MSF, Paris, France.
Int Orthop. 2012 Oct;36(10):1979-81. doi: 10.1007/s00264-012-1552-3. Epub 2012 May 15.
The decision to amputate is always difficult but becomes even harder in emergency situations, which usually present extra complicating factors.
These include human factors (related to both the surgeon and the patient); poor or nonexistent medical facilities, especially in war conditions or resource-poor countries; and cultural and religious considerations. Médecins Sans Frontières (MSF) has developed a quick medical and logistical response that relies on surgical protocols adapted to emergency situations, together with complete "kits" of medical equipment, supplies and inflatable facilities.
Our response to Haiti's 2010 earthquake relied on these tools but also highlighted the need to develop more detailed protocols that will help our teams on the ground.
截肢的决定总是很困难，但在紧急情况下更难做出，因为紧急情况下通常会有额外的复杂因素。
这些因素包括人为因素（与外科医生和患者都有关）；较差或根本没有医疗设施，特别是在战争条件或资源匮乏的国家；以及文化和宗教因素。无国界医生组织已经制定了快速的医疗和后勤应对措施，依靠适应紧急情况的手术方案，以及完整的医疗设备、用品和充气设施“套件”。
我们对海地 2010 年地震的应对依赖于这些工具，但也凸显了制定更详细协议的必要性，这将有助于我们在当地的团队。
