Original Article

Psychiatry Consultation During Disaster Preparedness Hurricane Gustav

Authors: Erich J. Conrad, MD, Kimberly M. Lavigne, MD

Abstract

Objectives: Little is known about patient populations that remain during or after the mandatory evacuation of a city and use hospital services. This study sought to characterize the population that presented to an emergency department during Hurricane Gustav in 2008.


Methods: This was a retrospective chart review of patients who presented to the Interim Louisiana State University Hospital emergency department in New Orleans during the 72-hour activation phase of Hurricane Gustav.


Results: Of the 104 patients, 51 (49%) had a psychiatric diagnosis. Among the psychiatric patients, 34 (67%) had a substance use disorder diagnosis, 16 (31%) had a mood disorder, 13 (25%) had a psychotic disorder, and 4 (8%) had an anxiety disorder. The psychiatry service was the most used consultation service.


Conclusions: To our knowledge, this is the first report to characterize the patient population presenting to an emergency department during a hurricane evacuation. Data suggest that disaster preparedness should include psychiatric consultation services. The consultation psychiatrist may anticipate patients with high levels of substance use disorders and the need for ongoing psychiatric management until the event ends.

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References

1. Lubit R, Rovine D, DeFrancisci L, et al. Impact of trauma on children. J Psychiatr Pract 2003; 9: 128–138.
 
2. Bishop L, Thornby J. Psychiatric consultation with medical evacuees of Hurricane Katrina. Wilderness Environ Med 2009; 20: 1–5.
 
3. Raphael B, Ma H. Mass catastrophe and disaster psychiatry. Mol Psychiatry 2011; 16: 247–251.
 
4. Claassen C, Kashner TM, Kashner TK, et al. Psychiatric emergency “surge capacity” following acts of terrorism and mass violence with high media impact: what is required? Gen Hosp Psychiatry 2011; 33: 287–293.
 
5. US Census Bureau. Population estimates. Annual estimates of the resident population for counties: April 1, 2000 to July 1, 2008. http://www.census.gov/popest/data/counties/totals/2008/CO-EST2008-01.html. Accessed June 10, 2012.
 
6. Norwood A, Ursano R, Fullerton C. Disaster psychiatry: principles and practice. Psychiatr Q 2000; 71: 208–226
 
7. Stoddard FJ Jr. Executive summary of Psychiatry Disaster Guidelines and Models for Hospitals. http://www.psychiatry.org/File%20Library/Practice/Professional%20Interests/Disaster%20Psychiatry/Disaster-Psychiatry-Readiness-Evaluation-and-Treatment-.pdf. Published July 6, 2010. Accessed June 10, 2012.
 
8. Locke SE. Psychosomatic medicine and biodefense preparedness—a new role for the American Psychosomatic Society. Psychosom Med 2006; 68: 698–705.