Ordog G J, Wasserberger J, Ordog C, Ackroyd G, Atluri S
King/Drew-UCLA Medical Center, Department of Emergency Medicine, Los Angeles 90059, USA.
Acad Emerg Med. 1995 Feb;2(2):151-4. doi: 10.1111/j.1553-2712.1995.tb03182.x.
To describe cases of violence related to weapons in a university hospital and urban county ED and to provide related recommendations for ED staff security.
Descriptive analysis and case examples of weapons-related assaults in one urban ED for the period 1979-1993.
Over a 14-year period, 115 "incidents" of weapons-related violence were identified during the management of approximately 980,000 patients. Examples of ED violence are described.
Emergency department staff should prepare for the possibility of violence by 1) recognizing the danger, 2) rehearsing response mechanisms, and 3) debriefing after incidents. In particular, plans must be made and practiced for the time when external violence follows the surviving victims of gang activity through the "sacrosanct" hospital doors. Protection of patients and ED personnel must be ensured. In many urban settings, appropriately armed security guards must be immediately accessible to the ED staff. Other suggestions for ED protection are given.
描述大学医院和城市县急诊部与武器相关的暴力事件，并为急诊部工作人员安全提供相关建议。
对1979年至1993年期间一家城市急诊部与武器相关袭击事件进行描述性分析及案例举例。
在14年期间，在处理约980,000名患者的过程中，共识别出115起与武器相关的暴力“事件”。描述了急诊部暴力事件的案例。
急诊部工作人员应通过以下方式为暴力事件的可能性做好准备：1）认识到危险，2）演练应对机制，3）事件发生后进行汇报。特别是，必须制定并演练应对外部暴力跟随帮派活动的幸存受害者穿过“神圣不可侵犯”的医院大门这种情况的计划。必须确保患者和急诊部人员的安全。在许多城市环境中，急诊部工作人员必须能够立即获得配备适当武器的保安人员的保护。还给出了其他急诊部保护建议。
