Pan Chih-Long, Chiu Chun-Wen, Wen Jet-Chau
From the Graduate School of Engineering Science and Technology, National Yunlin University of Science & Technology, Douliou, Yunlin (C-LP); Department of Emergency Medicine, Changhua Christian Medical Center, Changhua (C-WC); and Department and Graduate School of Safety and Environment Engineering, Research Center for Soil & Water Resources and Natural Disaster Prevention, National Yunlin University of Science & Technology (J-CW), Douliou, Yunlin, Taiwan, ROC.
Medicine (Baltimore). 2014 Dec;93(27):e186. doi: 10.1097/MD.0000000000000186.
The purpose of this study is to find a proper prehospital transportation scenario planning of an emergency medical service (EMS) system for possible burdensome casualties resulting from extreme climate events. This project focuses on one of the worst natural catastrophic events in Taiwan, the 88 Wind-caused Disasters, caused by the Typhoon Morakot; the case of the EMS transportation in the Xiaolin village is reviewed and analyzed. The sequential-conveyance method is designed to promote the efficiency of all the ambulance services related to transportation time and distance. Initially, a proposed mobile emergency medical center (MEMC) is constructed in a safe location near the area of the disaster. The ambulances are classified into 2 categories: the first-line ambulances, which reciprocate between the MEMC and the disaster area to save time and shorten the working distances and the second-line ambulances, which transfer patients in critical condition from the MEMC to the requested hospitals for further treatment. According to the results, the sequential-conveyance method is more efficient than the conventional method for EMS transportation in a mass-casualty incident (MCI). This method improves the time efficiency by 52.15% and the distance efficiency by 56.02%. This case study concentrates on Xiaolin, a mountain village, which was heavily destroyed by a devastating mudslide during the Typhoon Morakot. The sequential-conveyance method for the EMS transportation in this research is not only more advantageous but also more rational in adaptation to climate change. Therefore, the findings are also important to all the decision-making with respect to a promoted EMS transportation, especially in an MCI.
本研究的目的是为紧急医疗服务（EMS）系统找到一个合适的院前运输场景规划，以应对极端气候事件可能造成的繁重伤亡情况。本项目聚焦于台湾最严重的自然灾害事件之一，即由莫拉克台风引发的88风灾；对小林村的EMS运输情况进行了回顾和分析。设计了顺序输送法，以提高所有与运输时间和距离相关的救护车服务效率。最初，在靠近灾区的安全地点建立了一个拟议的移动紧急医疗中心（MEMC）。救护车分为两类：一线救护车，在MEMC和灾区之间往返，以节省时间并缩短工作距离；二线救护车，将重症患者从MEMC转运至指定医院进行进一步治疗。结果显示，在大规模伤亡事件（MCI）中，顺序输送法比传统的EMS运输方法更有效。该方法将时间效率提高了52.15%，距离效率提高了56.02%。本案例研究聚焦于小林村，这是一个山村，在莫拉克台风期间被毁灭性的泥石流严重摧毁。本研究中EMS运输的顺序输送法不仅更具优势，而且在适应气候变化方面更合理。因此，这些研究结果对于所有关于改进EMS运输的决策也很重要，尤其是在大规模伤亡事件中。
