胡德堡大屠杀：从一起备受瞩目的大规模伤亡事件中吸取的教训。
The Fort Hood Massacre: Lessons learned from a high profile mass casualty.
机构信息
Division of Trauma and Acute Care Surgery, Department of Surgery, Texas A&M Health Science Center, Scott & White Hospital, Temple, Texas 76508, USA.
出版信息
J Trauma Acute Care Surg. 2012 Jun;72(6):1709-13. doi: 10.1097/TA.0b013e318250cd10.
BACKGROUND
On November 5, 2009, an army psychiatrist at Fort Hood in Killeen, TX, allegedly opened fire at the largest US military base in the world, killing 13 and wounding 32.
METHODS
Data from debriefing sessions, news media, and area hospitals were reviewed.
RESULTS
Ten patients were initially transferred to the regional Level I trauma center. The remainder of the shooting victims were triaged to two other local regional hospitals. National news networks broadcasted the Level I trauma center's referral phone line which resulted in more than 1,300 calls. The resulting difficulties in communication led to the transfer of two victims (one critical) to a regional hospital without a trauma designation.
CONCLUSIONS
Triage at the scene was compromised by a lack of a secure environment, leading to undertriage of several patients. Overload of routine communication pathways compounded the problem, suggesting redundancy is crucial.
LEVEL OF EVIDENCE
Prognostic study, level V.
背景
2009 年 11 月 5 日，德克萨斯州基林市胡德堡的一名陆军军医涉嫌在这个世界上最大的美军基地开火，造成 13 人死亡，32 人受伤。
方法
对审讯会议、新闻媒体和地区医院的数据进行了回顾。
结果
最初有 10 名患者被转移到地区一级创伤中心。其余的枪击受害者被分诊到另外两家当地地区医院。国家新闻网络播出了一级创伤中心的转介电话热线，导致超过 1300 个电话。由此产生的沟通困难导致两名（一名为危重症）受害者被转移到没有创伤指定的地区医院。
结论
由于缺乏安全的环境，现场分诊受到影响，导致一些患者分诊不足。常规沟通途径的超负荷进一步加剧了问题，表明冗余是至关重要的。
证据水平
预后研究，五级。
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