Backer Howard D, Wright Charles, Dong Jialin, Baba Nathaniel, McFadden Honda, Rosen Brett
The Emergency Medical Services Authority (EMSA), California Medical Assistance Team (CAL-MAT), Rancho Cordova, CA, USA.
California Medical Assistance Team (CAL-MAT), San Diego, CA, USA.
Disaster Med Public Health Prep. 2021 Nov 23;17:e61. doi: 10.1017/dmp.2021.321.
The California Emergency Medical Services Authority manages and deploys California Medical Assistance Teams (CAL-MAT) to disaster medical incidents in the state. This analysis reviews diagnoses for ambulatory medical visits at multiple wildland fire incident base camp field sites in California during the 2020 fire season.
Clinical data without personal health information were extracted retrospectively from patient care records from all patients seen by a provider. Results were entered into Excel spreadsheets with calculation of summary statistics.
During the 2020 fire season, CAL-MAT teams deployed 21 times for a total of 327 days to base camps supporting large fire incidents and cared for 1756 patients. Impacts of heat and environmental smoke are a constant factor near wildfires; however, our most common medical problem was rhus dermatitis (54.5%) due to poison oak. All 2020 medical missions were further complicated by prevention and management of coronavirus disease (COVID-19).
There is very little literature regarding the acute medical needs facing responders fighting wildland fires. Ninety-five percent of clinical conditions presenting to a field medical team at the wildfire incident base camp during a severe fire season in California can be managed by small teams operating in field tents.
加利福尼亚紧急医疗服务管理局负责管理和部署加利福尼亚医疗援助团队（CAL-MAT），以应对该州的灾害医疗事件。本分析回顾了2020年火灾季节期间，加利福尼亚多个野火事件大本营现场的门诊医疗就诊诊断情况。
从提供者诊治的所有患者的病历中回顾性提取无个人健康信息的临床数据。结果录入Excel电子表格，并计算汇总统计数据。
在2020年火灾季节，CAL-MAT团队共出动21次，总计327天，前往支持大型火灾事件的大本营，照料了1756名患者。高温和环境烟雾的影响是野火附近的一个持续因素；然而，我们最常见的医疗问题是由毒橡树引起的漆树皮炎（54.5%）。2020年所有医疗任务因冠状病毒病（COVID-19）的预防和管理而进一步复杂化。
关于扑救野火的应急人员所面临的急性医疗需求的文献非常少。在加利福尼亚州严重火灾季节，在野火事件大本营向现场医疗团队报告的95%的临床病症可由在野外帐篷中工作的小团队进行处理。
