Hirshberg A, Stein M, Walden R
Department of Surgery, Sheba Medical Center, Tel Hashomer, Israel.
J Trauma. 1999 Sep;47(3):545-50. doi: 10.1097/00005373-199909000-00020.
The objective of this study was to analyze the utilization of surgical staff and facilities during an urban terrorist bombing incident.
A discrete-event computer model of the emergency room and related hospital facilities was constructed and implemented, based on cumulated data from 12 urban terrorist bombing incidents in Israel.
The simulation predicts that the admitting capacity of the hospital depends primarily on the number of available surgeons and defines an optimal staff profile for surgeons, residents, and trauma nurses. The major bottlenecks in the flow of critical casualties are the shock rooms and the computed tomographic scanner but not the operating rooms. The simulation also defines the number of reinforcement staff needed to treat noncritical casualties and shows that radiology is the major obstacle to the flow of these patients.
Computer simulation is an important new tool for the optimization of surgical service elements for a multiple-casualty situation.
本研究的目的是分析城市恐怖爆炸事件期间外科医护人员和设施的使用情况。
基于以色列12起城市恐怖爆炸事件的累积数据，构建并实施了一个急诊室及相关医院设施的离散事件计算机模型。
模拟结果预测，医院的收治能力主要取决于可用外科医生的数量，并确定了外科医生、住院医生和创伤护士的最佳人员配置。危重伤员救治流程中的主要瓶颈是休克室和计算机断层扫描仪，而非手术室。该模拟还确定了治疗非危重伤员所需的增援人员数量，并表明放射科是这些患者救治流程中的主要障碍。
计算机模拟是优化多伤亡情况下外科服务要素的一项重要新工具。
