Fisher C J
JACEP. 1977 Jan;6(1):10-2. doi: 10.1016/s0361-1124(77)80278-5.
Experience has shown poor predisaster planning, inadequate communication and the absence of an on-scene commander to be common and recurring problems during disaster rescue efforts. A mobile onscene triage team (MOTT) operating in Sacramento has demonstrated the following advantages: immediate access; mobility; coordinated evacuation, treatment, and disposition of mass casualty victims; control of facility overload, and appropriate initial disposition to definitive care facilities. The advantages realized with this approach arise from greater community awareness and participation in a coordinated plan for medical care in disasters.
经验表明,在灾难救援行动中,灾前规划不佳、沟通不足以及缺乏现场指挥官是常见且反复出现的问题。在萨克拉门托运作的一个移动现场分诊小组(MOTT)已展现出以下优势:可即时抵达;具备机动性;能对大规模伤亡受害者进行协调疏散、治疗及安置;控制设施过载情况,并将伤者合理初步安置到最终护理机构。这种方法所实现的优势源于社区更强的意识以及对灾难医疗协调计划的参与。