頁籤選單縮合
題名 | Designation of a New Training Model of a Local Disaster Medical System with Tabletop Exercises=以沙盤推演方式測試地區災難醫療應變體系的訓練新模式 |
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作 者 | 李文輝; 管仁澤; 蕭雅文; 李文正; 陳昌瑋; 黃集仁; 邱德發; 陳日昌; | 書刊名 | 長庚醫學 |
卷期 | 26:12 2003.12[民92.12] |
頁次 | 頁879-888 |
分類號 | 419.53 |
關鍵詞 | 緊急醫療救護系統; 大量傷患事故; 災難; 災難計劃; Emergency medical services; Mass casualty incident; Disasters; Disaster planning; |
語文 | 英文(English) |
中文摘要 | 背景:政府災難醫療應變體發展計劃中,專家小組建議地方政府以地區平常運作的緊急醫療系統來作為地區災難醫療應變體系的基本架構,並發展出新的運作模式,我們以沙盤推演方式評估新訓練模式的地區災難醫療應變體系的可行性與效能。 方法:演習舉行前,對災難醫療應變人員施以訓練,以確定能充分了解地區災難醫療應變體系的新運作模式,訓練結束後,共有40與42位人員分別參與二次沙盤推演,演習模擬地震在六個不同事故地點產生共400名傷病患,演習以對病患檢傷、決定去向與治療正確率作為測試的結果指標。 結果:在兩次演習中,平均92%模擬病患被正確檢傷、88%被正確決定去向、約86%病患被正確治療、且所有病患都在演習開始45分鐘內被送至合適治療場所。 結論:在沙盤推演演習中,以地區緊急醫療系統模式架構的災難醫療應變體系對災難能快速、有效地做出充分醫療應變。 |
英文摘要 | Background: A new model of a local disaster medical system (LDMS) was proposed through the consensus method of expert panel meetings for county governments in Taiwan. This LDMS model adopts a local emergency medial response system (EMRS) for dealing with daily accidents as a basic structure by expanding its roles and functions. The objective of this study was to determine the feasibility of the new LDMS model by evaluating its initial phase response to simulated disasters using tabletop exercise. Methods: Two tabletop exercises were held after the responders of the LDMS were trained according to the new model. Forty and 42 participants respectively joined the 2 tabletop exercises, which simulated an earthquake causing 400 casualties in 6 different locations in order to apply the new LDMS model. The outcome measurements of the tabletop exercises were the mean accuracy rate of victim trage and disposition, and medical interventions. Results: About 92% pf victims were correctly triaged, and 88% had a correct disposition. Moreover, around 86% of all victims received adequate medical interventions. All victims were dispatched to appropriate facilities or treatment areas within 45 min. Conclusion: The new EMRS-oriented model of this LDMS can respond quickly, efficiently, and adequately to the initial phase of a disaster during tabletop exercises. Further clinical investigations are required to prove the efficacy of the new LDMS model in real disasters or in full-scale drills. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。