Management of evacuee surge from a disaster area: solutions to avoid non-emergent, emergency department visits.
BACKGROUND
Many emergency departments (EDs) in the United States experience daily overcrowding, and a rapid influx of evacuees fleeing a disaster area can pose a substantial burden. Some of these evacuees may require ED care. However, others lack an alternative to the ED to address non-emergent medical concerns (prescription refills or outpatient referral).


OBJECTIVE
The objective of this study was to describe a successful multidisciplinary Hurricane Katrina Evacuation Center, explain the services offered, and determine the center's effects on referrals to local EDs.


METHODS
Data were collected concerning the number of patients utilizing the medical evaluation center and compared to the total number of evacuees to determine the proportion that utilized medical care. The data concerning patients given prescriptions was obtained by the estimation of the two medical directors of the Center, and therefore, is inexact.


RESULTS
During the five weeks the center was operational, 631 of 716 evacuees (88%) requested medical evaluation, and >80% of those had prescriptions written. Only four (<1%) patients were transported to local EDs.


CONCLUSIONS
An evacuee evaluation center provides a convenient non-ED alternative for evacuees to address their non-emergent medical concerns and can be used to ease their transition to a new location.
Irvin
Charlene B
CB
Wayne State University School of Medicine, Detroit, Michigan, USA. cbi@123.net
Atas
Jenny G
JG
D000328:Adult; D000368:Aged; D004189:Disaster Planning / Q000379:methods*; D004190:Disasters; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008145:Louisiana; D008297:Male; D008875:Middle Aged; D012036:Refugees; D012189:Retrospective Studies; D014218:Triage / Q000379:methods*