灾难医学中的分诊教学——主题相同，但方法不同。
Teaching triage in disaster medicine - same subject, but different approach.
作者信息
Khorram-Manesh Amir
机构信息
Department of Surgery, Institute for Clinical Sciences, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Center for Disaster Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
出版信息
Scand J Trauma Resusc Emerg Med. 2025 Jan 16;33(1):9. doi: 10.1186/s13049-025-01322-5.
BACKGROUND
Disaster management is an inter-, intra-, and cross-disciplinary task in which different specialties partake. Triage is a crucial part of disaster education. A synchronized approach and mutual understanding of triaging and agreement on priorities are essential for saving lives.
CASE STUDY
Educational initiatives in disaster medicine aim to address issues that highlight the differences between more routine multi-casualty incidents and rarer mass casualty incidents. These differences are characterized by the number of victims, available resources, and environmental factors that may jeopardize the safety of victims and healthcare providers. While routine triage algorithms are often used in multiple casualty emergencies, considering environmental factors in mass casualty incidents caused by natural or human-made hazards should be equally important.
CONCLUSIONS
The impacts of environmental factors are usually not discussed in disaster medicine education, resulting in professionals having difficulties understanding the limitations of implementing routine triage algorithms during disaster response.
背景
灾害管理是一项跨学科、多学科和交叉学科的任务，涉及不同专业。分诊是灾害教育的关键部分。同步的方法以及对分诊的相互理解和优先事项的共识对于拯救生命至关重要。
案例研究
灾害医学教育倡议旨在解决突出常规多伤亡事件与罕见大规模伤亡事件之间差异的问题。这些差异体现在受害者数量、可用资源以及可能危及受害者和医疗保健提供者安全的环境因素上。虽然常规分诊算法常用于多伤亡紧急情况，但在由自然或人为灾害导致的大规模伤亡事件中考虑环境因素同样重要。
结论
灾害医学教育中通常不讨论环境因素的影响，导致专业人员在理解灾害应对期间实施常规分诊算法的局限性方面存在困难。
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