Chan Yu-Feng, Alagappan Kumar, Gandhi Arpita, Donovan Colleen, Tewari Malti, Zaets Sergey B
Department of Surgery, Division of Emergency Medicine, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.
Prehosp Disaster Med. 2006 May-Jun;21(3):196-202. doi: 10.1017/s1049023x00003678.
The earthquake that occurred in Taiwan on 21 September 1999 killed >2,000 people and severely injured many survivors. Despite the large scale and sizeable impact of the event, a complete overview of its consequences and the causes of the inadequate rescue and treatment efforts is limited in the literature. This review examines the way different groups coped with the tragedy and points out the major mistakes made during the process. The effectiveness of Taiwan's emergency preparedness and disaster response system after the earthquake was analyzed. Problems encountered included: (1) an ineffective command center; (2) poor communication; (3) lack of cooperation between the civil government and the military; (4) delayed prehospital care; (5) overloading of hospitals beyond capacity; (6) inadequate staffing; and (7) mismanaged public health measures. The Taiwan Chi-Chi Earthquake experience demonstrates that precise disaster planning, the establishment of one designated central command, improved cooperation between central and local authorities, modern rescue equipment used by trained disaster specialists, rapid prehospital care, and medical personnel availability, as well earthquake-resistant buildings and infrastructure, are all necessary in order to improve disaster responses.
1999年9月21日发生在台湾的地震造成2000多人死亡，许多幸存者受重伤。尽管该事件规模巨大、影响深远，但文献中对其后果以及救援和治疗不力原因的全面概述却很有限。本综述考察了不同群体应对这场悲剧的方式，并指出了过程中犯下的主要错误。分析了台湾地震后应急准备和灾害应对系统的有效性。遇到的问题包括：（1）指挥中心效率低下；（2）通信不畅；（3）民政部门与军方缺乏合作；（4）院前护理延迟；（5）医院不堪重负；（6）人员配备不足；（7）公共卫生措施管理不善。台湾集集地震的经验表明，精确的灾难规划、设立一个指定的中央指挥机构、改善中央与地方当局之间的合作、训练有素的灾难专家使用现代化救援设备、快速的院前护理以及医疗人员的可获得性，以及抗震建筑和基础设施，对于改善灾害应对都是必要的。
