创伤外科医生志愿和随时准备应对灾害的试点登记册。
A pilot registry of trauma surgeons willing and ready to respond to disasters.
机构信息
From the Division of Trauma, Emergency Surgery and Surgical Critical Care, West Virginia University, Morgantown, West Virginia (D.G.); Division of Trauma, Acute Care Surgery and Surgical Critical Care, LAC+USC Medical Center, Los Angeles, California (A.S.); Department of Surgery, Uniformed Services University, Bethesda, Maryland (K.R.); and Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts (S.B.).
出版信息
J Trauma Acute Care Surg. 2018 Feb;84(2):393-396. doi: 10.1097/TA.0000000000001751.
BACKGROUND
A well-defined means of organizing surgeons based on functional capabilities in disaster response has been lacking. We sought to create a pilot registry of surgeons, organized by functional capacities, available to respond to disasters in conjunction with the American College of Surgeons Operation Giving Back and to better understand their participation in disaster medicine training.
METHODS
The authors conducted a survey of the members of the American Association for the Surgery of Trauma and the Eastern Association for the Surgery of Trauma aimed at establishing a pilot registry of qualified trauma surgeons available to respond to disasters. Data from the surveys were analyzed retrospectively for surgical and subspecialty training, board certification, disaster response training, and military or civilian disaster experience to better understand the respondents' functional capacities and disaster training backgrounds.
RESULTS
Of 211 respondents, 96% self-identified as trauma surgeons, whereas 87% and 89% reported active practice in acute care surgery and/or critical care. Nearly all had primary board certifications in general surgery (93%), and many had additional certifications in surgical critical care (65%). While many reported participation in American College of Surgeons-sponsored trauma courses, only 30% of those surveyed received disaster-specific training in Federal Emergency Management Agency courses, and even fewer received training in the Disaster Management and Emergency Preparedness course. Few had military (26%) or civilian (19%) experience in disaster response.
CONCLUSIONS
This initiative complements efforts to organize a registry of trauma surgeons who are qualified and willing to respond in all aspects of disaster response. While trauma surgeons are optimally positioned to provide a wide range of surgical expertise in a disaster, this study further demonstrated the lack of a universally accepted disaster training program for surgeons willing to respond to mass casualty incidents. Standardized disaster response training for surgeons remains a challenge for the future.
LEVEL OF EVIDENCE
Care management, level IV.
背景
在灾难应对中，基于功能能力对外科医生进行明确组织的方法一直缺乏。我们试图创建一个由具备功能能力的外科医生组成的注册中心，与美国外科医师学院的“回馈行动”合作，以应对灾害，并更好地了解他们参与灾难医学培训的情况。
方法
作者对美国创伤外科学会和东部创伤外科学会的成员进行了一项调查，旨在建立一个有能力应对灾害的合格创伤外科医生的试点登记处。对调查数据进行回顾性分析，以了解手术和亚专科培训、委员会认证、灾难应对培训以及军事或民用灾难经验，以更好地了解受访者的功能能力和灾难培训背景。
结果
在 211 名受访者中，96%自我认定为创伤外科医生，而 87%和 89%报告在急性护理外科和/或重症监护方面有活跃的实践经验。几乎所有人都拥有普通外科的主要委员会认证（93%），许多人还拥有外科重症监护的额外认证（65%）。虽然许多人报告参加了美国外科医师学院赞助的创伤课程，但只有 30%的受访者参加了联邦紧急事务管理局课程的特定灾难培训，接受灾难管理和应急准备课程培训的人更少。很少有人有军事（26%）或民用（19%）应对灾难的经验。
结论
这项倡议是对组织有资格并愿意在灾难应对的各个方面做出反应的创伤外科医生登记处的努力的补充。虽然创伤外科医生是在灾难中提供广泛外科专业知识的最佳人选，但这项研究进一步表明，缺乏一个普遍接受的灾难培训计划，以满足愿意应对大规模伤亡事件的外科医生的需求。外科医生的标准化灾难应对培训仍然是未来的挑战。
证据水平
护理管理，四级。
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