A CLIMATE: A Tool for Assessment of Climate-Change-Related Health Consequences in the Emergency Department

J Emerg Nurs. 2021 Jul;47(4):532-542.e1. doi: 10.1016/j.jen.2020.10.002. Epub 2020 Dec 3.

Abstract

Climate change is an urgent public health problem that has looming implications and associated deleterious health consequences. The intersection of climate change and health has broad implications for health professionals in a variety of settings but especially for ED settings. Climate change is already affecting human health and health systems-which includes impacts on ED care. Disaster response and emergency preparedness are critically important public health interventions in our climate-changing world, and the contributions of emergency nurses are essential. Disaster preparedness, environmental emergency response, and health emergency management are important elements of emergency nursing and are explicated in Sheehy's Emergency Nursing Principles and Practices, 7th Edition. The purpose of this article is to present an overview of a clinical tool and mnemonic, A CLIMATE, developed by the authors with application to a case review. It is imperative that the nursing profession-particularly emergency clinicians-address the intersection of climate and health to engage in the assessment, intervention, management, evaluation, education, and referral of those who present to emergency departments with potential climate-related health impacts.

Keywords: Climate and health; Climate change; Emergency department assessment; Global warming.

Publication types

  • Review

MeSH terms

  • Civil Defense*
  • Climate Change
  • Disasters*
  • Emergency Service, Hospital
  • Humans
  • Public Health