Information technology and emergency medical care during disasters

Information technology and emergency medical care during disasters
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DOI:
10.1197/j.aem.2004.08.018
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发表时间:
2004-11-01
影响因子:
4.4
通讯作者:
Lenert, L
Lenert, L
中科院分区:
医学3区
文献类型:
--
作者:
Chan, TC;Killeen, J;Lenert, L

文献摘要

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对大规模伤亡事件的灾难响应是社区应急响应系统面临的最大挑战之一。救援人员、现场医务人员、地区急救部门和医院经常必须在资源有限、沟通不畅、信息错误、基础设施受损和巨大个人风险的情况下为大量伤员提供护理。紧急护理提供者和事件管理者试图采购和协调资源和人员,但往往使用有关事件真实性质、需求和持续响应的不准确数据。在这种混乱的环境中,通信、互联网、计算机小型化和先进的“智能设备”等新技术有可能极大地改善对此类大规模伤亡事故的紧急医疗响应。特别是,下一代无线互联网和地理定位技术可能对改善通信、信息管理以及整体灾难响应和紧急医疗护理产生最大影响。这些技术可应用于加强大规模伤亡现场护理、提供者安全、现场事件指挥、资源管理、信息学支持以及区域急救部门和医院对灾难受害者的护理。
Disaster response to mass-casualty incidents represents one of the greatest challenges to a community's emergency response system. Rescuers, field medical personnel, and regional emergency departments and hospitals must often provide care to large numbers of casualties in a setting of limited resources, inadequate communication, misinformation, damaged infrastructure, and great personal risk. Emergency care providers and incident managers attempt to procure and coordinate resources and personnel, often with inaccurate data regarding the true nature of the incident, needs, and ongoing response. In this chaotic environment, new technologies in communications, the Internet, computer miniaturization, and advanced "smart devices" have the potential to vastly improve the emergency medical response to such mass-casualty incident disasters. In particular, next-generation wireless Internet and geopositioning technologies may have the greatest impact on improving communications, information management, and overall disaster response and emergency medical care. These technologies have applications in terms of enhancing mass-casualty field care, provider safety, field incident command, resource management, informatics support, and regional emergency department and hospital care of disaster victims.