Skiendzielewski J J, Dula D J
J Trauma. 1982 Aug;22(8):694-7.
The rural area is not immune to multi-casualty incidents, and the complete rural EMS System reported here includes a plan to deal with one. The Susquehanna Valley Health Care Consortium was developed with this in mind, and addresses the points pertinent to the rural setting, including the large area served, available medical care, prehospital transport, and communications. Six hospitals in five counties participate. New approaches to these problems, which emerged after three field tests, are: participants must be organized for successful triage and resuscitation; crowd and traffic control by police is mandatory; an overall commander is necessary; two-way communication by several methods must be available; an administrator should track all victims; and air evacuation capability should be arranged.
农村地区也难以避免多伤亡事件的发生，本文所报道的完整农村急救医疗服务系统就包含了应对此类事件的计划。萨斯奎哈纳谷医疗保健联盟正是基于这一考虑而建立的，它涉及到与农村环境相关的各个方面，包括服务的广大区域、可用的医疗服务、院前转运以及通信。五个县的六家医院参与其中。经过三次实地测试后出现的针对这些问题的新方法包括：必须组织参与者进行成功的分诊和复苏；警方必须进行人群和交通管制；需要一名总指挥；必须具备多种方式的双向通信；一名管理人员应追踪所有受害者；并且应安排空中后送能力。
