Department of Emergency Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA 02215, USA.
Department of Emergency Medicine, Tallahassee Memorial Hospital, Tallahassee, FL 32308, USA.
Mil Med. 2024 Feb 27;189(3-4):e522-e526. doi: 10.1093/milmed/usad318.
The leadership of Vista Forge 2022 requested evaluation of the handoff process between military assets and civilian emergency medical services (EMS) providers by the Beth Israel Deaconess Fellowship in Disaster Medicine (BIDMF). Vista Forge was a multi-agency military-civilian full-scale disaster exercise coordinated by the U.S. Military. The exercise, held in Atlanta, Georgia, simulated response to a nuclear bomb in an urban setting by military and civilian disaster teams.
BIDMF had several two-person teams who monitored handoff procedures between military assets after decontamination and civilian emergency medical services providers during the exercise evaluation.
A verbal handoff between military and civilian entities was usually not done. Triage tags placed on mannequins before decontamination remained attached to the bodies and were sent with them to civilian hospitals. Triage tags were generic military forms without specific radiation or chemical exposure information. Not all decontamination groups had the same medical capabilities, and in a disaster it is unclear how these teams would manage medical emergencies.
Future studies should develop a standardized handoff procedure to be used in mass casualty situations, and trial it in future multi-agency disaster exercises. Radiation specific triage tags should be considered.
Vista Forge 2022 的领导层要求评估美国军事人员和民用紧急医疗服务（EMS）提供商之间的交接流程，为此 Beth Israel Deaconess 灾难医学研究员（BIDMF）进行了评估。Vista Forge 是由美国军方协调的多机构军民全规模灾难演习。该演习在佐治亚州亚特兰大举行，模拟了城市环境中军用和民用灾难小组对核弹的反应。
BIDMF 在演习评估期间，有几个由两人组成的小组监测军事资产去污后与民用紧急医疗服务提供商之间的交接程序。
军事和民用实体之间通常没有进行口头交接。在去污之前贴在模拟人身上的分类标签仍然附着在他们身上，并随他们一起被送往民用医院。分类标签是通用的军事表格，没有具体的辐射或化学暴露信息。并非所有去污小组都具有相同的医疗能力，在灾难中，不清楚这些小组将如何应对医疗紧急情况。
未来的研究应制定标准化的交接程序，用于大规模伤亡情况，并在未来的多机构灾难演习中进行试验。应考虑使用特定于辐射的分类标签。
