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Healthcare Providers
Health Care Provider Guidance
For private physician practices and clinics there are several ways you can help after a disaster in your community. First you must make sure your regular patients can be cared for. History shows people who are injured in a disaster are most likely going to try to go to the doctor or clinic they know. After you have a plan for what to do about your regular patients, then you can think about how you can help the larger community.
Preparedness Planning for Your Practice
At-Risk Populations
Certain patients require a little extra thought and preparation for care after a disaster. When you are providing care for at-risk populations, make sure they have a plan for disaster response if they have to fend for themselves. Do they have extra medical supplies, medications, oxygen? Do they know who to call if they need help? Then keep a list of your priority at-risk patients so you know who is mostly likely to need help after a disaster.
HIPAA
After a disaster some HIPAA regulations may be relaxed in order to locate displaced persons or to gain important health information about disaster victims.
http://www.hhs.gov/ocr/privacy/hipaa/understanding/special/emergency/decisiontoolintro.html
Bioterrorism
Bioterrorism continues to be a threat to all communities in the United States. Sometimes bioterrorism attacks are announced by the perpetrators and sometimes they are not. You may be the first person to identify an unusual collection of symptoms in your patients. Many bioterrorism agents present initially with symptoms of influenza. Become familiar with the differential diagnosis for bioterrorism agents.
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There are several areas in Indiana populated by a variety of refugees. Do you know the languages the refugees in your community speak? Do you know the common medical conditions of the refugees? Based on their culture, what is the likely reaction going to be after a disaster?
http://www.rhin.org/Diagnosing Anthrax
http://www.cdc.gov/osels/ph_surveillance/nndss/casedef/antrax_current_1.htm
http://emergency.cdc.gov/agent/anthrax/anthrax-hcp-factsheet.aspA widened mediastinum upon x-ray may be diagnostic of Anthrax
http://emergency.cdc.gov/agent/anthrax/anthrax-images/inhalational.aspPregnant women and anthrax
http://emergency.cdc.gov/agent/botulism/hcpfacts.aspBotulism usually displays descending flaccid paralysis
http://emergency.cdc.gov/agent/botulism/hcpfacts.aspThe most likely form of plague for a terrorist to use is pneumonic plague
http://emergency.cdc.gov/agent/plague/faq.aspNaturally occurring smallpox has been eradicated but can now be manufactured in a laboratory and servicemen being deployed overseas are being vaccinated against it.
http://emergency.cdc.gov/agent/smallpox/diagnosis/Tularemia is also known as rabbit fever and is endemic in the southwestern United States
http://www.cdc.gov/tularemia/clinicians/Ricin is made from castor beans
http://emergency.cdc.gov/agent/ricin/clinicians/clindesc.aspThere is no antidote for ricin
http://emergency.cdc.gov/agent/ricin/clinicians/treatment.asp