title: The St Croix disaster and the National Disaster Medical System.
abstract: The National Disaster Medical System was designed to respond to a catastrophic disaster by creating a group of specially trained civilian disaster medical assistance teams. The teams would be transported to the periphery of the event to triage, stabilize, and then prepare victims for evacuation to facilities elsewhere in the United States that have agreed in advance to accept such patients. Hurricane Hugo's devastation in St Croix offered the first opportunity to test the system. The event was an example of a type of medical disaster that resulted in a sudden reduction in medical resources without a great increase in casualties. Background information and operation of the New Mexico disaster medical assistance team are presented with a clinical profile of the patients seen during the disaster. We describe the first actual deployment of a disaster medical assistance team and the issues that must be addressed before future deployments.
authors.affiliation: Division of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque.
authors.forename: P B
authors.initials: PB
authors.lastname: Roth
authors.forename: A
authors.initials: A
authors.lastname: Vogel
authors.forename: G
authors.initials: G
authors.lastname: Key
authors.forename: D
authors.initials: D
authors.lastname: Hall
authors.forename: C T
authors.initials: CT
authors.lastname: Stockhoff
mesh_terms: D004189:Disaster Planning; D004190:Disasters; D004631:Emergency Medical Service Communication Systems / Q000458:organization & administration; D004632:Emergency Medical Services / Q000706:statistics & numerical data; D006801:Humans; D010348:Patient Care Team; D012066:Relief Work; D014481:United States; D014767:United States Virgin Islands