Raigmore Hospital, Inverness, UK; Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, London, UK.
Royal London Hospital Major Trauma Centre, Barts Health NHS Trust, London, UK; Centre for Trauma Sciences & Crisis Prevention & Management Group, Queen Mary University of London, London, UK.
Br J Anaesth. 2022 Feb;128(2):e79-e82. doi: 10.1016/j.bja.2021.10.024. Epub 2021 Nov 22.
Uncertainty is the defining state of the first minutes and hours of a mass casualty event, yet decisions must be taken and actions must happen before the picture is complete. To move forwards in face of uncertainty, we must acknowledge that there will be insufficient information for us to be comfortable in our decisions and actions. We discuss here a range of solutions that allow us to tolerate, even flourish, in the midst of uncertainty.
不确定性是大规模伤亡事件最初几分钟和几小时的特征状态,但在情况完全明朗之前,必须做出决策并采取行动。为了在不确定性面前取得进展,我们必须承认,我们将没有足够的信息来使我们对自己的决策和行动感到满意。在这里,我们讨论了一系列解决方案,使我们能够在不确定性中容忍甚至蓬勃发展。