Citation

Dempsey TM, Lapinsky SC, Melnychuk E, Lapinsky SE, Reed MJ, Niven AS. Crit. Care Clin. 2019; 35(4): 677-695.

Affiliation

Division of Pulmonary and Critical Care Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA. Electronic address: https://twitter.com/niven_alex.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.ccc.2019.06.010

PMID

31445613

Abstract

Special populations, which include the morbidly obese and patients with chronic, complex medical conditions that require long-term health care services and infrastructure, are at increased risk for morbidity and mortality when these services are disrupted during a disaster. Past experiences have identified significant challenges in restoring necessary care services to these patients following major environmental events. This article describes the impact of disasters on special populations, provides a framework for future disaster preparation and planning, and identifies areas in need of further research. Gravid patients, who are often overlooked in disaster planning and preparation, are also discussed.

Copyright © 2019 Elsevier Inc. All rights reserved.

Language: en

Keywords

Critical care; Dialysis; Disasters critical illness; Morbid obesity disaster; Oxygen dependent; Pregnancy in disaster; Shelter medicine; Technology dependent