Adams H A, Flemming A, Lange C, Koppert W, Krettek C
Stabsstelle für Interdisziplinäre Notfall- und Katastrophenmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland,
Med Klin Intensivmed Notfmed. 2015 Feb;110(1):27-36. doi: 10.1007/s00063-014-0413-9. Epub 2015 Jan 15.
Patient care in mass casualty incidents and disaster strongly demand a joint approach of all preclinical and clinical forces.
Special emphasis must be placed on immediate triage, establishment and preservation of transportability of high-risk patients and their clinical treatment as soon as possible. During limited mass casualties, the preclinical rescue station additionally serves as a buffer for patients, whereby in case of disaster, the focus on transportation of high-risk patients is imperative.
Primary care hospitals are a decisive part in the chain of medical supply and are confronted with great challenges, which demand detailed emergency plans and also repeated exercises. In planning and exercises, special attention should be given to the cooperation with the fire department and other medical services.
在大规模伤亡事件和灾难中的患者护理强烈需要所有院前和临床力量采取联合方法。
必须特别强调立即进行分诊、建立并保持高危患者的可转运性以及尽快对其进行临床治疗。在有限的大规模伤亡情况下，院前救援站还可作为患者的缓冲区，因此在灾难情况下，必须优先转运高危患者。
基层医院是医疗供应链中的关键部分，面临巨大挑战，这需要详细的应急预案并反复演练。在规划和演练中，应特别注意与消防部门和其他医疗服务机构的合作。
