Doyle C J
Department of Surgery, University of Michigan, Ann Arbor.
Emerg Med Clin North Am. 1990 Feb;8(1):163-75.
Mass casualty incident involves the use of limited resources for multiple casualties. The emergency physician must be familiar with both prehospital and hospital plans for mass casualty care in order to facilitate optimal care and to maintain the continuum from field care to definitive treatment. It is essential that the emergency physician become involved in the disaster planning processes to ensure that the victims receive the best care available under the circumstances and that the safety and emotional well-being of both prehospital and hospital personnel are assured. Emergency physicians involved in prehospital care should be certain that the local EMS system has adequate training and chances to update their skills and knowledge. Disaster drills of the EMS system are excellent ways to practice, to identify weaknesses, and for preplanning to enhance disaster medical care.
大规模伤亡事件涉及使用有限资源救治多名伤员。急诊医生必须熟悉院前和医院针对大规模伤亡救治的计划，以便提供最佳护理，并维持从现场护理到确定性治疗的连续性。急诊医生参与灾难规划过程至关重要，以确保受害者在当时情况下得到最好的护理，并确保院前和医院工作人员的安全及情绪健康。参与院前护理的急诊医生应确保当地急救医疗服务（EMS）系统有足够的培训以及更新技能和知识的机会。EMS系统的灾难演练是进行实践、发现薄弱环节以及预先规划以加强灾难医疗护理的绝佳方式。
