At around the 4th day initial response resources are being depleted and hospitals are at or over their capacity. It is as this point a typical secondary surge begins. This consists of those with chronic illnesses, those now able to move about and report for medical care, persons suffering from shock, and those injured as they respond and/or become dehydrated or exhausted. Of these, vulnerable populations, such as the homeless, will tend to make their way to healthcare facilities for already mentioned reasons. This surge, along with limited supply/re-supply capabilities will overwhelm the treatment facilities and provide for a real medical emergency. Runkle concludes that more effort should be made pre-disaster to utilize primary care providers, in any form, to prepare vulnerable populations for disasters. In his view, a true “medical care needs assessment” must take place to limit surge capacity breakdown at time of disaster (Runkle,
At around the 4th day initial response resources are being depleted and hospitals are at or over their capacity. It is as this point a typical secondary surge begins. This consists of those with chronic illnesses, those now able to move about and report for medical care, persons suffering from shock, and those injured as they respond and/or become dehydrated or exhausted. Of these, vulnerable populations, such as the homeless, will tend to make their way to healthcare facilities for already mentioned reasons. This surge, along with limited supply/re-supply capabilities will overwhelm the treatment facilities and provide for a real medical emergency. Runkle concludes that more effort should be made pre-disaster to utilize primary care providers, in any form, to prepare vulnerable populations for disasters. In his view, a true “medical care needs assessment” must take place to limit surge capacity breakdown at time of disaster (Runkle,