{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:43:45Z","timestamp":1792489425002,"version":"4.5.0"},"reference-count":17,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["annemergmed.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Annals of Emergency Medicine"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.annemergmed.2026.01.005","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T12:39:39Z","timestamp":1770727179000},"page":"606-613","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Lessons Learned From Helene: The Role of a Rural Community Hospital in Disaster Response After a Major Hurricane"],"prefix":"10.1016","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2052-1513","authenticated-orcid":false,"given":"Stephen","family":"Gamboa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul Roman","family":"Chelminski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2944-8581","authenticated-orcid":false,"given":"Christina","family":"Shenvi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.annemergmed.2026.01.005_bib3","doi-asserted-by":"crossref","first-page":"129","DOI":"10.5811\/westjem.2021.9.52294","article-title":"Community hospital response to COVID-19 outbreak","volume":"23","author":"Rahman","year":"2022","journal-title":"West J Emerg Med"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib4","doi-asserted-by":"crossref","first-page":"2049","DOI":"10.1056\/NEJMsb2005114","article-title":"Fair allocation of scarce medical resources in the time of Covid-19","volume":"382","author":"Emanuel","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib5","series-title":"Mass Medical Care with Scarce Resources: A Community Planning Guide. Prepared by Health Systems Research, Inc., an Altarum company, under contract No. 290-04-0010. AHRQ Publication No. 07-0001","year":"2007"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib6","article-title":"Hospital preparedness, mitigation, and response to Hurricane Harvey in Harris County, Texas","volume":"17","author":"Hines","year":"2021","journal-title":"Disaster Med Public Health Prep"},{"issue":"4 Suppl","key":"10.1016\/j.annemergmed.2026.01.005_bib7","doi-asserted-by":"crossref","first-page":"e103S","DOI":"10.1378\/chest.14-0739","article-title":"Business and continuity of operations: care of the critically ill and injured during pandemics and disasters: CHEST consensus statement","volume":"146","author":"Tosh","year":"2014","journal-title":"Chest"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib8","author":"Goodell"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib9","series-title":"Helene Response Communications [Internet]","year":"2024"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib10","series-title":"VIPER Statewide Template: Operating Requirements and Usage Guidelines [Internet]","year":"2024"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib11","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1002\/jhm.2228","article-title":"Smarter hospital communication: secure smartphone text messaging improves provider satisfaction and perception of efficacy, workflow","volume":"9","author":"Przybylo","year":"2014","journal-title":"J Hosp Med"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib12","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/j.ijmedinf.2014.07.007","article-title":"Contingency planning for electronic health record-based care continuity: a survey of recommended practices","volume":"83","author":"Sittig","year":"2014","journal-title":"Int J Med Inform"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib13","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.jcrc.2007.01.004","article-title":"Downtime procedures for a clinical information system: a critical issue","volume":"22","author":"Nelson","year":"2007","journal-title":"J Crit Care"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib14","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1111\/ijpp.12346","article-title":"Impact of diabetic ketoacidosis management in the medical intensive care unit after order set implementation","volume":"25","author":"Laliberte","year":"2017","journal-title":"Int J Pharm Pract"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib15","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1093\/jamia\/ocx057","article-title":"Implications of electronic health record downtime: an analysis of patient safety event reports","volume":"25","author":"Larsen","year":"2018","journal-title":"J Am Med Inform Assoc"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib16","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1016\/j.pcad.2020.08.004","article-title":"The role of diet and nutrition in heart failure: a state-of-the-art narrative review","volume":"63","author":"Billingsley","year":"2020","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib17","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.02563-2024","article-title":"Natural disasters and respiratory health","volume":"66","author":"Annesi-Maesano","year":"2025","journal-title":"Eur Respir J"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib18","first-page":"34","article-title":"The role of hospitals in disaster","author":"Chaffee","year":"2006","journal-title":"In: Ciottone GR (ed.). Disaster Medicine. Mosby"},{"key":"10.1016\/j.annemergmed.2026.01.005_bib19","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1590\/S1807-59322007000300007","article-title":"Drug-dispensing errors in the hospital pharmacy","volume":"62","author":"Anacleto","year":"2007","journal-title":"Clinics (Sao Paulo)"}],"container-title":["Annals of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196064426000065?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0196064426000065?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T09:32:30Z","timestamp":1792488750000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0196064426000065"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["S0196064426000065"],"URL":"https:\/\/doi.org\/10.1016\/j.annemergmed.2026.01.005","relation":{},"ISSN":["0196-0644"],"issn-type":[{"value":"0196-0644","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Lessons Learned From Helene: The Role of a Rural Community Hospital in Disaster Response After a Major Hurricane","name":"articletitle","label":"Article Title"},{"value":"Annals of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.annemergmed.2026.01.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by the American College of Emergency Physicians.","name":"copyright","label":"Copyright"}]}}