Emergency physicians at the Service of Emergency Medicine and Learning Centre for Disaster Medicine, University Hospital, Lausanne, Switzerland.
Disasters. 2014 Apr;38(2):434-50. doi: 10.1111/disa.12043.
In case of a major incident or disaster, the advance medical rescue command needs to manage several essential tasks simultaneously. These include the rapid deployment of ambulance, police, fire and evacuation services, and their coordinated activity, as well as triage and emergency medical care on site. The structure of such a medical rescue command is crucial for the successful outcome of medical evacuation at major incidents. However, little data has been published on the nature and structure of the command itself. This study presents a flexible approach to command structure, with two command heads: one emergency physician and one experienced paramedic. This approach is especially suitable for Switzerland, whose federal system allows for different structures in each canton. This article examines the development of these structures and their efficiency, adaptability and limitations with respect to major incident response in the French-speaking part of the country.
在重大事件或灾难的情况下，急救医疗救援指挥需要同时管理几个重要任务。这些任务包括快速部署救护车、警察、消防和疏散服务，以及它们的协调活动，以及现场的分诊和紧急医疗护理。这种医疗救援指挥的结构对于重大事件中的医疗后送的成功结果至关重要。然而，关于指挥本身的性质和结构的数据很少公布。本研究提出了一种灵活的指挥结构方法，有两个指挥头：一名急诊医生和一名经验丰富的护理人员。这种方法特别适用于瑞士，其联邦制允许每个州有不同的结构。本文研究了这些结构的发展及其在该国法语区应对重大事件时的效率、适应性和局限性。
