Adu-Gyamfi Y
Department of Anesthesiology, King Fahd Hospital of the University, Saudi Arabia.
Prehosp Disaster Med. 1997 Apr-Jun;12(2):109-13.
The pivotal role of anesthesiologists in the implementation of disaster plans is not widely appreciated.
To describe the role of anesthesiologists as managers in the operating room (OR) especially during hospital disaster management.
On 25 February 1991, King Fahd Hospital of the University in Eastern Saudi Arabia, was alerted, received, triaged, and treated the victims of a Scud missile attack on a United States military barracks which killed 28 and injured more than 100 service personnel.
There were 47 males and 15 females admitted to the hospital. Their initial triage categories of injuries were: 1) red, 23; 2) yellow, 27; and 3) green, 7. The flow of patients through the main operating rooms occurred in two peaks: 1) treated within nine hours (60%); and 2) during the next 11 hours (40%). A total 101 units of blood and blood products were consumed. The role of the Chief of Anesthesiology was vital in the dynamics of the situation regarding appropriate deployment of staff and ensuring an orderly throughput of victims in the operating room. He also was required to keep track of resources and supply levels in the operating room, so that he could advise the hospital administration appropriately.
The successful management of a large multi-casualty incident, which involved use of the operating rooms, depended upon the efficient coordination of clearly defined functions with the Chief of Anesthesiology Service as the team leader.
麻醉医生在灾难计划实施中的关键作用尚未得到广泛认可。
描述麻醉医生在手术室（OR）中作为管理者的角色，尤其是在医院灾难管理期间。
1991年2月25日，沙特阿拉伯东部法赫德国王大学医院接到警报，接收、分诊并治疗了一枚飞毛腿导弹袭击美国军事营地的受害者，此次袭击造成28人死亡，100多名军人受伤。
47名男性和15名女性被送往该医院。他们最初的伤情分诊类别为：1）红色，23人；2）黄色，27人；3）绿色，7人。患者通过主手术室的流量出现两个高峰：1）在9小时内接受治疗（60%）；2）在接下来的11小时内（40%）。共消耗了101单位的血液和血液制品。麻醉科主任在合理调配人员以及确保手术室受害者有序通过的动态情况中发挥了至关重要的作用。他还需要跟踪手术室的资源和供应水平，以便能适当地向医院管理层提供建议。
涉及手术室使用的大型多伤亡事件的成功管理，取决于以麻醉科主任为团队领导者，对明确界定的职能进行有效协调。
