Doman David M, Blair James A, Napierala Matthew A, Cho Mickey S
Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78261, USA.
J Surg Orthop Adv. 2011 Spring;20(1):67-73.
There is a significant need for orthopaedic care in developing countries. For the past 10 years, the United States Army has supported annual orthopaedic hand surgery humanitarian missions to Honduras. The goal of this article is to compare the premission planning to the realities of mission execution to provide a template for future missions. Premission planning began 1 year before the mission. Based on previous missions, supplies were brought for 50 surgical cases. The mission began with 1 preoperative clinic day followed by 8 operative days and 1 postoperative clinic day. Of the 99 prescreened patients, 65 were indicated for surgery. A total of 58 surgeries were performed using innovative methods to stretch available supplies. A multidisciplinary and multination concerted effort is required for a successful humanitarian medical mission. A premission plan is critical prior to arrival and a contingency plan must be in place for missing mission-critical items.
发展中国家对骨科护理有巨大需求。在过去10年里，美国陆军每年都支持前往洪都拉斯的骨科手部手术人道主义任务。本文的目的是将任务前规划与任务执行的实际情况进行比较，为未来任务提供一个模板。任务前规划在任务前1年开始。根据以往任务，准备了50例手术所需的物资。任务开始时先有1天的术前门诊，随后是8个手术日和1个术后门诊日。在99名预先筛查的患者中，有65名被确定需要手术。总共进行了58台手术，采用了创新方法来充分利用现有物资。成功的人道主义医疗任务需要多学科、多国的协同努力。在抵达之前，任务前计划至关重要，而且必须制定应对关键任务物资缺失的应急计划。
