Lynn Mauricio, Gurr Daniel, Memon Abdul, Kaliff Jennifer
Department of Surgery, Division of Trauma, Jackson Memorial Medical Center, Miller School of Medicine, University of Miami, Miami, Florida 33101, USA.
J Burn Care Res. 2006 Sep-Oct;27(5):649-58. doi: 10.1097/01.BCR.0000238119.29269.2B.
The successful management of mass casualty incidents (MCIs) requires standardization of planning, training, and deployment of response. Recent events in the United States, most importantly the Hurricane season in 2005, demonstrated a lack of a unified response plan at local, regional, state, and federal levels. A standard Israeli protocol for hospital preparedness for conventional MCIs, produced by the Office of Emergency Preparedness of the Israeli Ministry of Health, has been reviewed, modified, adapted, and tested in both drills and actual events at a large university medical center in the United States. Lessons learned from this process are herein presented as the10 most important steps (ie, Commandments) to follow when preparing hospitals to be able to respond to conventional MCIs. The standard Israeli emergency protocols have proved to be universally adaptable, flexible, and designed to be adapted by any healthcare institution, regardless of its size and location.
成功管理大规模伤亡事件（MCI）需要在规划、培训和应急响应部署方面实现标准化。美国近期发生的事件，尤其是2005年的飓风季节，表明地方、区域、州和联邦各级缺乏统一的应对计划。以色列卫生部应急准备办公室制定的针对常规大规模伤亡事件的医院准备标准方案，已在美国一所大型大学医学中心的演习和实际事件中进行了审查、修改、调整和测试。本文介绍了从这一过程中吸取的经验教训，即医院在准备应对常规大规模伤亡事件时应遵循的10个最重要步骤（即戒律）。以色列的标准应急方案已被证明具有普遍适用性、灵活性，并且设计为可被任何医疗机构采用，无论其规模和位置如何。
