儿科患者在大规模伤亡事件中的应对：全面综述和行动呼吁。
Paediatric patients in mass casualty incidents: a comprehensive review and call to action.
机构信息
Department of Emergency Medicine, Wollongong Hospital, Wollongong, New South Wales, Australia; Department of Anesthesiology, University of Southern California, Los Angeles, CA, USA.
Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
出版信息
Br J Anaesth. 2022 Feb;128(2):e109-e119. doi: 10.1016/j.bja.2021.10.026. Epub 2021 Nov 30.
The paediatric population is disproportionately affected during mass casualty incidents (MCIs). Several unique characteristics of children merit special attention during natural and man-made disasters because of their age, physiology, and vulnerability. Paediatric anaesthesiologists play a critical part of MCI care for this population, yet there is a deficit of publications within the anaesthesia literature addressing paediatric-specific MCI concerns. This narrative review article analyses paediatric MCI considerations and compares differing aspects between care provision in Australia, the UK, and the USA. We integrate some of the potential roles for anaesthesiologists with paediatric experience, which include preparation, command consultation, in-field care, pre-hospital transport duties, and emergency department, operating theatre, and ICU opportunities. Finally, we propose several methods by which anaesthesiologists can improve their contribution to paediatric MCI care through personal education, training, and institutional involvement.
在大规模伤亡事件（MCIs）中，儿科人群受到的影响不成比例。由于儿童的年龄、生理和脆弱性，在自然灾害和人为灾害期间，儿童的一些独特特征值得特别关注。儿科麻醉师在为这一人群提供 MCI 护理方面发挥着关键作用，但麻醉学文献中针对儿科特定 MCI 问题的出版物却很少。这篇叙述性综述文章分析了儿科 MCI 的注意事项，并比较了澳大利亚、英国和美国在提供护理方面的不同方面。我们整合了一些具有儿科经验的麻醉师的潜在角色，包括准备、指挥咨询、现场护理、院前转运职责以及急诊室、手术室和 ICU 机会。最后，我们提出了一些方法，通过个人教育、培训和机构参与，麻醉师可以提高他们对儿科 MCI 护理的贡献。
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