Katrina, the tsunami, and point-of-care testing: Optimizing rapid response diagnosis in disasters
Katrina, the tsunami, and point-of-care testing: Optimizing rapid response diagnosis in disasters
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DOI：
10.1309/nwu5e6t0l4pfcbd9
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发表时间：
2006-10-01
影响因子：
3.5
通讯作者：
Peungposop, Narisara
中科院分区：
文献类型：
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作者：
Kost, Gerald J.;Tran, Nam K.;Peungposop, Narisara
我们评估了医疗点测试(POCT)，即在患者护理现场或附近进行的诊断测试，如何在灾难期间优化诊断、分诊和患者监控。我们调查了泰国海啸受灾最严重省份的4个初级保健单位(PCU)和10家医院，以及卡特里娜飓风影响地区的22家医院。我们评估了POCT、重症监护测试、危重值通知、人口统计学和灾难响应。有限的可用性和糟糕的组织严重限制了POCT的使用。海啸影响了48个PCU以及岛屿和省级医院，这些医院缺乏足够的诊断仪器。重大受害者的突然超载和交通故障导致了过度的死亡。在……里面。洛杉矶新奥尔良的洪水阻碍了原本可以装备POCT的救援队。美国的海上、陆地和空中救援使POCT仪器更接近洪灾地区。卡特里娜飓风展示了POCT在灾难应对中的价值。我们推荐手持POCT机载危重医疗检测，并在全球小世界网络中使用特定于灾难的移动医疗单元。
We assessed how point-of-care testing (POCT), diagnostic testing at or near the site of patient care, can optimize diagnosis, triage, and patient monitoring during disasters. We surveyed 4 primary care units (PCUs) and 10 hospitals in provinces hit hardest by the tsunami in Thailand and 22 hospitals in Katrina-affected areas. We assessed POCT, critical care testing, critical values notification, demographics, and disaster responses.Limited availability and poor organization severely limited POCT use. The tsunami impacted 48 PCUs plus island and province hospitals, which lacked adequate diagnostic instruments. Sudden overload of critical victims and transportation failures caused excessive mortality. In. New Orleans, LA, flooding hindered rescue teams that could have been POCT-equipped. US sea, land, and airborne rescue brought POCT instruments closer to flooded areas. Katrina demonstrated POCT value in disaster responses. We recommend handheld POCT airborne critical care testing, and disaster-specific mobile medical units in small-world networks worldwide.