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海地早期灾害应对:以色列野战医院的经验。

Early disaster response in Haiti: the Israeli field hospital experience.

机构信息

Israel Defense Forces Medical Corps Field Hospital, Home Front Command, and Israel Defense Forces Medical Corps Surgeon General, Jerusalem,

出版信息

Ann Intern Med. 2010 Jul 6;153(1):45-8. doi: 10.7326/0003-4819-153-1-201007060-00253. Epub 2010 May 4.

Abstract

The earthquake that struck Haiti in January 2010 caused an estimated 230,000 deaths and injured approximately 250,000 people. The Israel Defense Forces Medical Corps Field Hospital was fully operational on site only 89 hours after the earthquake struck and was capable of providing sophisticated medical care. During the 10 days the hospital was operational, its staff treated 1111 patients, hospitalized 737 patients, and performed 244 operations on 203 patients. The field hospital also served as a referral center for medical teams from other countries that were deployed in the surrounding areas. The key factor that enabled rapid response during the early phase of the disaster from a distance of 6000 miles was a well-prepared and trained medical unit maintained on continuous alert. The prompt deployment of advanced-capability field hospitals is essential in disaster relief, especially in countries with minimal medical infrastructure. The changing medical requirements of people in an earthquake zone dictate that field hospitals be designed to operate with maximum flexibility and versatility regarding triage, staff positioning, treatment priorities, and hospitalization policies. Early coordination with local administrative bodies is indispensable.

摘要

2010 年 1 月海地发生的地震造成约 23 万人死亡,约 25 万人受伤。以色列国防军医疗团野战医院在地震发生后仅 89 小时就全面投入运作,能够提供尖端医疗服务。该医院运营的 10 天里,共收治 1111 名患者,住院 737 名患者,为 203 名患者实施了 244 次手术。该野战医院还充当了部署在周边地区的其他国家医疗队的转诊中心。在距离震中 6000 英里的地方,能够在灾难初期迅速做出反应的关键因素是一支准备充分、训练有素的医疗部队,保持着持续警戒状态。在救灾工作中,迅速部署具有先进能力的野战医院至关重要,特别是在医疗基础设施薄弱的国家。地震灾区人们不断变化的医疗需求要求野战医院在分诊、人员配置、治疗优先级和住院政策方面具有最大的灵活性和通用性。与当地行政机构的早期协调是必不可少的。

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