Russo Tom
Region 6, South Carolina Department of Health and Environmental Control, USA.
Emerg Med Serv. 2006 Oct;35(10):51-2, 54, 56 passim.
Recent trends of hospital ED overcrowding, ambulance diversion and the persistent "dire straits" of emergency medical systems can be expected to be exacerbated under the conditions a pandemic influenza will present. Partners of community healthcare systems must come together to solve these problems as they develop their pandemic influenza response plans. The solution must involve EMS, hospitals, public health and other healthcare partners, as well as local government. Limited surge capacity, overwhelming numbers of citizens requiring and demanding care, and the worried well will simply compound the challenges EMS responders will face. EMS must get proactive and tap the preparedness resources being marshaled at federal, state and local levels. These preparations will not be complete without an exercise that probes for weaknesses in the response plan. EMS agencies are encouraged to join up with other components of the healthcare system, such as hospitals, community health centers and public health, and conduct joint exercises. And we must not forget the coroners, whose plans must include a mass-fatality plan that details the management of what may become an overwhelming number of deceased.
预计在大流行性流感出现的情况下，医院急诊科过度拥挤、救护车分流以及紧急医疗系统持续的“严峻形势”等近期趋势将会加剧。社区医疗系统的合作伙伴在制定大流行性流感应对计划时必须共同努力解决这些问题。解决方案必须涉及紧急医疗服务（EMS）、医院、公共卫生部门及其他医疗合作伙伴，还有地方政府。有限的应急能力、大量需要并要求救治的市民以及焦虑不安的健康人群只会使紧急医疗服务响应人员面临的挑战更加复杂。紧急医疗服务必须积极主动，利用联邦、州和地方各级正在调配的备灾资源。如果没有对应急计划中的薄弱环节进行探究的演练，这些准备工作将是不完整的。鼓励紧急医疗服务机构与医疗系统的其他组成部分，如医院、社区卫生中心和公共卫生部门联合开展演练。而且我们绝不能忘记验尸官，他们的计划必须包括一项大规模死亡事件计划，详细说明对可能多得难以应对的死者的管理。
