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.
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The authors have stated that they do not have a significant financial interest or other relationship with any product manufacturer or provider of services discussed in this article. This work was partially supported by grants from Jewish Healthcare International, the Baltimore City Medical Society, and the American Osteopathic Association. The authors do not discuss the use of off-label products, which includes unlabeled, unapproved, or investigative products or devices.
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Murdoch, S., Cymet, T.C. Treating the victims after disaster. Compr Ther 32, 39–42 (2006). https://doi.org/10.1385/COMP:32:1:39
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DOI: https://doi.org/10.1385/COMP:32:1:39