McDermott Kathleen M, Hardstaff Ruth M, Alpen Sophie, Read David J, Coatsworth Nicholas R
1National Critical Care and Trauma Response Centre,Darwin,Northern Territory,Australia.
2Division of Surgery,Royal Darwin Hospital,Darwin,Northern Territory,Australia.
Prehosp Disaster Med. 2017 Dec;32(6):657-661. doi: 10.1017/S1049023X17006707. Epub 2017 Jul 27.
Sudden onset disasters (SODs) have affected over 1.5 billion of the world's population in the past decade. During the same time, developing nations have faced a sustained increase in the burden of non-communicable disease (NCD) with extra pressure placed on health systems. The combined increase in SODs and the NCD epidemic facing the world's most disaster-prone nations will present new challenges to emergency medical teams (EMTs) during disaster response. This report details the experience as an EMT during the Typhoon Haiyan disaster of 2013, with particular reference to the challenges of diabetic management in a surgical field hospital. The incidence of diabetes in this surgical cohort exceeded that of the population by a factor of four. The steps to prepare for and treat diabetes in the field provide a useful model for the management of NCD in the deployed field hospital environment after a disaster. McDermott KM , Hardstaff RM , Alpen S , Read DJ , Coatsworth NR . Management of diabetic surgical patients in a deployed field hospital: a model for acute non-communicable disease care in disaster. Prehosp Disaster Med. 2017;32(6):657-661.
在过去十年中，突发灾难影响了全球超过15亿人口。与此同时，发展中国家面临着非传染性疾病（NCD）负担的持续增加，卫生系统承受着额外压力。世界上最易受灾国家突发灾难和非传染性疾病流行情况的双重增加，将给灾难应对期间的紧急医疗队（EMT）带来新的挑战。本报告详细介绍了作为紧急医疗队成员在2013年台风“海燕”灾难期间的经历，特别提及了在一家外科野战医院管理糖尿病患者所面临的挑战。该外科队列中的糖尿病发病率比普通人群高出四倍。在野外为糖尿病做准备和治疗的步骤，为灾难后部署的野战医院环境中非传染性疾病的管理提供了一个有用的模式。麦克德莫特KM、哈德斯塔夫RM、阿尔彭S、里德DJ、科茨沃思NR。部署的野战医院中糖尿病外科患者的管理：灾难中急性非传染性疾病护理的模式。院前灾难医学。2017；32(6):657 - 661。
