Foo Ning-Ping, So Edmund Cheung, Lu Nai-Chen, Hsieh Shih-Wei, Pan Shih-Tien, Chen Yu-Long, Hung Yu-Cheng, Wong Siu-Fung, Hsu Chi-Feng, Chen Chung-Yu
Department of Emergency Medicine, An Nan Hospital, China Medical University, Tainan, Taiwan.
Graduate Institute of Medical Sciences, Chang Jung Christian University, Tainan, Taiwan.
Emerg Med Int. 2021 Apr 6;2021:5571009. doi: 10.1155/2021/5571009. eCollection 2021.
Disaster medical assistance team (DMAT) and urban search and rescue team (USAR) need to cooperate seamlessly to save lives in disasters, but related research is limited.
To estimate the disaster preparedness of the DMAT and the barriers affecting interagency cooperation between the DMAT and the USAR team.
This was an observational study of a full-scale exercise conducted in Taiwan from November 16 to 18, 2018. The exercise scenario simulated a magnitude 7 earthquake in Tainan City. DMATs from other counties were deployed and cooperated with local USAR teams to carry out disaster relief. Our study invited 7 experts to evaluate DMATs on disaster preparedness capabilities and the interagency collaboration between DMATs and USAR.
A total of eight DMATs, consisting of 30 physicians, 65 nurses, 74 logisticians, 5 health bureau personnel, and 85 USAR teams, participated in this exercise. During the mission, 176 patients were treated. The capabilities of each team were generally consistent with the basic technical standards for type I emergency medical teams, but the compliance rates for basic local anesthesia, cold chain equipment for medication, rapid blood test tools, and sterilization devices were only 50%, 12.5%, 12.5%, and 9%, respectively. In addition, 53% of participants reported abnormal vital signs, indicating that it was a high-stress situation. Moreover, the main barriers to interagency collaboration were differing perspectives and poor mutual understanding.
A full-scale exercise carried out jointly with DMATs and USAR teams was valuable for disaster preparedness, particularly in terms of understanding the weaknesses of those teams and the barriers to interagency collaboration.
灾难医疗援助队（DMAT）和城市搜救队（USAR）需要无缝协作以在灾难中拯救生命，但相关研究有限。
评估灾难医疗援助队的灾难准备情况以及影响灾难医疗援助队与城市搜救队之间机构间合作的障碍。
这是一项对2018年11月16日至18日在台湾进行的一次全面演习的观察性研究。演习场景模拟台南市发生7级地震。来自其他县的灾难医疗援助队被部署并与当地城市搜救队合作开展救灾工作。我们的研究邀请了7位专家对灾难医疗援助队在灾难准备能力以及灾难医疗援助队与城市搜救队之间的机构间协作进行评估。
共有8支灾难医疗援助队参与了此次演习，其中包括30名医生、65名护士、74名后勤人员、5名卫生局人员以及85支城市搜救队。在任务期间，共治疗了176名患者。各团队的能力总体上符合I类应急医疗队的基本技术标准，但基础局部麻醉、药品冷链设备、快速血液检测工具以及消毒设备的合规率分别仅为50%、12.5%、12.5%和9%。此外，53%的参与者报告生命体征异常，表明这是一个高压力情况。而且，机构间协作的主要障碍是观点不同和相互了解不足。
与灾难医疗援助队和城市搜救队联合开展的全面演习对于灾难准备具有重要价值，特别是在了解这些团队的弱点以及机构间协作的障碍方面。
