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Volume 53, Issue 4, Pages 505-514 (April 2009)


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Houston's Medical Disaster Response to Hurricane Katrina: Part 1: The Initial Medical Response From Trauma Service Area Q

Douglas R. Hamilton, MD, PhDaCorresponding Author Informationemail address, Thomas F. Gavagan, MD, MPHc, Kieran T. Smart, MDd, Lori A. Upton, RN, BSN, MSe, Douglas A. Havron, RN, BSN, MSf, Nancy F. Weller, BSN, DrPHa, Umair A. Shah, MD, MPHj, Avrim Fishkind, MDg, David Persse, MDh, Paul Shank, MBAi, Kenneth Mattox, MDb

Received 9 February 2007; received in revised form 3 August 2007, 28 December 2007, 25 March 2008 and 29 May 2008; accepted 24 September 2008. published online 12 January 2009.

Refers to article:
Houston's Medical Disaster Response to Hurricane Katrina: Part 2: Transitioning From Emergency Evacuee Care to Community Health Care , 12 January 2009
Douglas R. Hamilton, Thomas Gavagan, Kieran Smart, Nancy Weller, Lori A. Upton, Douglas A. Havron, Avrim Fishkind, David Persse, Paul Shank, Umair A. Shah, Kenneth Mattox
Annals of Emergency Medicine
April 2009 (Vol. 53, Issue 4, Pages 515-527)
Abstract | Full Text | Full-Text PDF (996 KB)

After Hurricane Katrina hit the Gulf Coast on August 29, 2005, thousands of ill and injured evacuees were transported to Houston, TX. Houston's regional disaster plan was quickly implemented, leading to the activation of the Regional Hospital Preparedness Council's Catastrophic Medical Operations Center and the rapid construction of a 65-examination-room medical facility within the Reliant Center. A plan for triage of arriving evacuees was quickly developed and the Astrodome/Reliant Center Complex mega-shelter was created. Herein, we discuss major elements of the regional disaster response, including regional coordination, triage and emergency medical service transfers into the region's medical centers, medical care in population shelters, and community health challenges.

a Department of Family and Community Medicine, Baylor College of Medicine, Houston, TX

b Department of Surgery, Baylor College of Medicine, Houston, TX

c Department of Family Medicine, Northwestern University, Chicago, IL

d FSU College of Medicine, Sarasota, Department of Family Medicine and Rural Health, Sarasota, FL

e Texas Children's Hospital, Houston, TX

f Southeast Texas Trauma Regional Advisory Council, Houston, TX

g Mental Health Mental Retardation Authority of Harris County, Houston, TX

h City of Houston's Emergency Medical Services, Houston, TX

i San Luis Valley Regional Medical Center, Alamosa, CO

j Harris County Public Health and Environmental Services

Corresponding Author InformationAddress for correspondence: Douglas R. Hamilton, MD, PhD, Department of Family and Community Medicine, Baylor College of Medicine, 3701 Kirby, Suite 600, Houston, TX 77098; 713-477-6851, fax 713-798-3644

 Supervising editor: Kathy J. Rinnert, MD, MPH

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. The authors have stated that no such relationships exist. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement.

 Publication dates: Available online January 10, 2009.

 Reprints not available from the author.

PII: S0196-0644(08)01898-2

doi:10.1016/j.annemergmed.2008.10.014


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