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題名 | 2016 Southern Taiwan Earthquake--Experience in Chi Mei Hospital=2016南臺灣大地震--奇美醫院經驗 |
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作者 | 許翰平; 邱浩遠; 黃國峯; 孫宗伯; Hsu, Han-ping; Chiu, Haw-yen; Huang, Kuo-feng; Sun, Tzong-bor; |
期刊 | 臺灣整形外科醫學會雜誌 |
出版日期 | 20190600 |
卷期 | 28:2 2019.06[民108.06] |
頁次 | 頁119-136 |
分類號 | 419.53 |
語文 | eng |
關鍵詞 | 地震; 奇美醫院; 災害救援; 整形外科; Earthquake; Injury profile; Patient flow management; |
中文摘要 | 背景:2016年南台灣地震造成台南地區511位民眾受傷及117位民眾死亡。目的及目標:分析所有送至奇美醫學中心的地震傷患。材料及方法:回歸性蒐集所有送至奇美醫學中心地震傷患,分析病患基本資訊、受傷機轉、診斷、受困時間、外傷嚴重度分數、等待手術時間、接受手術項目、住院天數及最後預後。結果:總計110位傷患送至奇美醫院,兩位到院前死亡。17位傷患入住一般病房,9位傷患入住加護病房,而有13位病患需接受手術治療。所有接受緊急手術治療的傷患平均手術等待時間為2.13小時。於傷患入住一般病房或加護病房的次分析中發現,入住加護病房的病患有較久的地震受困時間,而住院後的住院天數也較為長(p<0.05);這兩個群組傷患在檢傷程度、外傷嚴重度分數及後續接受手術的次數並無統計上的顯著性差異。除兩位到院前死亡的傷患外,其餘108位傷患全數存活。沒有病患需要接受肢體截肢或終身洗腎。結論:整形外科醫師在此次天災治療病患上扮演重要角色。快速的地震傷患救援,早期的辨識需手術的傷患並給予治療可正向影響病患預後。藉由此次救災傷患分析,有助於了解並增進往後大型災害的救援效率。 |
英文摘要 | Background: The 2016 Southern Taiwan earthquake that occurred during Chinese New Year vacation injured 511 people and caused 117 deaths. An analysis of injury profiles was conducted in this study for current injury intervention and future earthquake disaster management. Aim and Objectives: In this study, we analyzed the data of victims of the 2016 Southern Taiwan earthquake, who were rescued and transferred to a tertiary medical center located in the disaster area. Materials and Methods: In this retrospective study, we conducted a medical chart review of the injured patients transferred to Chi Mei Hospital following the 2016 Southern Taiwan earthquake. Information regarding patient flow management through the emergency room was obtained. The victims' characteristics, type of injury, entrapped time, Injury Severity Score (ISS), waiting time for surgery, surgical procedures, length of hospital stay, and final outcomes were analyzed. Result: Among the victims of the 2016 Southern Taiwan earthquake, 110 people were transferred to the Chi Mei Medical Center. Two victims had an out-of-hospital cardiac arrest status. Among the 108 survivors, 26 patients were admitted to the hospital. In this study, 17 and 9 patients were admitted to the general ward and intensive care unit (ICU), respectively. Thirteen patients received surgery for varying degrees of extremity severance. The mean waiting time for surgery after confirmed diagnosis in the emergency room was 2.13 hours. Subgroup analysis of patients admitted to the general ward or ICU revealed that ICU group patients exhibited a significantly longer entrapped time (p < 0.05) and longer hospital stay (p < 0.05) than general ward group patients. No significant difference was observed in the triage level, ISS, and times of surgical procedures for the 2 study groups. All the 108 survivors had neither limb amputation nor chronic renal insufficiency. Conclusion: Rapid rescue from the disaster scene, early recognition of surgical patients, and timely treatment are the key factors influencing patients' final outcomes. A time-saving and efficient patient flow management process is presented in this paper. This process can be integrated into the current administrative system for the management of mass casualties after a natural disaster. |
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