Abstract

After Hurricane Laura struck the southeast coast of Louisiana in August 2020, the National Disaster Medical System (NDMS), a component of the US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, deployed several 35-person disaster medical assistance teams in response to requests for medical support at 3 hospital locations that had been severely damaged in the storm. This was the first natural disaster medical deployment for NDMS during the coronavirus disease (COVID-19) pandemic. This article describes the modifications to the standard operating procedures that were made at 1 site to reduce the risk of infection to our patients and NDMS responders, including changes to the physical layout of the tenting, and alterations to the triage and treatment process.

Highlights

  • Hurricane Laura was a Category 4 storm on the Saffir-Simpson scale that made landfall near Cameron, Louisiana, in the early morning hours of August 27, 2020

  • Two of the disaster medical assistance teams (DMATs) deployed used a hybrid service model where they were integrated with the hospitals they were assisting, providing some tent-based medical care combined with National Disaster Medical System (NDMS) staff augmentation to the emergency departments (EDs)

  • The DMAT was assigned its mission on post-storm day (PSD) 3, the team arrived at the end of PSD 4, and began 24/7 operations on PSD 5

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Summary

Introduction

Hurricane Laura was a Category 4 storm on the Saffir-Simpson scale that made landfall near Cameron, Louisiana, in the early morning hours of August 27, 2020. Two of the DMATs deployed used a hybrid service model where they were integrated with the hospitals they were assisting, providing some tent-based medical care combined with National Disaster Medical System (NDMS) staff augmentation to the ED.

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