Eisner M E, Waxman K, Mason G R
Am J Surg. 1985 Sep;150(3):321-3. doi: 10.1016/0002-9610(85)90070-4.
A mock disaster at Orange County's John Wayne Airport provided a basis for examining correct triage of patients and their arrival time for definitive care. The ability to triage critically injured patients in a timely fashion was found to be only slightly better than chance routing. For most of the seriously and critically injured patients, it took more than 1.5 hours to reach the hospital. Advanced life support with intravenous fluid resuscitation available on the scene would probably reduce the mortality of possible disaster victims by 50 percent. These problems are presently being addressed. In future disaster exercises, the present type of evaluation could be used to judge improvement in possible patient triage and survival.
奥兰治县约翰·韦恩机场的一次模拟灾难为检查患者的正确分诊及其接受确定性治疗的到达时间提供了依据。结果发现,及时对重伤患者进行分诊的能力仅略优于随机安排。对于大多数重伤和危重伤患者来说,到达医院花费了超过1.5个小时。现场提供静脉液体复苏的高级生命支持可能会使可能的灾难受害者死亡率降低50%。目前正在解决这些问题。在未来的灾难演习中,目前这种评估方式可用于判断患者分诊和生存方面可能的改善情况。