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Rebuilding Emergency Care After Hurricane Sandy.
David C Lee1, Silas W Smith2, Christopher M McStay2
1Robert Wood Johnson Foundation Clinical Scholars Program, Leonard Davis Institute for Health Economics, and Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Disaster Medicine and Public Health Preparedness
|April 10, 2014
Summary
A temporary emergency department was established after Hurricane Sandy to manage increased patient volume. Key partnerships and monitoring systems were crucial for its successful operation, offering a model for disaster recovery.
Area of Science:
- Public Health
- Emergency Medicine
- Disaster Management
Background:
- Hurricane Sandy caused significant disruption to healthcare services.
- Inpatient services at multiple hospitals remained closed for extended periods.
- Increased emergency department (ED) volume strained existing facilities.
Purpose of the Study:
- To describe the implementation and operation of a freestanding ED.
- To evaluate the model's effectiveness in disaster recovery.
- To provide lessons for future disaster preparedness.
Main Methods:
- Established a 911-receiving freestanding ED without inpatient services.
- Formed key partnerships with EMS and nearby hospitals.
- Implemented an emergency critical care ward and ED utilization monitoring.
Main Results:
- The freestanding ED successfully compensated for increased patient volume.
- Collaborative partnerships were vital for operational success.
- Monitoring systems aided in managing ED utilization.
Conclusions:
- A freestanding ED model can effectively restore emergency care capacity post-disaster.
- Partnerships and resource monitoring are critical components for disaster response.
- This approach offers a replicable strategy for rebuilding healthcare infrastructure after natural disasters.
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