Deal Kelly E, Synovitz Carolyn K, Goodloe Jeffrey M, King Brandi, Stewart Charles E
OTEMS (Oologah-Talala EMS), 18955 S 4150 Road, Claremore, OK 74017-3609, USA.
Emerg Med Int. 2012;2012:729795. doi: 10.1155/2012/729795. Epub 2012 May 10.
Background. On October 17, 2007, a severe weather event collapsed two large tents and several smaller tents causing 23 injuries requiring evacuation to emergency departments in Tulsa, OK. Methods. This paper is a retrospective analysis of the regional health system's response to this event. Data from the Tulsa Fire Department, The Emergency Medical Services Authority (EMSA), receiving hospitals and coordinating services were reviewed and analyzed. EMS patient care reports were reviewed and analyzed using triage designators assigned in the field, injury severity scores, and critical mortality. Results. EMT's and paramedics from Tulsa Fire Department and EMSA provided care at the scene under unified incident command. Of the 23 patients transported by EMS, four were hospitalized, one with critical spinal injury and one with critical head injury. One patient is still in ongoing rehabilitation. Discussion. Analysis of the 2007 Tulsa Oktoberfest mass casualty incident revealed rapid police/fire/EMS response despite challenges of operations at dark under severe weather conditions and the need to treat a significant number of injured victims. There were no fatalities. Of the patients transported by EMS, a minority sustained critical injuries, with most sustaining injuries amenable to discharge after emergency department care.
背景。2007年10月17日,一场恶劣天气致使两座大型帐篷和几座小型帐篷倒塌,造成23人受伤,伤者被疏散至俄克拉何马州塔尔萨市的急诊科。方法。本文是对该地区卫生系统对这一事件的应对情况进行的回顾性分析。对塔尔萨消防部门、紧急医疗服务管理局(EMSA)、接收医院和协调服务部门的数据进行了审查和分析。使用现场分配的分诊指标、损伤严重程度评分和危急死亡率对紧急医疗服务患者护理报告进行了审查和分析。结果。塔尔萨消防部门和EMSA的急救人员和护理人员在统一的事件指挥下在现场提供护理。在由紧急医疗服务运送的23名患者中,4人住院治疗,1人有严重脊柱损伤,1人有严重头部损伤。1名患者仍在持续康复中。讨论。对2007年塔尔萨啤酒节大规模伤亡事件的分析表明,尽管在恶劣天气条件下夜间行动面临挑战,且需要治疗大量受伤受害者,但警方/消防/紧急医疗服务部门做出了快速反应。没有人员死亡。在由紧急医疗服务运送的患者中,少数人受重伤,大多数人受伤后经急诊科治疗可出院。