Ziv Medical Center, Safed, Israel.
University of Haifa, School of Public Health, Haifa, Israel.
Disaster Med Public Health Prep. 2021 Feb;15(1):92-98. doi: 10.1017/dmp.2019.152. Epub 2020 Mar 11.
A hospital's operating modes can be divided into three main levels of operation: routine, mass-casualty, and interim states that require procedures and resources beyond the routine capacity.Regardless of the nature of the event and the needs, the medical staff has to be prepared for a sudden increase in demand for service that could overwhelm the functional capacity and safety standards of the hospital.In any sort of an emergency event, the hospital has to fulfill two goals: First is to be able to sustain itself against the sudden rise in demand for medical support; the aid given depends on the nature of the disaster. The second goal is to continue supporting the essential routine duties for patients already hospitalized and for others arriving at the hospital regardless of the disaster.The aim of this paper is to describe the principles and the methods for hospital operation in case of a disaster-level event. The paper describes the structure and methods for handling prolonged disaster-level events and the adjustments that can be made in the case of lower intensity events.
常规、大规模伤亡和需要超出常规能力的程序和资源的临时状态。无论事件的性质和需求如何，医护人员都必须为服务需求的突然增加做好准备，这种增加可能会使医院的功能能力和安全标准不堪重负。在任何紧急事件中，医院都必须实现两个目标：首先是能够承受对医疗支持的突然增加的需求；所提供的援助取决于灾害的性质。第二个目标是继续为已经住院的患者以及无论是否发生灾害而到达医院的其他患者提供基本的常规服务。本文的目的是描述灾害级别事件中医院运营的原则和方法。本文描述了处理长期灾害级事件的结构和方法，以及在事件强度较低的情况下可以进行的调整。
