Macias Darryl J, Williams Jason
Department of Emergency Medicine and Emergency Medical Services Academy, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA.
South Med J. 2013 Jan;106(1):89-93. doi: 10.1097/SMJ.0b013e31827c5a2e.
Medical care in resource-limited environments (austere settings) can occur in the context of a disaster, wilderness, or a tactical field operation. Regardless of the type of environment, there are common organizational themes in most successful humanitarian missions that occur in harsh natural or manmade environmental conditions. These principles prioritize the initiation and execution of any given deployment in austere or remote settings, diverging from priorities that would occur in a situation in which change to the existing medical structure is intact and operating well. Attention to these priorities not only helps providers to deliver medical care to people in need during a period of resource limitations but it also can keep providers, teams, the public, and patients safe during and after a deployment.
资源有限环境（严峻环境）中的医疗护理可能发生在灾难、荒野或战术野外行动的背景下。无论环境类型如何，在大多数成功的人道主义任务中，即在恶劣的自然或人为环境条件下执行的任务，都存在一些共同的组织主题。这些原则优先考虑在严峻或偏远环境中任何特定部署的启动和执行，这与现有医疗结构完好且运行良好的情况下的优先事项不同。关注这些优先事项不仅有助于医疗服务提供者在资源有限期间为有需要的人提供医疗护理，而且还能在部署期间及之后保障医疗服务提供者、团队、公众和患者的安全。
