Singapore Armed Forces Medical Corps, Headquarters Medical Corps, 701 Transit Road, #04-01, Singapore.
Singapore Med J. 2012 Feb;53(2):99-103.
This paper provides an overview of cases seen by the Singapore Armed Forces (SAF) medical and surgical teams in the 2009 Sumatra earthquake and discusses the role of militaries in the acute phase of a disaster.
Two SAF primary healthcare clinics prospectively collected patient medical information for comparison. Descriptive analysis of the Emergency Department (ED) and surgical case records was performed.
1,015 patients were seen by the two primary healthcare clinics. In both Koto Bangko and Pariaman, respiratory-related conditions were the most common diagnoses (47.2% and 30.6%, respectively), followed by musculoskeletal/joint conditions (31.6% and 20.6%, respectively). In the ED, 55% and 27% of the 113 patients had trauma-related and infective-related diagnoses, respectively. Lacerations and contusions were the most common forms of trauma. Lung infection was the most common infective diagnosis seen at the ED. The number of ED cases was high during the first week and gradually declined in the second week. 56% of the 102 surgical procedures were performed on dirty or infective wounds. Fractures requiring fixation comprised 38% of surgical procedures.
Medical aid remains an important component of the overall humanitarian response. Militaries could play an important role in disaster response due to their ability to respond in a timely fashion and logistic capabilities. Pre-launch research on the affected area and knowledge on disaster-specific injury patterns would impact the expertise, equipment and supplies required. The increasing evidence base for disaster preparedness and medical response allows for better planning and reduces the impact of disasters on affected populations.
本文概述了新加坡武装部队（SAF）医疗和外科小组在 2009 年苏门答腊地震中诊治的病例，并讨论了军队在灾害急性期的作用。
两家新加坡武装部队初级保健诊所前瞻性地收集了患者的医疗信息进行比较。对急诊科（ED）和外科手术记录进行描述性分析。
有两家初级保健诊所共诊治了 1015 名患者。在哥打邦和巴里亚曼，呼吸系统相关疾病是最常见的诊断（分别为 47.2%和 30.6%），其次是肌肉骨骼/关节疾病（分别为 31.6%和 20.6%）。在 ED，113 名患者中有 55%和 27%分别与创伤和感染相关，分别有 55%和 27%的诊断。撕裂伤和挫伤是最常见的创伤形式。肺部感染是 ED 最常见的感染诊断。ED 病例数在第一周较高，第二周逐渐下降。102 例外科手术中有 56%是对污染或感染伤口进行的。需要固定的骨折占外科手术的 38%。
医疗援助仍然是整体人道主义反应的重要组成部分。由于军队能够及时做出反应和具备后勤能力，因此它们可以在灾害应对中发挥重要作用。对受灾地区进行预先研究以及了解特定灾害造成的伤害模式，将影响所需的专业知识、设备和用品。不断增加的灾害准备和医疗应对的证据基础，使更好的规划成为可能，并减轻灾害对受灾人群的影响。
