McFarlane A C
Med J Aust. 1984 Sep 1;141(5):286-91.
Adequate disaster management depends on the incorporation of experience and research findings into future disaster plans. To assist in this process, a series of psychiatric patients examined after the Ash Wednesday bushfires in South Australia are described. The level of handicap experienced was often substantial and interfered with these people's attempts to overcome the losses they experienced in the disaster. Some people had to go to considerable lengths to seek psychiatric help because their general practitioners and bushfire relief workers did not understand the quality of their symptoms and had not arranged referral for them. The types of disorder, the time of presentation and the role played by the disaster in the onset of these disorders are described. The need for an educational and consultative psychiatric service for general practitioners and welfare workers who have contact with disaster victims is discussed.
充分的灾害管理依赖于将经验和研究结果纳入未来的灾害计划。为协助这一过程，本文描述了南澳大利亚黑色星期三丛林大火后接受检查的一系列精神科患者。所经历的残疾程度往往很严重，妨碍了这些人克服在灾难中所遭受损失的努力。一些人不得不费很大周折去寻求精神科帮助，因为他们的全科医生和丛林大火救援人员不理解他们症状的性质，也没有为他们安排转诊。文中描述了这些疾病的类型、就诊时间以及灾难在这些疾病发作中所起的作用。还讨论了为与灾难受害者有接触的全科医生和福利工作者提供教育和咨询性精神科服务的必要性。
