Disaster and mass casualty triage.

Disaster and mass casualty triage.
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DOI:
10.1001/virtualmentor.2010.12.6.cprl1-1006
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发表时间:
2010-06-01
期刊:
The virtual mentor : VM
影响因子:
--
通讯作者:
Lee, Christopher H
Lee, Christopher H
中科院分区:
其他
文献类型:
--
作者:
Lee, Christopher H

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世界卫生组织将一场灾难定义为“正常的生存条件被扰乱,痛苦程度超过了受灾害影响的社区的应对能力”。每年,全球都有超过10万人死于自然灾害,还有数百万人受伤或致残[1]。2010年袭击海地的灾难性地震和2004年印度洋的破坏性海啸是最近的例子,表明在这种破坏之后提供医疗保健的困难。灾难的定义是压倒反应能力,而大规模伤亡事件(MCI)更常见,其定义是对医疗资源和人员的巨大需求[2]。当地的应对能力并未不堪重负,但仍有大量患者需要分诊。在美国,MCI的一个常见例子是多辆汽车或公共汽车相撞。
The World Health Organization defines an event as a disaster when “normal conditions of existence are disrupted and the level of suffering exceeds the capacity of the hazard-affected community to respond to it.” In any given year, more than 100,000 people are killed in natural disasters around the globe, and millions more are injured or disabled [1]. The catastrophic earthquake that struck Haiti in 2010 and the destructive tsunami in the Indian Ocean in 2004 are recent examples that show the difficulties in providing medical care in the wake of such devastation.While a disaster by definition overwhelms response capabilities, a mass casualty incident (MCI) occurs more commonly and is defined as a situation that places a significant demand on medical resources and personnel [2]. Local response capabilities are not overwhelmed, but there are still a large number of patients requiring triage. A commonly occurring example of an MCI in the United States is a multiple vehicle or bus collision.