title: Treating the victims after disaster: physical and psychological effects.
abstract: Disaster victims present in waves. The initial presenting group is traditionally suffering from mild physical injuries, and the second wave, usually following 6 h later, typically has more serious trauma. Medical problems typically are not adequately treated when a person has psychological reasons to worry about survival. The third wave of victims from untreated medical problems occurs 6 d after the initial disaster. Triage of the initial waves is important to prevent the system from becoming overwhelmed and to begin looking for those who will suffer long-term psychological sequelae. Early intervention in those at greatest risk for long-term issues is important and can be accomplished.
authors.affiliation: University of Maryland, Baltimore, MD, USA.
authors.forename: Shayna
authors.initials: S
authors.lastname: Murdoch
authors.forename: Tyler Childs
authors.initials: TC
authors.lastname: Cymet
mesh_terms: D004189:Disaster Planning; D004190:Disasters; D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D013315:Stress, Psychological / Q000628:therapy*; D014218:Triage