Medical needs addressed at area shelter housing 2,400.

Doctors assist evacuees

LSU Health Shreveport physicians responded to medical needs of over 550 Hurricane Harvey evacuees, including children and the elderly, at the Jewella Critical Transportation Needs Shelter (CTNS) in Shreveport between August 31 and September 6.

The Jewella CTNS is a component of the state’s hurricane sheltering plan for those lacking transportation in an evacuation. A former Sam’s Club store, the repurposed building is configured to shelter 2400 hurricane evacuees.
As part of Louisiana Department of Health and Region 7 Health Care Coalition planning, a team of LSU Health emergency medicine physicians led the shelter medical unit that included support staffing from the volunteer Medical Reserve Corps and David Raines Community Clinic.

History
Hurricane Katrina (2005) and Gustov (2008) demonstrated the needs and challenges in providing medical care to a large sheltering population in Shreveport-Bossier City. Evacuees arrive in the area with a range of health maladies, many without resources including medications. A shelter medical unit provides for urgent needs while mitigating impacts on local hospitals and health systems.

LSU Health Physicians Responding
The Jewella CTNS medical unit was led by ED attending Brian Martin, MD. Another ED attending was Britni Stenard, MD. Emergency medicine residents included Lupe Duran, MD; Ken Maniscalco, MD; Cory Markham, MD; Blake Goodman, MD: Jenny Jones, MD: Quinn Cummings, MD; Anisha Turner, MD; Britni Sternard, MD; Stacy Henderson, MD; Luke Cvitanovic, MD; and Kellsey Moody, MD.
Pediatric medical care providers in the shelter included Joseph Bocchini, MD; attendings Steve Bienvenu, MD, and Fred Sullivan, MD, and included Pediatric residents Maxie Davie, MD; Tierney Plotter, MD; and Alice Madani, MD.

Activation
Upon notification Dr. Brian Martin activated his team of emergency medicine residents who staffed the Jewella shelter medical unit. Physicians were on site to assist with bus triage of evacuees and provide medical care to those who lost everything in the floods. Shelter Medical Unit physicians evaluated over 165 patient evacuees, wrote over 550 prescriptions and assisted to coordinate 12 EMS transports from the Jewella shelter to local hospital emergency departments.

Validation
Knox Andress, RN at the Louisiana Poison Center serving as Hospital Designated Regional Coordinator, reports the plan of LSU Health emergency medicine physician response to local state shelters was first validated in response to Hurricane Isaac in 2012 and was reaffirmed in the Hurricane Harvey response.