Schüttler J, Stoeckel H
Anasth Intensivther Notfallmed. 1987 Apr;22(2):69-72.
When a large number of casualties has occurred due to accidents or other medical disasters the normal individualized emergency physician and rescue service has to be rearranged within a short period of time. It is essential to achieve informations as detailed as possible about the number of victims and the kind of the disaster situation. A physician especially trained for such instances should be informed immediately and take over the responsibility as leading emergency physician for the management of the large scale emergency situation. After proper screening has been performed to sort out these patients who have high treatment priority the leading emergency physician has to coordinate the medical treatment of the victims provided by the other emergency physicians. The location where the accident occurred has to be structured and the transportation of the patients into the hospitals has to be arranged. In addition back-up facilities are to be activated to gain a large number of personNel l and ambulance transportation facilities. By following these logistical scheme it becomes possible to handle large scale accidents within a reasonable period of time.
当因事故或其他医疗灾难导致大量人员伤亡时，正常的个体化急诊医生和救援服务必须在短时间内重新安排。尽可能详细地获取有关受害者数量和灾难情况类型的信息至关重要。应立即通知一位专门为此类情况受过培训的医生，由其承担起作为主要急诊医生管理大规模紧急情况的责任。在进行适当筛查以区分出治疗优先级高的患者后，主要急诊医生必须协调其他急诊医生为受害者提供的医疗救治。事故发生地点必须进行规划安排，患者转运至医院的工作也必须妥善安排。此外，还应启动后备设施以获得大量人员和救护车运输设备。按照这些后勤方案，就有可能在合理时间内处理大规模事故。
