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真相令人痛苦——来自澳大利亚针对受污染患者的最大规模伤亡演习的惨痛教训。

Truth hurts--hard lessons from Australia's largest mass casualty exercise with contaminated patients.

作者信息

Edwards Nicholas A, Caldicott David G E, Eliseo Tony, Pearce Andrew

机构信息

Intensive Care Unit, Royal Adelaide Hospital, Adelaide, South Australia, Australia.

出版信息

Emerg Med Australas. 2006 Apr;18(2):185-95. doi: 10.1111/j.1742-6723.2006.00827.x.

DOI:10.1111/j.1742-6723.2006.00827.x
PMID:16669945
Abstract

In response to the increasing threat of a mass casualty incident involving chemical, biological or radiological agents, and concern over the preparedness of our hospital system to cope with patients from such an incident, we conducted the largest hospital-based field exercise involving contaminated patients that has been held in Australia. In the present paper, we outline the background to, and methodology of, Exercise Supreme Truth, and the efforts made to increase its realism. We focus our discussion on three issues highlighted by the exercise, which we believe have enormous implications for the development of hospital chemical, biological or radiological plans and the likelihood of their success--hospital security, crowd control and decontamination.

摘要

为应对涉及化学、生物或放射性制剂的大规模伤亡事件日益增加的威胁,以及对我们医院系统应对此类事件患者的准备情况的担忧,我们开展了澳大利亚有史以来规模最大的涉及受污染患者的医院实地演习。在本文中,我们概述了“绝对真理演习”的背景、方法以及为提高其逼真度所做的努力。我们将讨论重点放在演习突出的三个问题上,我们认为这些问题对医院化学、生物或放射性预案的制定及其成功实施的可能性具有重大影响——医院安保、人群控制和去污处理。

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A large-scale mass casualty simulation to develop the non-technical skills medical students require for collaborative teamwork.开展一项大规模群体伤亡模拟,以培养医学生团队协作所需的非技术技能。
BMC Med Educ. 2016 Mar 8;16:83. doi: 10.1186/s12909-016-0588-2.
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运用群体心理学制定大规模去污管理建议。
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