Global & Disaster Medicine

Archive for the ‘Flood’ Category

EMS Mobile Integrated Health & Disasters

USFA

In many communities across the country, Emergency Medical Services (EMS) provide preventative health care to help reduce unnecessary and costly trips to the emergency room and ensuing hospital admissions. EMS operating in a Mobile Integrated Health (MIH) role help patients with chronic conditions in their homes, divert ambulance calls to outpatient providers, and in some communities, use telemedicine to connect their patients with physicians from their homes.

But what if a disaster should strike? How might MIH providers best assist in the response effort?

A recent study1 was the first to examine the work of MIH providers — Richland County (South Carolina) EMS — during an October 2015 response to severe flooding.wheelchair patients



Study findings

MIH providers were able to meet vulnerable patients’ health needs in severe flooding conditions by:

  1. Reconnecting individuals in emergency shelters with:
    • Lost medications.
    • Alternative housing or social services.
    • Transportation to relocate them with family outside of the affected area.
    • Other essential health care.
  2. Readily identifying to local authorities those patients who required in-person wellness checks.
  3. Delivering food and water to patients they knew were unable to leave their homes due to a disability.
  4. Providing uninterrupted power supply for home ventilators, left ventricular assist devices, and other medical equipment.

EMS physicians augmented MIH services during the flood response by performing telephone triage and self-care instruction to patients cut off from EMS. They responded to the field and provided consultation to MIH as needed.

Research takeaways for MIH providers

  • Include disaster response in the MIH training curriculum.
  • Help patients prepare for disasters by emphasizing the need for an evacuation plan and to safeguard adequate supplies of medications and durable medical equipment.
  • Identify ahead of time community members with complex medical needs, such as people who require access to uninterrupted power for life-sustaining medical equipment.

1Gainey C., Brown H., Gerard W. (2018). Utilization of Mobile Integrated Health Providers During a Flood Disaster in South Carolina. Prehospital and disaster medicine: 33(4), 432-435.

 


11/17/1471: a storm in the North Sea batters the European coastline. Over the next several days, approximately 10,000 people in what is now the Netherlands died in the resulting floods.

History


Venice under water: Strong winds raised the water level over 5 feet before receding.


10/9/1963, Italy: A landslide leads to over 2,000 deaths when it causes a sudden and massive wave of water to overwhelm the Diga del Vajont dam.

History


NASA: Before and after Hurricane Florence swept through the Carolinas

The National Weather Service office in Raleigh offered a preliminary estimate that nearly 8 trillion gallons of rain fell on North Carolina from Sept 13 to 17, 2018. That led to catastrophic flooding across many parts of the state.

Before and after Hurricane Florence swept through the Carolinas, the Operational Land Imager (OLI) on the Landsat 8 satellite observed several residential areas and major rivers. The image pair above shows the Trent River on July 14, 2017, and September 19, 2018. These false-color images use a combination of visible and infrared light (OLI bands 6-5-4) to make it easier to distinguish between flood waters and land.

The Trent River reached an all-time high of 29 feet (8.8 meters) on September 17, more than twice the flood stage (the height at which the river will overflow and cause damage). Water levels decreased to 24 feet (7.3 meters) by September 20, but many homes, public buildings, and roads leading to the town of Trenton are full of standing water.


Hurricane Rosa likely to bring flooding rains across northern Mexico and the southwest U.S. over the coming days.

ABC

[Image of WPC Flash Flooding/Excessive Rainfall Outlook]

[Image of WPC QPF U.S. rainfall potential]

 

 

 

 


Healthcare delivery after Florence

Modern Health

When Atrium Health’s mobile hospital unit arrived into Burgaw, N.C., on Tuesday from its home-base in Charlotte, residents of the rural area had been without medical care for days in the wake of Hurricane Florence. They lined up for help even as the medical team was setting up in a Family Dollar parking lot.

The area’s Pender Memorial Hospital, a critical access hospital, was evacuated ahead of the storm and remained closed because of flooding. The nearest open hospital sat at least 50 miles to the south in Wilmington, N.C., a city unreachable by ground transportation after rising floodwaters cut if off from the rest of the state.

Within 18 hours Atrium Health’s Med-1 mobile hospital team of 32 physicians, nurses and other clinicians had treated more than 50 patients, many with chronic diseases, such as heart disease or diabetes. Their conditions had been exacerbated by the stress of the hurricane, loss of electricity or homes and the lack of medical care. Others suffered minor injuries that turned major after becoming infected by unclean water and debris…..Hospitals prepared extensively for the hurricane by stocking up on fuel, water, food and medical supplies as part of emergency plans that had been tested and honed by past disasters.

Many had evacuated patients well enough to be moved to make room for the injured they expected to see after the storm.

Others had sheltered in place—their nurses, physicians, management and other essential staff working in shifts day after day to care for their communities. Once the winds subsided, hospitals worked with their suppliers to get additional food, water and medicine before flooding became worse……”

 


North Carolina & Florence: Millions of chickens and thousands of pigs died

CNN

Flood Statement
National Weather Service Raleigh, NC
945 PM EDT Wed Sep 19 2018

…The Flood Warning continues for the following rivers in North
Carolina…

Little River At Manchester affecting Cumberland County

PRECAUTIONARY/PREPAREDNESS ACTIONS…

Safety message. If you encounter deep water while driving, do not
attempt to drive through. Turn around, dont drown.

&&

NCC051-201344-
/O.EXT.KRAH.FL.W.0011.000000T0000Z-180924T1648Z/
/MANN7.3.ER.180915T1619Z.180917T2200Z.180924T0448Z.NR/
945 PM EDT Wed Sep 19 2018

The Flood Warning continues for
the Little River At Manchester.
* At  9:30 PM Wednesday the stage was 28.0 feet.
* Flood stage is 18.0 feet.
* Major flooding is occurring and Major flooding is forecast.
* Forecast…The river will continue to fall to below flood stage by
early Monday morning.
* Impact…At 30.0 feet, Water reaches the base of the Bragg Blvd (Hwy
24/87) bridge across the Little River.
* Impact…At 28.0 feet, Flooding reaches the road surface of the
Manchester Road bridge.
* Impact…At 27.0 feet, Major flood stage. The Starlite motel is
flooded and Manchester Road is closed.
* Impact…At 25.0 feet, Water reaches the base of the Manchester Road
bridge and the foundation of the Starlite motel at the intersection
of Manchester Road and Bragg Blvd (Hwy 24/87).
* Impact…At 24.0 feet, Moderate flood stage. Manchester Road is
flooded.
* Impact…At 23.0 feet, Minor flooding begins on Manchester Road near
the Fort Bragg water treatment plant.
* Impact…At 18.0 feet, Flood stage. Minor flood problems begin in
Fort Bragg near the water treatment plant.

 


Hurricane Florence Flooding in Fayetteville, NC 17SEP2018


Flood outlook after Florence

Legend description:

  • Occurring or Imminent – Significant flooding is already occurring or is forecast to occur during the outlook period.
  • Likely – Weather conditions indicate that significant flooding can be expected during the outlook period.
  • Possible – Weather conditions indicate that significant flooding could occur. Such flooding is neither certain nor imminent.

Significant Flood Outlook Graphic Map


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