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消防電子報資料庫首頁 :: 消防英文
 
Lessons from one city’s fight against the opioid epidemic
-- 從一個城市打擊鴉片藥物中汲取經驗
文/曾郁青

Huntington, West Virginia, has been called ground zero of the opioid crisis by the media. Opioid use and overdoses crept up in the mid-2000s, escalating around 2011 and increasing steadily until 2017 when the county of 95,000 had 1,831 non-fatal overdoses and 183 overdose deaths. That works out to over 15 deaths per month.(亨廷頓(美國西維吉尼亞州西部)被媒體喻為無鴉片危機的地方,鴉片類藥物的使用和過量服用從2000年代中期逐漸增加,使用量在2011年前後逐步爬升並穩定增加,直到2017年為止該地區民眾95,000人中,非致命藥物使用過量者有1,831名,藥物過量致死者有183名。)

The chief of the Huntington Fire Department estimates the average firefighter in Huntington encountered five deaths per month in 2017 due to the opioid epidemic. Some of those were classmates, relatives or friends. The weight of seeing so many deaths in such a short time was overwhelming for many.(由於使用鴉片類藥物的流行,亨廷頓消防局局長估計,在2017年中亨廷頓的消防員中平均每月有5人遭遇用藥死亡的憾事,死亡者不乏是同學,親戚或朋友,對許多人來說在如此短時間內看到這麼多死亡案件是非常沉重的。)

In two recent talks, Huntington Fire Department’s chief outlined the problems of treating overdose victims, how firefighters in her department are being negatively impacted and what the community is doing about all of it. Huntington began several programs to tackle these problems:(在最近的兩次面談中,亨廷頓消防局長指出了治療過量服藥者的問題,亨廷頓所在部門的消防員是如何受到負面影響以及社區能為所有消防員做些什麼,亨廷頓政府開始擬定了幾個解決這些問題的計劃:)

They started sending out Quick Response Teams consisting of a paramedic, law enforcement officer, a recovery clinician and member of the faith community to visit overdose victims within 72 hours of resuscitation to offer treatment options, resulting in a 30 percent success rate.(他們開始派出由護理人員、執法人員、臨床復健醫師和信仰團體的成員組成的快速反應小組,在72小時內探訪復甦後的過量受害者,為他們提供選擇治療,能使成功率達到30%。)

They opened ProAct, a one-stop clinic that works with individuals to develop treatment options. This gives first responders a place to take people who have refused to go to the hospital and reduces the load on emergency rooms.(他們開設了Pro行動,這是一個與個案合作開發治療方案的一站式診所,使第一線急救人員可以帶走一些拒絕去醫院的患者並減少急診室的負擔。)

Huntington received money to develop Compass, a self-care program for first responders and their families. Compass reduces the stigma of mental health counseling, provides effective and fun programs for first responder families and embeds wellness coordinators within first response units.(亨廷頓政府獲得了開發Compass的資金,Compass是針對第一線急救人員及其家人的自我照護計劃。)

Addressing the opioid issue requires participation of many different departments and offices and better first responder training on substance abuse. Fortunately, the success Huntington has experienced can be mirrored in other communities through similar programs. As the chief states, the opioid epidemic is not a “one- and-done” emergency. This is an ongoing, long-term issue requiring different tactics and procedures than typically used in emergency response.(解決鴉片類藥物的問題需要許多不同部門和辦事處的參與,以及更好的第一線急救人員對藥物濫用的培訓。幸運的是,亨廷頓政府所經歷的成功經驗可以透過類似的計劃給其他社區借鏡,亨廷頓政府作為主要的州郡,解決鴉片類藥物流行不是“一勞永逸”緊急事件,而是一個持續性的長期問題,在緊急救護中通常需要採用不同的策略與處理過程。)






註:本文相關內容來自https://www.usfa.fema.gov(本專欄內容可能與我國消防現況有所出入,僅供學習消防英文參考使用。)


(108年8月30日 )
 
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