Griffith University, Gold Coast, Queensland, Australia.
Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia; Department of Emergency Medicine, Gold Coast Health, Gold Coast, Queensland, Australia.
Aust Crit Care. 2020 Sep;33(5):469-474. doi: 10.1016/j.aucc.2019.12.004. Epub 2020 Jan 22.
Mass casualty incidents occur worldwide and have the capacity to overwhelm local healthcare facilities. There has been much research into how these events are managed in the prehospital environment and in the emergency department. However, there is a paucity in research addressing the impact that mass casualty incidents have on adult intensive care units. This review seeks to identify what literature is available that addresses the impact that mass casualty incidents have on intensive care units.
Integrative Review Data sources: Electronic databases MEDLINE, CINAHL, PubMed and Scopus.
Electronic databases were searched using terms such as "Intensive Care Unit" OR "Intensive Care" OR "Critical Care" OR "ICU" AND "Mass Casualty Incidents" OR "MCI" OR "Mass Casualty Event" OR "Mass Casualty Management" OR "Disaster". Articles that were published in the preceding 10 years in English as case studies or addressing real world events were included. Editorials, theoretical papers and research involving paediatrics were excluded from the results.
Seven articles met the search criteria. Results identified four key areas in ICU that were impacted by mass casualty incidents. These areas include the impact on facilities, on resources, on staff and of training on the management of mass casualty incidents.
This review has demonstrated a paucity in research and reporting practices on the impact that mass casualty incidents have on intensive care units. The returned articles have identified four areas that were seen as influencing management of real-world mass casualty incidents. By increasing reporting and research into factors that impact mass casualty incident management in intensive care units, policy and training can be enhanced to ensure better preparedness for future incidents.
全球范围内经常发生大规模伤亡事件，这些事件有可能使当地医疗机构不堪重负。针对此类事件在院前环境和急诊科的管理方式，已经开展了大量研究。然而，针对大规模伤亡事件对成人重症监护病房的影响，相关研究却相对较少。本综述旨在确定现有文献中哪些涉及大规模伤亡事件对重症监护病房的影响。
综合评价 资料来源：电子数据库 MEDLINE、CINAHL、PubMed 和 Scopus。
使用“重症监护病房”或“重症监护”或“危重病护理”或“ICU”以及“大规模伤亡事件”或“MCI”或“大规模伤亡事件”或“大规模伤亡事件管理”或“灾难”等术语，在电子数据库中进行搜索。纳入了在过去 10 年内以病例研究或针对真实世界事件发表的英文文章。排除社论、理论论文和涉及儿科的研究。
符合搜索标准的文章有 7 篇。结果确定了 ICU 受大规模伤亡事件影响的四个关键领域。这些领域包括对设施、资源、工作人员以及对大规模伤亡事件管理的培训的影响。
本综述表明，针对大规模伤亡事件对重症监护病房的影响，研究和报告实践相对较少。返回的文章确定了被认为影响重症监护室真实世界大规模伤亡事件管理的四个领域。通过增加对影响重症监护室大规模伤亡事件管理的因素的报告和研究，可以加强政策和培训，以确保为未来的事件做好更好的准备。
