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PubMedDate not supplied

Frail elderly as disaster victims: emergency management strategies.

PURPOSE: To identify the vulnerabilities of elderly to disasters, and to develop strategies to address these vulnerabilities. METHODS: A relevant literature search of journal articles, government training materials, news reports, and materials from senior organizations was conducted. RESULTS: The vulnerability of the elderly to disasters is related to their impaired physical mobility, diminished sensory awareness, chronic health conditions, and social and economic limitations that prevent adequate preparation for disasters, and hinder their adaptability during disasters. Frail elderly, those with serious physical, cognitive, economic, and psycho-social problems, are at especially high risk. CONCLUSIONS: This segment of the population is growing rapidly. Therefore, it is important that emergency management recognize the frail elderly as a special needs population, and develop targeted strategies that meet their needs. Several management strategies are presented and recommendations for further action are proposed.

Aged↗
PubMed1998

The nature of psychiatric problems among disaster victims.

One-quarter of the residents (about 52,000) in the disaster area around the volcanic eruption area of Mt Unzen-Fugen have been forced to evacuate over a 3 year period. We conducted a psychological controlled study using the GHQ-30 for evacuees. As a result, the percentage of people with a high score over 8 points was 67% of evacuees, markedly higher than 10% of the control group. Some mental support activities, such as counseling by community nurses and crisis intervention/medication by psychiatrists and others, have been promoted. Subjects who received a psychiatric intervention had good outcome as a whole. The nature of psychiatric problems among disaster evacuees and the necessity of long-term support are discussed in this paper.

Adolescent↗
PubMed1992

Psychiatric disorders among emotionally distressed disaster victims attending primary mental health clinics in Ecuador.

Previous studies in developing countries have demonstrated post-disaster stress disorders in a substantial share of the people living through a natural calamity, but questions have remained as to the severity of these mental health problems. This article reports information derived from a 1987 study of Ecuadorian earthquake victims that shows many of the victims had diagnosable psychiatric disorders and provides insight into the nature of those disorders.

Adult↗
PubMed1995

Management of chemical disaster victims.

Following a hazardous chemical accident, early critical care life support is crucial to minimizing potential morbidity and mortality (1). Providing effective care to victims, however, depends on the nature of the incident, the number of victims affected, the availability of medical care, the coordination of rescue efforts, the available modes of evacuation, and the availability of post-evacuation tertiary care. The goal in mass casualty scenarios is to minimize mortality and morbidity. Consequently, the most basic emergency response must include a method for assessing the incident, the extent of injury to victims, methods for determining which victims will receive treatment first, and what types of treatment will be given during the various stages of the incident. The basic need to handle hazardous chemical incident victims exists regardless of the environment in which the incident occurs, or whether small or large numbers of victims are involved.

Critical Care↗