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Tytuł:
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Lessons Learned from a Medical Response Team 45 Days Post Hurricane Maria in Puerto Rico.
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Autorzy:
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Gordon JM; College of Nursing, University of South Florida, Tampa, FL.
Orriola D; College of Public Health, University of South Florida, Tampa, FL.
Unangst M; Sweet Songs Breastfeeding, Founder.
Gordon F; Rico Lab Services, Tampa, FL.
Vellon YER; Arecibo, Puerto Rico.
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Źródło:
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Disaster medicine and public health preparedness [Disaster Med Public Health Prep] 2020 Feb; Vol. 14 (1), pp. 28-33.
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Typ publikacji:
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Journal Article; Observational Study; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: <2013>- : New York : Cambridge University Press
Original Publication: Philadelphia, PA : Lippincott Williams & Wilkins
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MeSH Terms:
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Cyclonic Storms/*statistics & numerical data
Disaster Medicine/*methods
Patient Care Team/*trends
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Ambulatory Care Facilities/organization & administration ; Ambulatory Care Facilities/statistics & numerical data ; Cyclonic Storms/mortality ; Female ; Humans ; Male ; Middle Aged ; Patient Care Team/statistics & numerical data ; Puerto Rico
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Contributed Indexing:
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Keywords: Hurricane Maria; Puerto Rico; disaster medical teams; public health
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Entry Date(s):
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Date Created: 20190716 Date Completed: 20201007 Latest Revision: 20201007
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Update Code:
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20240105
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DOI:
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10.1017/dmp.2019.65
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PMID:
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31304898
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Objective: Describe the lived experience of a grassroots, non-governmental disaster medical team (DMT) through a research lens and share practical lessons learned, based on the DMT's experience to support and inform future response teams.
Methods: Forty-five days after Hurricane Maria, a non-governmental DMT provided primary medical care via community based pop-up clinics and home visitations in 5 different areas of Puerto Rico. Observational data, photo images, and debriefing notes were collected and documented in the response team's daily activity log. Field notes were coded using a descriptive coding method and then categorized into 2 domains specific to public health and medical diagnosis.
Results: Medical aid was provided to nearly 300 (N = 296) residents. Field note observations identified exhaustion related to living conditions and the exacerbation of underlying conditions such as reactive airway diseases, diabetes, hypertension, and depression due to the compounding effects of multiple post-disaster triggers. During home visitations, feelings of sadness and helplessness were identified secondary to natural disaster trauma and current living conditions.
Conclusion: Our non-governmental DMT displayed similar characteristics demonstrated by federal DMTs post natural disaster. A number of strategic lessons learned emerged from the public health intervention important to future non-governmental DMTs.