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消防電子報資料庫首頁 :: 消防英文
 
Paradigms and pitfalls of mass casualty trauma triage
-- 大量傷病患檢傷之範例與隱憂
文/曾郁青

The new Mass Casualty Trauma Triage Paradigms and Pitfalls paper from the Technical Resources, Assistance Center, and Information Exchange (TRACIE) provides a framework for prehospital EMS providers and hospital planners to consider when planning for mass casualty incidents (MCI).(科技資源訊息交換協助中心(TRACIE)的大量傷病患檢傷之範例與隱憂報告給到院前緊急醫療服務提供者及醫院決策者,因應大規模傷亡事故(MCI)之思考架構。)

The paper defines key differences between typical MCIs and mass violence events, where the scene is unsafe and the situation fluid; the number of patients exceeds expected resources; and standard triage and treatment methods may fail.(報告指出,在不安全不穩定情況下,典型的大規模傷亡事故與大規模暴力事件的主要差異;當患者人數超過預期資源,標準的檢傷分類和處置方式可能會失敗。)

It suggests the traditional triage approach used to train EMS providers in the United States for decades is no longer feasible to effectively respond to mass violence MCIs, such as active shooters or vehicle ramming. In addition to outdated methods, TRACIE says hospitals and prehospital providers are often lax about training for MCIs and have not sufficiently tested plans and procedures.(報告指出幾十年來,用於培訓美國緊急醫療服務(EMS)提供者的傳統分類方法已無法有效處理大規模暴力傷亡事件,如主動射擊或是車輛撞擊。除了過時的方法,科技資源訊息交換協助中心(TRACIE)說醫院和到院前醫療提供者通常對大規模傷亡事故(MCI)的培訓不嚴格,且無有效的測驗計畫和程序。)

TRACIE makes several recommendations for stakeholders to consider. Among them are to include law enforcement in prehospital planning, provide them with some medical and triage training, and to ensure integration between prehospital and hospital response.(科技資源訊息交換協助中心(TRACIE)提供一些建議給利害關係者參考,其中包含到院前執法計畫,為他們提供一些醫療檢傷分類培訓,並確保到院前和醫院的整合溝通。)

This paper also touches briefly on triage for other types of incidents including chemical, biological/epidemic/pandemic, burns, blasts, radiation and pediatric issues.(該報告還簡要介紹了其他類型事故的分類,包括化學、生物/疫情/流行性感冒、燒傷、爆炸、輻射和兒科問題。)



相關報告連結:
https://files.asprtracie.hhs.gov/documents/aspr-tracie-mass-casualty-triage-final-508.pdf


(108年8月16日 )
 
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