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Evolving Need for Alternative Triage Management in Public Health Emergencies: A Hurricane Katrina Case Study

Published online by Cambridge University Press:  08 April 2013

Kelly R. Klein ,
Paul E. Pepe ,
Frederick M. Burkle Jr ,
Nanci E. Nagel  and
Raymond E. Swienton
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Abstract

In many countries, traditional medical planning for disasters developed largely in response to battlefield and multiple casualty incidents, generally involving corporal injuries. The mass evacuation of a metropolitan population in the aftermath of Hurricane Katrina evolved into life-and-death triage scenarios involving thousands of patients with nontraumatic illnesses and special medical needs. Although unprecedented in the United States, triage management needs for this disaster were similar to other large-scale public health emergencies, both natural and human-generated, that occurred globally in the past half-century. The need for alternative triage-management processes similar to the methodologies of other global mass public health emergencies is illustrated through the experience of disaster medical assistance teams in the first 3 days following Katrina's landfall. The immediate establishment of disaster-specific, consensus-based, public health emergency–related triage protocols—developed with ethical and legal expertise and a renewed focus on multidimensional, multifactorial matrix decision-making processes—is strongly recommended. (Disaster Med Public Health Preparedness. 2008;2(Suppl 1):S40–S44)

Keywords

homeland securitymass casualtiestriagesurge capacitypublic health emergencies
Type
Special Focus
Information
Disaster Medicine and Public Health Preparedness , Volume 2 , Issue S1 , September 2008 , pp. S40 - S44
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2008

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