Platz Elke, Cooper Herbert P, Silvestri Salvatore, Siebert Carl F
Department of Emergency Medicine, MetroHealth Medical Center and Cleveland Clinic Foundation, Cleveland, Ohio, USA.
J Emerg Med. 2007 Jul;33(1):39-46. doi: 10.1016/j.jemermed.2007.02.023. Epub 2007 Jun 5.
We analyzed the impact of three consecutive hurricanes in 2004 on two central Florida Emergency Department (ED) patient volumes and types of presentations. Data were extracted from the hospital database and compared to the previous year. At both EDs visits dropped significantly on the day of all three hurricanes compared to 2003. The decrease in patient volume was even greater during the second and third hurricane compared to the first one. Once weather conditions improved, a dramatic rise in patient census was noted. During the aftermath of the first hurricane a significantly higher number of patients with injuries and carbon monoxide (CO) intoxications was seen, as well as ED visits due to lack of oxygen, electricity or hemodialysis. During the aftermath of a hurricane, EDs should be staffed and equipped to treat greater numbers of patients with acute injuries.
我们分析了2004年连续三场飓风对佛罗里达州中部两个急诊科（ED）患者数量及就诊类型的影响。数据从医院数据库中提取，并与上一年进行比较。与2003年相比，在所有三场飓风来袭当天，两个急诊科的就诊人数均显著下降。与第一场飓风相比，第二场和第三场飓风期间患者数量的减少幅度更大。一旦天气状况改善，患者普查数量便显著上升。在第一场飓风过后，出现受伤和一氧化碳（CO）中毒的患者数量显著增加，同时因缺氧、停电或血液透析而前来急诊科就诊的人数也有所增加。在飓风过后，急诊科应配备人员和设备，以治疗更多急性受伤患者。
