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Floods and tsunamis.

Floods and tsunamis cause few severe injuries, but those injuries can overwhelm local areas, depending on the magnitude of the disaster. Most injuries are extremity fractures, lacerations, and sprains. Because of the mechanism of soft tissue and bone injuries, infection is a significant risk. Aspiration pneumonias are also associated with tsunamis. Appropriate precautionary interventions prevent communicable dis-ease outbreaks. Psychosocial health issues must be considered.

Disaster Planning↗

Response to hurricane disasters.

Unlike most natural and man-made disasters, preparation and planning for hurricanes is possible and effective. Medical needs can be disparate, given the large geographic area involved and the often-prolonged recovery phase. All aspects of medical response, from first responders to hospitals, can directly and negatively be affected by the storm. Planning and practice, however, can drastically improve the outcome.

Disaster Planning↗

Preparation, experience, and aftermath of hurricane Floyd.

In September 1999, Hurricane Floyd threatened the southeastern coast of the United States, causing the largest peacetime evacuation in history. The hurricane moved onto land when it curved northward and slammed into southeastern North Carolina near Wilmington and Cape Fear. This region already had experienced three hurricanes in recent years and had been brushed by Hurricane Dennis one month earlier. This article describes actions taken by the New Hanover Regional Medical Center surgical services department in Wilmington, NC, to prepare for and weather the storm. The aftermath and cleanup also are discussed.

Disaster Planning↗

Taiwanese nurses' most unforgettable rescue experiences in the disaster area after the 9-21 earthquake in Taiwan.

The purpose of this study was to reveal the most unforgettable rescue experiences of nurses at the central site of the 9-21 Taiwan earthquake during the crucial early recovery stage-the first 72h. A purposive sample of 46 nurses was obtained (40 women and 6 men, with an average age of 28). Data were collected using semi-structured interviews and analyzed by content analysis. The negative aspects of most unforgettable experiences reported by 87% of the subjects were primarily: (a) the prevalence of psychoneurotic syndromes (50%); (b) the severe destruction of geographic treasures (43%); (c) the buried-alive bodies of whole families or village populations (33%); (d) inadequate care for the children and teenagers that were left homeless (22%); (e) deterioration of the condition of patients with chronic health problems (15%); and (f) manifestation of the greedy or selfish nature of human beings (13%). Still 76% of the subjects reported the following positive aspects of their rescue experiences: (a) feeling rewarded from helping others (43%); (b) being deeply touched by residents' mutual support (33%); and (c) the good attitude and tangible help given by other health professionals (15%). This study highlights a need for long-term follow-up and attention of these nurse rescuers in the post-rescue stage. The implementation of a well designed "disaster reduction" course for the health professionals was also encouraged.

Adult↗

International nurse.

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Community Health Nursing↗