@article{ref1,
title="US Navy ship-based disaster response: lessons learned",
journal="Current trauma reports",
year="2022",
author="Worlton, Tamara J. and Shwayhat, Alfred F. and Baird, Michael and Fick, Daryl and Gadbois, Kyle D. and Jensen, Shane and Tadlock, Matthew D.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE OF REVIEW: The US Navy has a long history of responding to disasters around the globe. US Navy ships have unique characteristics and capabilities that determine their capacity for a disaster response. This paper discusses common considerations and lessons learned from three distinct disaster missions. RECENT FINDINGS: The 2010 earthquake in Haiti had a robust response with multiple US Navy ship platforms. It was best assessed in three phases: an initial mass casualty response, a subacute response, and a humanitarian response. The 2017 response to Hurricane Maria had a significant focus on treating patients with acute needs secondary to chronic illnesses to decrease the burden on the local healthcare system. The COVID-19 response brought distinctive challenges as it was the first mission where hospital ships were utilized in an infectious disease deployment. SUMMARY: The first ships to respond to a disaster will need to focus on triage and acute traumatic injury. After this first phase, the ship's medical assets will need to focus on providing care in a disrupted health care system which most often includes acute exacerbations of chronic disease. Surgeons must be ready to be flexible in their responsibilities, be competent with end-of-life care, and negotiate technical and cultural communication challenges.<p /> <p>Language: en</p>",
language="en",
issn="2198-6096",
doi="10.1007/s40719-022-00227-3",
url="http://dx.doi.org/10.1007/s40719-022-00227-3"
}