Dalhousie University, Halifax, Nova Scotia, Canada.
Healthc Manage Forum. 2024 Mar;37(2):86-89. doi: 10.1177/08404704231199403. Epub 2023 Sep 20.
Mass casualty events can cause patient surges within healthcare facilities. These surges can be limited to hours or continue for days or weeks. As emergency departments are the front doors to the healthcare system, it is critical that they are prepared to accept patient surges. Focusing plans on optimizing space, staff, and supplies is critical to a successful response. Boarded or non-emergent patients must be diverted, discharged, and decanted from the emergency department to expand resuscitation space. If inadequate, non-clinical space may be required for patient care. Staff call-in lists should be maintained, and in-house berthing for staff during prolonged responses may be necessary. Further, identifying the spectrum of care, from conventional to crisis, is necessary to thrive during a disaster response: staff must understand that business as usual will not be compatible with austere disaster response before levels of care begin to decline.
大量人员伤亡事件可能导致医疗机构内的患者激增。这些激增可能持续数小时，也可能持续数天甚至数周。由于急诊科是医疗保健系统的前门，因此必须做好准备以应对患者激增。专注于优化空间、人员和物资的计划对于成功应对至关重要。必须将滞留或非紧急患者转移、出院和从急诊科转移，以扩大复苏空间。如果空间不足，可能需要非临床空间来照顾患者。应保持员工呼叫名单，并且在长时间应对期间，可能需要为员工提供内部住宿。此外，必须确定从常规到危机的护理范围，以便在灾难应对期间蓬勃发展：在护理水平开始下降之前，工作人员必须明白，在灾难应对的严峻形势下，常规业务将无法与之兼容。
