Monash University, Department of Community Emergency Health and Paramedic Practice, Alfred Hospital, Lower Ground Floor, Medical School Building, Alfred Lane, Prahran, Victoria 3181, Australia.
Disaster Med Public Health Prep. 2011 Mar;5(1):46-53. doi: 10.1001/dmp.10-v4n2-hre10008. Epub 2010 Jul 12.
Paramedics play an integral role in the response to and management of disasters and mass casualty events. Providing a core component of the front line response to disasters, paramedics potentially expose themselves to a variety of health and safety risks, including physical injury, death, communicable disease, and psychological effects. The health and safety risks to emergency service personnel were highlighted by the deaths of firefighters, paramedics, and police during the September 11, 2001, terrorist attacks, and the infection, illness, and deaths of paramedics and emergency health care staff during the severe acute respiratory syndrome outbreak in 2003.
Given that a willing and able prehospital workforce is a vital component of any successful response to a disaster situation, the present study explored paramedics' perception of risk and willingness to work, with a specific focus on identifying which type of disasters that paramedics associate with greater levels of fear, familiarity, and risk.
A total of 175 paramedics completed a survey ranking 40 disaster scenarios for levels of fear and familiarity.
The results indicate that paramedics ranked nuclear and radiological events and outbreaks of new and highly infectious disasters highest for fear and unfamiliarity. This has implications for preparedness, education, and training.
急救人员在应对灾害和大规模伤亡事件以及管理这些事件中发挥着不可或缺的作用。作为灾害一线应对的核心组成部分，急救人员可能会面临各种健康和安全风险，包括身体伤害、死亡、传染病和心理影响。2001 年 9 月 11 日恐怖袭击中消防员、急救人员和警察的死亡，以及 2003 年严重急性呼吸系统综合症爆发期间急救人员和紧急医疗保健人员的感染、患病和死亡，凸显了紧急服务人员的健康和安全风险。
鉴于有意愿和能力的院前工作人员是成功应对灾害情况的重要组成部分，本研究探讨了急救人员对风险的看法和工作意愿，特别关注确定急救人员认为哪些类型的灾害会带来更高水平的恐惧、熟悉度和风险。
共有 175 名急救人员完成了一项调查，对 40 种灾害场景的恐惧和熟悉程度进行了排名。
结果表明，急救人员对核和放射性事件以及新出现的高传染性疾病爆发的恐惧和不熟悉程度最高。这对备灾、教育和培训都有影响。
