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On the medical edge: preparation of expatriates, refugee and disaster relief workers, and Peace Corps volunteers.
Infect Dis Clin North Am. 2005 Mar; 19(1):85-101.ID

Abstract

Travelers to extreme environments and those who spend long periods of time in settings with limited health care resources need to have more detailed pretravel screening and education than the routine short-term traveler. Expatriates, relief workers, and Peace Corps volunteers need to receive careful pretravel medical, dental, and psychologic screening before deployment. Knowledge of special risks associated with the environment in which they will be stationed is necessary to provide effective education about ways to reduce or eliminate the risk of illness and death. The travel medicine practitioner should also provide detailed, region-specific recommendations regarding emergency care while traveling in remote regions. Information on foreign medical facilities and practitioners should be gathered in advance and regularly updated. Many fee-for-service directories of overseas medical centers are often out of date and do not include emergency contact information. Once deployed, systems should be in place to ensure the traveler's continued personal safety and maintenance of good health. Although these systems are generally beyond the scope of work of travel medicine providers, it is important for the long-term traveler to be aware of the need to be prepared to deal with unexpected medical events. In the event of an overseas emergency, the travel medicine specialist may be called on to facilitate ground or air medical evacuation to the most appropriate medical center, to communicate treatment priorities and pertinent medical details to foreign medical providers, and to facilitate international air evacuation or repatriation if necessary. In each of these cases, the experience for the patient and the travel health professional is dramatically improved by adhering to risk-reduction measures, such as pretravel screening, pretravel health and safety education, and preparing for emergencies in advance.

Authors+Show Affiliations

Biodefense and Mass-Casualty Care Center for Integration of Medicine and Innovative Technologies, Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA 02139, USA. MVCallahan@partners.orgNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15701548

Citation

Callahan, Michael V., and Davidson H. Hamer. "On the Medical Edge: Preparation of Expatriates, Refugee and Disaster Relief Workers, and Peace Corps Volunteers." Infectious Disease Clinics of North America, vol. 19, no. 1, 2005, pp. 85-101.
Callahan MV, Hamer DH. On the medical edge: preparation of expatriates, refugee and disaster relief workers, and Peace Corps volunteers. Infect Dis Clin North Am. 2005;19(1):85-101.
Callahan, M. V., & Hamer, D. H. (2005). On the medical edge: preparation of expatriates, refugee and disaster relief workers, and Peace Corps volunteers. Infectious Disease Clinics of North America, 19(1), 85-101.
Callahan MV, Hamer DH. On the Medical Edge: Preparation of Expatriates, Refugee and Disaster Relief Workers, and Peace Corps Volunteers. Infect Dis Clin North Am. 2005;19(1):85-101. PubMed PMID: 15701548.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - On the medical edge: preparation of expatriates, refugee and disaster relief workers, and Peace Corps volunteers. AU - Callahan,Michael V, AU - Hamer,Davidson H, PY - 2005/2/11/pubmed PY - 2005/5/5/medline PY - 2005/2/11/entrez SP - 85 EP - 101 JF - Infectious disease clinics of North America JO - Infect. Dis. Clin. North Am. VL - 19 IS - 1 N2 - Travelers to extreme environments and those who spend long periods of time in settings with limited health care resources need to have more detailed pretravel screening and education than the routine short-term traveler. Expatriates, relief workers, and Peace Corps volunteers need to receive careful pretravel medical, dental, and psychologic screening before deployment. Knowledge of special risks associated with the environment in which they will be stationed is necessary to provide effective education about ways to reduce or eliminate the risk of illness and death. The travel medicine practitioner should also provide detailed, region-specific recommendations regarding emergency care while traveling in remote regions. Information on foreign medical facilities and practitioners should be gathered in advance and regularly updated. Many fee-for-service directories of overseas medical centers are often out of date and do not include emergency contact information. Once deployed, systems should be in place to ensure the traveler's continued personal safety and maintenance of good health. Although these systems are generally beyond the scope of work of travel medicine providers, it is important for the long-term traveler to be aware of the need to be prepared to deal with unexpected medical events. In the event of an overseas emergency, the travel medicine specialist may be called on to facilitate ground or air medical evacuation to the most appropriate medical center, to communicate treatment priorities and pertinent medical details to foreign medical providers, and to facilitate international air evacuation or repatriation if necessary. In each of these cases, the experience for the patient and the travel health professional is dramatically improved by adhering to risk-reduction measures, such as pretravel screening, pretravel health and safety education, and preparing for emergencies in advance. SN - 0891-5520 UR - https://www.unboundmedicine.com/medline/citation/15701548/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0891-5520(04)00134-5 DB - PRIME DP - Unbound Medicine ER -