded syringes.
For outreach efforts of this nature, membership of the team should include a registered nurse, a paramedic, a respiratory therapist, a public health specialist, and a local authority familiar both with the area and its inhabitants. A physician does not need to be assigned to the team, but should be available by radio.
许多地理区域会遭受毁灭性灾难，致使民众不仅失去家园，还失去当地的医疗体系。如今，在国家灾难医疗系统（NDMS）的支持下，由人员、物资和设备组成的医疗救助站能够在需要时迅速部署到这些地区。这样的团队可以提供紧急医疗护理以及日常医疗护理。然而，这些救助站对那些因身体过于虚弱而无法前往的居家患者或养老院患者毫无帮助。因此，只有医疗队进行有计划的外展探访，这些民众才能获得医疗护理。
描述1995年圣托马斯岛被玛丽莲飓风摧毁后为这类患者实施的一项有计划的外展项目。
在为期五天的时间里，外展团队为67名年龄从11天到90岁的患者提供了医疗护理。为未受伤的儿童提供了游戏和艺术治疗。老年人最常见的需求是抗高血压药物和装有胰岛素的注射器。
对于这类外展工作，团队成员应包括一名注册护士、一名护理人员、一名呼吸治疗师、一名公共卫生专家以及一名熟悉该地区及其居民的地方当局人员。无需为团队配备医生，但应能通过无线电联系到医生。
