Colgrave N
Tobruk Lines Health Centre, Holsworthy Barracks, Sydney, NSW, 2173, Australia.
Eur J Trauma Emerg Surg. 2011 Feb;37(1):13-8. doi: 10.1007/s00068-010-0026-9. Epub 2010 Jun 4.
The objective of this study was to identify and review literature relevant to the medical response to the 921 earthquake in order to analyse Taiwan's immediate and long-term management of the medical issues arising from the disaster.
Pubmed and Google Scholar searches were conducted in June 2008 to identify papers relevant to the topic. These were reviewed and the findings of each collated to develop a critical review of Taiwan's response to the earthquake. Pubmed and Google Scholar searches were conducted again in March 2010 to verify the currency of the literature reviewed.
A total of 14 papers were identified and reviewed. Many concluded that while disaster response efforts were initiated quickly, the inexperience of the authorities, the timing and location of the earthquake, and the associated destruction of vital infrastructure, meant much of the initial rescue planning and coordination was improvised. This resulted in poor response times by emergency teams, inefficient mobilisation of military and medical resources, poor cooperation between authorities and a failure to fully utilise international assistance when it arrived.
Taiwan was unprepared for a disaster of the magnitude of the 921 earthquake. The government has since taken initiatives to ensure Taiwan is better prepared for any future large scale disaster, including the establishment of the National Institute for Disaster Management. There is a paucity of literature on the medical response to the disaster. Only one new paper of relevance to the topic has been listed on Pubmed or Google Scholar in recent years.
本研究旨在识别并综述与921地震医疗应对相关的文献，以分析台湾对该灾害引发的医疗问题的即时及长期管理情况。
2008年6月对PubMed和谷歌学术进行检索，以识别与该主题相关的论文。对这些论文进行综述，并整理每篇论文的研究结果，以对台湾对地震的应对进行批判性综述。2010年3月再次对PubMed和谷歌学术进行检索，以核实所综述文献的时效性。
共识别并综述了14篇论文。许多论文得出结论，虽然灾害应对工作迅速启动，但当局缺乏经验、地震发生的时间和地点以及重要基础设施的相关破坏，意味着许多初始救援计划和协调都是临时拼凑的。这导致应急小组响应时间不佳、军事和医疗资源调动效率低下、当局之间合作不力以及国际援助到达时未能充分利用。
台湾对921地震这样规模的灾害毫无准备。此后，政府已采取举措确保台湾为未来任何大规模灾害做好更充分准备，包括设立国家灾害管理研究所。关于该灾害医疗应对的文献匮乏。近年来，PubMed或谷歌学术上仅列出了一篇与该主题相关的新论文。
