Trunkey Donald D
Oregon Health and Science University, Portland, OR, 97239, USA.
Oregon Health and Science University, 3181 SW Sam Jackson Park Rd, L223, Portland, OR, 97239, USA.
Eur J Trauma Emerg Surg. 2009 Jun;35(3):244-64. doi: 10.1007/s00068-009-9901-7. Epub 2009 Mar 25.
Since the 2001 terrorist attacks on the United States, federal and state funding, primarily from the National Bioterrorism Hospital Preparedness Program, has resulted in a surge of hospital activity to prepare for future natural or human-caused catastrophes. Trauma centers were integrally involved in the response to the 2001 attacks as first receivers of patients, communication hubs, and as convergence sites for families, the worried well, volunteers, and donors. After the Madrid train station terrorist attack, Congress identified the need to study trauma center preparedness as an essential part of the nation's emergency management system.
The NFTC received a one-year grant funded by the Centers for Disease Control and Prevention (CDC/NCIPC) to survey the capability and capacity of trauma centers to respond successfully to mass casualty incidents, particularly those brought about by acts of terrorism. This report summarizes responses to a US CDC/NCIPC-funded survey, R 49 CE000792-01, sent to all designated or verified Level I and II trauma centers in the US, to which 33% or 175 trauma centers replied.
The results are categorized by preparedness scoring, vulnerability, threats, and funding. Planning communication, surge capacity, diversion, sustainability, special populations, and finance represent additional categories examined in the survey.
Trauma centers are a major resource in disaster management. One-hundred and seventy-five centers candidly reported their resources and vulnerabilities. This inventory should be expanded to all trauma centers and recommendations for change as discussed.
自2001年美国遭受恐怖袭击以来，主要来自国家生物恐怖主义医院准备计划的联邦和州资金，促使医院活动激增，以应对未来的自然或人为灾难。创伤中心作为患者的首批接收者、通信枢纽以及家属、健康焦虑者、志愿者和捐赠者的聚集场所，全面参与了对2001年袭击事件的应对。马德里火车站恐怖袭击事件后，国会确定有必要研究创伤中心的准备情况，将其作为国家应急管理系统的重要组成部分。
国家创伤中心协作组织（NFTC）获得了美国疾病控制与预防中心（CDC/NCIPC）提供的为期一年的资助，以调查创伤中心成功应对大规模伤亡事件，特别是恐怖主义行为导致的此类事件的能力。本报告总结了对美国疾病控制与预防中心/国家伤害预防与控制中心资助的一项调查（编号R 49 CE000792 - 01）的回复情况，该调查发送给了美国所有指定或经核实的一级和二级创伤中心，有33%（即175个）创伤中心进行了回复。
结果按准备情况评分、脆弱性、威胁和资金进行分类。规划沟通、应急能力、分流、可持续性、特殊人群和财务是调查中涉及的其他分类。
创伤中心是灾难管理中的主要资源。175个中心坦率地报告了它们的资源和脆弱性。应将这份清单扩展到所有创伤中心，并按讨论情况提出变革建议。
