Marom Tal, Dagan David, Weiser Giora, Mendlovic Joseph, Levy Gad, Shpriz Manor, Albukrek Dov
Israel Defense Forces Medical Corps, Tel Hashomer, Israel; Department of Otolaryngology - Head & Neck Surgery, Edith Wolfson Medical Center, Tel Aviv University Sackler School of Medicine, Holon, Israel.
Israel Defense Forces Medical Corps, Tel Hashomer, Israel.
Int J Pediatr Otorhinolaryngol. 2014 May;78(5):807-11. doi: 10.1016/j.ijporl.2014.02.019. Epub 2014 Mar 5.
Major natural disasters adversely affect local medical services and resources. We sought to characterize pediatric patients presenting with otolaryngology-head and neck surgery (OTO-HNS)-related diseases/injuries to a field hospital over 11 days of operation, which was deployed to assist the healthcare facilities in Bogo, the Philippines, in the aftermath of typhoon Haiyan (Yolanda).
We reviewed charts of pediatric patients aged 0-18 years visiting our field hospital, who presented with OTO-HNS-related diseases/injuries. We also describe the structure of the field hospital, equipment, facilities and capabilities of our service, discuss medical and ethical concerns, and propose several recommendations for future similar missions.
Of the 863 pediatric visits, 91 (11%) presented with OTO-HNS-related diseases/injuries, 3 of them were of recurring patients. Of the 88 included individual patients, 47 (53%) were boys, with an average age of 6.9±4.9 years. Ear-related diseases, mostly acute otitis media (AOM), and neck-related diseases were the most common pathologies (49% and 16% of the patients, respectively). Antibiotic therapy was administered to 36 (41%) patients, mostly to children with AOM. Despite limited resources, we were able to perform surgical interventions on 8 (9%) patients, which included laceration suturing, abscess drainage and neck surgery.
Otolaryngologists have an important role in the treatment of children affected in a disaster area, at a time of an increased demand for healthcare. Unlike 'acute phase' missions, where traumatic injuries are the focus for treatment, 'subacute' phase missions provide more routine medical and surgical care.
重大自然灾害会对当地医疗服务和资源产生不利影响。我们试图描述在一家野战医院运营的11天里，前来就诊的患有耳鼻咽喉-头颈外科（OTO-HNS）相关疾病/损伤的儿科患者的特征。该野战医院在台风海燕（又称尤兰达）过后被部署到菲律宾博戈，以协助当地的医疗机构。
我们回顾了0至18岁到我们野战医院就诊且患有OTO-HNS相关疾病/损伤的儿科患者的病历。我们还描述了野战医院的结构、我们服务的设备、设施和能力，讨论了医疗和伦理问题，并为未来类似任务提出了一些建议。
在863次儿科就诊中，91例（11%）患有OTO-HNS相关疾病/损伤，其中3例为复诊患者。在88例纳入的个体患者中，47例（53%）为男孩，平均年龄为6.9±4.9岁。耳部相关疾病，主要是急性中耳炎（AOM），以及颈部相关疾病是最常见的病症（分别占患者的49%和16%）。36例（41%）患者接受了抗生素治疗，主要是患有AOM的儿童。尽管资源有限，我们仍能够对8例（9%）患者进行手术干预，包括伤口缝合、脓肿引流和颈部手术。
在医疗保健需求增加的时候，耳鼻喉科医生在治疗受灾地区儿童方面发挥着重要作用。与以创伤性损伤为治疗重点的“急性期”任务不同，“亚急性期”任务提供更多的常规医疗和外科护理。
