为拯救生命腾出空间：灾难事故期间住院医师的关键作用
Making Space to Save Lives: A Critical Role for the Hospitalist During Mass Casualty Incidents.
作者信息
DeLuca Michael A, Greenwald Jeffrey L, Manners Philip B, Knuesel Steven, Biddinger Paul D
机构信息
Harvard Affiliated Emergency Medicine Residency Program, Boston, Massachusetts, USA.
Department of Emergency Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
出版信息
Disaster Med Public Health Prep. 2022 Aug 5;17:e213. doi: 10.1017/dmp.2022.175.
OBJECTIVE
An effective hospital response to mass casualty incidents (MCIs) requires rapid mobilization of personnel capable of caring for critically ill trauma patients and availability of resuscitation resources.
METHODS
Hospitals facing an MCI wrestle with the challenge of immediately adjusting their overextended clinical operations to resuscitate a large number of rapidly arriving patients without compromising the care of existing patients.
RESULTS
Hospitalists are well positioned to add significant value by off-loading the emergency department (ED) given their broad clinical expertise. We describe our institution's protocol to generate immediate and sustained surge capacity by integrating our hospitalist service into MCI response.
CONCLUSIONS
Our protocol details the safe and rapid transfer of care of existing ED patients to hospitalist teams to make ED staff and space available to care for incoming MCI patients.
目的
医院要有效应对大规模伤亡事件（MCI），需要迅速动员能够护理重症创伤患者的人员，并确保复苏资源的可用。
方法
面临MCI的医院面临着一项挑战，即要立即调整过度扩展的临床运作，以便在不影响现有患者护理的情况下，对大量迅速到来的患者进行复苏。
结果
鉴于其广泛的临床专业知识，住院医师能够通过减轻急诊科（ED）的负担来增加显著价值。我们描述了我们机构通过将住院医师服务纳入MCI应对措施来立即产生并持续保持应急能力的方案。
结论
我们的方案详细说明了将现有ED患者的护理安全、迅速地转移给住院医师团队，以使ED工作人员和空间能够用于护理新来的MCI患者。
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