Arziman Ibrahim
Department of Emergency Medicine, Gulhane Military Medical Academy, Ankara, Turkey.
Turk J Emerg Med. 2016 Mar 9;15(Suppl 1):11-9. doi: 10.5505/1304.7361.2015.79923. eCollection 2015 Oct.
Disasters cause an acute deterioration in all stages of life. An area affected by the disaster in which the normal activities of life are disrupted is described as a "Field" in disaster terminology. Although it is not easy to define the borders of this zone, the area where there is normally functioning society is accepted as the boundary. Disaster management is the responsibility of the local government. However, in many large disaster responses many non-governmental and international organizations play a role. A Disaster Medical Team is a trained, mobile, self-contained, self-sufficient, multidisciplinary medical team that can act in the acute phase of a sudden-onset disaster (48 to 72 hours after its occurrence) to provide medical treatment in the affected area. The medical team can include physicians, nurses, paramedics and EMTS, technicians, personnel to manage logistics, security and others. Various models of Disaster Medical Teams can be observed around the world. There is paucity of evidence based literature regarding DMTs. There is a need for epidemiological studies with rigorous designs and sampling. In this section of the special edition of the journal, field organizations in health management during disasters will be summarized, with emphasis on preparedness and response phases, and disaster medical teams will be discussed.
灾难会导致生活各个阶段急剧恶化。在灾难术语中,受灾地区正常生活活动受到干扰的区域被称为“现场”。虽然很难界定这个区域的边界,但通常将正常运转的社会所在区域视为边界。灾害管理是地方政府的职责。然而,在许多重大灾害应对中,许多非政府组织和国际组织也发挥着作用。灾难医疗团队是一支经过培训、可移动、设备齐全、自给自足的多学科医疗团队,能够在突发灾难的急性期(灾难发生后48至72小时)在受灾地区开展医疗救治工作。该医疗团队可包括医生、护士、护理人员和急救医疗技术员、技术人员、后勤管理人员、安保人员等。世界各地可以看到各种模式的灾难医疗团队。关于灾难医疗团队的循证文献较少。需要进行设计严谨、抽样合理的流行病学研究。在本期刊特刊的这一部分,将总结灾难期间卫生管理方面的现场组织,重点是准备阶段和应对阶段,并将讨论灾难医疗团队。