How to Surge to Face the SARS-CoV-2 Outbreak: Lessons Learned From Lombardy, Italy
How to Surge to Face the SARS-CoV-2 Outbreak: Lessons Learned From Lombardy, Italy
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DOI：
10.1017/dmp.2020.64
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发表时间：
2020-10-01
影响因子：
2.7
通讯作者：
Lennquist, Sten
中科院分区：
文献类型：
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作者：
Faccincani, Roberto;Pascucci, Federico;Lennquist, Sten
意大利正在与1918年西班牙流感以来最严重的医疗紧急情况之一作斗争。医院的压力是巨大的。至于3月14日的官方数据：8372人入院，1518人在重症监护室，1441人死亡（比前一天增加175人）。不幸的是，医院没有做好准备：即使有大量病人涌入的计划，它通常集中在突发性灾难创伤受害者（最有可能的情况），而且还没有经过测试，验证或传播给工作人员。尽管如此，重大事故和灾害管理的全风险方法仍然有效，“4S”理论（人员、人员、结构、系统）的激增能力可以指导应对这一灾难。
Italy is fighting against one of the worst medical emergency since the 1918 Spanish Flu. Pressure on the hospitals is tremendous. As for official data on March 14th: 8372 admitted in hospitals, 1518 in intensive care units, 1441 deaths (175 more than the day before). Unfortunately, hospitals are not prepared: even where a plan for massive influx of patients is present, it usually focuses on sudden onset disaster trauma victims (the most probable case scenario), and it has not been tested, validated, or propagated to the staff. Despite this, the All Hazards Approach for management of major incidents and disasters is still valid and the "4S" theory (staff, stuff, structure, systems) for surge capacity can be guidance to respond to this disaster.