Schwengel Deborah, Gangadharan Meera, Chilson Kelly, Choi Ellen, Weinhold Ashley, Widing Amanda, Binstock Wendy, Greenberg Robert, Diaz Christina
https://ror.org/037zgn354Johns Hopkins University School of Medicine, Department of Anesthesiology, Critical Care Medicine and Pediatrics, Baltimore, MD, USA.
https://ror.org/03gds6c39University of Texas Health Science Center at Houston, Department of Anesthesiology, Critical Care, and Pain Medicine, Houston, TX, USA.
Disaster Med Public Health Prep. 2025 Jul 21;19:e198. doi: 10.1017/dmp.2025.10124.
Anesthesiologists are broadly trained members of the health care workforce, managing patients daily using advanced stabilization/resuscitative techniques. They work in a collaborative, team-based model and lead multidisciplinary teams. Their work includes prioritizing patients according to the complexities of their disease presentations, and threats to life and limb. Trauma care is a regular part of the anesthesiologist's job. The presence of anesthesiologists is required in hospitals to achieve the designation "level 1" trauma center. Anesthesiology is a specialty known for promoting safe practice principles and improving quality of care, utilizing crisis resource management and implementing cognitive aids. Despite these skillsets, anesthesiologists are generally overlooked in disaster preparedness. The number of trained anesthesiologists is similar to that of emergency medicine physicians, and they are nearly twice as abundant as general surgeons. In countries outside the US, anesthesiologists are often included in the pre-hospital team.The purpose of this article is to emphasize the skillsets of anesthesiologists and to advocate for their inclusion in disaster preparedness teams. Due to their presence and comfort throughout the hospital system, broad training in emergent and elective cases, resuscitation skills, procedural skills, communication skills, daily triage, and team management, anesthesiologists should be considered essential leaders during mass casualty incident preparation and response.
麻醉医生是医疗保健队伍中受过广泛培训的成员,他们每天使用先进的稳定/复苏技术来管理患者。他们以协作的团队模式工作,并领导多学科团队。他们的工作包括根据患者疾病表现的复杂性以及对生命和肢体的威胁对患者进行优先排序。创伤护理是麻醉医生日常工作的一部分。医院要获得“一级”创伤中心的 designation,就需要有麻醉医生在场。麻醉学是一门以推广安全操作原则、利用危机资源管理和实施认知辅助工具来提高护理质量而闻名的专业。尽管具备这些技能组合,但麻醉医生在灾难准备方面通常被忽视。受过培训的麻醉医生数量与急诊医学医生相近,且其数量几乎是普通外科医生的两倍。在美国以外的国家,麻醉医生通常被纳入院前团队。本文的目的是强调麻醉医生的技能组合,并倡导将他们纳入灾难准备团队。由于麻醉医生在整个医院系统中都存在且能发挥作用,他们在急诊和择期病例方面接受过广泛培训,具备复苏技能、操作技能、沟通技能、日常分诊能力和团队管理能力,因此在大规模伤亡事件的准备和应对过程中,麻醉医生应被视为至关重要的领导者。