Abstract
The 1979 nuclear accident at Three Mile Island (TMI) near Harrisburg, Pennsylvania, caused severe organizational problems for neighboring health care institutions. Dauphin County, just north of TMI, contained four hospitals ranging in distance from 9.5 to 13.5 miles from the stricken plant. Crash plans put into effect within 48 hours of the initial incident successfully reduced hospital census to below 50 per cent of capacity, but retained bedridden and critically ill patients within the risk-zone. No plans existed for area-wide evacuation of hospitalized patients. Future-oriented disaster planning should include resource files of host institution bed capacity and transportation capabilities for the crash evacuation of hospitalized patients during non-traditional disasters.
Full text
PDF![275](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c0/1649805/cc1c02ebae57/amjph00650-0053.png)
![276](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c0/1649805/7ae43bb8fe1c/amjph00650-0054.png)
![277](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c0/1649805/f179c4456a99/amjph00650-0055.png)
![278](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c0/1649805/cf317f6dab48/amjph00650-0056.png)
![279](https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c0/1649805/49c183e061cb/amjph00650-0057.png)
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Demuth W. E., Jr, Trautlein J. J. The luck of Three Mile Island. J Trauma. 1979 Oct;19(10):792–794. doi: 10.1097/00005373-197910000-00015. [DOI] [PubMed] [Google Scholar]
- Haglund K. At Hershey: medical system near 'failure' during Three Mile Island. New Physician. 1979 Jun;28(6):24–25. [PubMed] [Google Scholar]
- Katz I. B., Pascarelli E. F. Planning and developing a community hospital disaster program. Emerg Med Serv. 1978 Sep-Oct;7(5):69-70, 72, 95. [PubMed] [Google Scholar]
- Kuntz E. Hospitals prepare radiation plans in wake of nuclear plant accident. Mod Healthc. 1979 Jul;9(7):16–16. [PubMed] [Google Scholar]
- Smith J. S., Jr, Fisher J. H. Three mile island. The silent disaster. JAMA. 1981 Apr 24;245(16):1656–1659. [PubMed] [Google Scholar]
- Strohl G. R., Jr Nuclear threat: hospitals need to know. OH. 1979 Jul-Aug;23(7):6, 8-9. [PubMed] [Google Scholar]
- Weidner W. A., Miller K. L., Latshaw R. F., Rohrer G. V. The impact of a nuclear crisis on a radiology department. Radiology. 1980 Jun;135(3):717–723. doi: 10.1148/radiology.135.3.7384461. [DOI] [PubMed] [Google Scholar]