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突发灾害大规模伤亡事件应对:分诊、院外生命支持和流程的改良德尔菲研究

Sudden-Onset Disaster Mass-Casualty Incident Response: A Modified Delphi Study on Triage, Prehospital Life Support, and Processes.

机构信息

CRIMEDIM - Center for Research and Training in Disaster Medicine, Humanitarian Aid, and Global Health, Università del Piemonte Orientale, Novara, Italy.

Monash University Disaster Resilience Initiative, Monash University, ClaytonVICAustralia.

出版信息

Prehosp Disaster Med. 2023 Oct;38(5):570-580. doi: 10.1017/S1049023X23006337. Epub 2023 Sep 7.

Abstract

The application and provision of prehospital care in disasters and mass-casualty incident response in Europe is currently being explored for opportunities to improve practice. The objective of this translational science study was to align common principles of approach and action and to identify how technology can assist and enhance response. To achieve this objective, the application of a modified Delphi methodology study based on statements derived from key findings of a scoping review was undertaken. This resulted in 18 triage, eight life support and damage control interventions, and 23 process consensus statements. These findings will be utilized in the development of evidence-based prehospital mass-casualty incident response tools and guidelines.

摘要

在欧洲,灾难和大规模伤亡事件应对中的院前护理的应用和提供目前正在探索改进实践的机会。本转化科学研究的目的是调整方法和行动的共同原则,并确定技术如何协助和加强应对。为了实现这一目标,采用了一种基于范围综述关键发现得出的陈述的改良 Delphi 方法研究。这导致了 18 项分诊、8 项生命支持和损伤控制干预以及 23 项流程共识陈述。这些发现将用于开发基于证据的院前大规模伤亡事件应对工具和指南。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b5/10548019/9ee3c9cf12d8/S1049023X23006337_fig1.jpg

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