Moore James K, Ladbrook Matthew, Goodyer Larry, Dallimore Jon
Royal College of Physicians and Surgeons of Glasgow, Glasgow, Scotland and the Exeter Travel Clinic, Exeter, England (Mr Moore).
GPS Healthcare, Solihull, England (Dr Ladbrook).
Wilderness Environ Med. 2017 Sep;28(3):219-224. doi: 10.1016/j.wem.2017.03.015. Epub 2017 Jun 17.
Expedition teams without accompanying medical professionals traveling overseas from the UK frequently carry medical kits containing prescription-only medicines (POMs). Access to safe, basic POMs whilst on expedition is important, as the quality and availability of medicines in-country may not be acceptable, and delay in treatment may be hazardous. At present, there is no published guidance relating to drug acquisition and administration in these situations. In the UK, a number of different practices are currently in use, with uncertainty and medicolegal concerns currently hampering safe and efficient provision of POMs on overseas expeditions. A guideline is proposed for the management of prescription-only medications in an expedition setting.
从英国前往海外且没有随行医疗专业人员的探险队通常会携带装有仅凭处方购买药品（POMs）的医疗包。在探险期间能够获取安全、基本的仅凭处方购买药品很重要，因为当地药品的质量和可得性可能无法令人接受，治疗延误可能会有危险。目前，尚无关于此类情况下药品采购和管理的公开指南。在英国，目前存在多种不同做法，不确定性以及法医学方面的担忧目前正阻碍着在海外探险中安全、高效地提供仅凭处方购买的药品。本文提出了一项关于在探险环境中管理仅凭处方购买药品的指南。
