应对大规模伤亡事件的应急准备:南德克萨斯州对全州应急响应系统发展的评论
Kelly Harrell1, Justin Cirone1, Alexandra Hill1
1Surgery, UT Health San Antonio, San Antonio, Texas, USA.
Trauma surgery & acute care open
|January 10, 2024
概括
大规模伤亡事件需要快速输血. 南德克萨斯州的一个联盟现在包括以前怀孕的妇女作为低滴度O型阳性全血献血者,提高紧急血液供应.
科学领域:
- 紧急医疗 紧急医疗
- 输血医学 输血医学
- 创伤外科 手术 创伤外科
背景情况:
- 在美国,大规模伤亡事件 (MCIs) 正在增加,出血是可预防的创伤死亡的主要原因.
- 美国主要城市当前的基础设施往往不足以满足MCI期间的输血需求.
- 快速获得拯救生命的血液制品对于减轻出血相关死亡事故至关重要.
研究的目的:
- 建立一个准备好的系统,在MCI期间提供低滴度型O阳性全血 (LTOWB) 和血液成分.
- 评估将以前怀孕的妇女纳入LTOWB捐赠池的可行性.
- 加强区域血液供应,应用于紧急情况.
主要方法:
- 南德克萨斯州全血联合会的成立.
- 开发血液制品快速运输系统.
- 对以前怀孕的女性捐赠者进行人类白细胞抗原 (HLA) 抗体测试的实施.
- 创建了"武装英雄"捐助者计划.
主要成果:
- 在67分钟内成功运送了25个单位的LTOWB和装满红细胞,距离Uvalde纪念医院近160英里.
- 确定了一大批合格的,先前怀孕的女性捐赠者.
- 在先前怀孕的妇女中进行HLA抗体测试的有希望的结果,表明捐献的可行性.
- 这是LTOWB捐赠池中首次报告之前怀孕的妇女被列入LTOWB捐赠池.
结论:
- 南德克萨斯州全血联合会展示了一种成功的模型,用于改善MCI期间的紧急血液产品可用性.
- 在适当的HLA抗体查后,包括以前怀孕的妇女作为LTOWB捐赠者是可行的,并扩大了捐赠者池.
- 这一举措通过增加地方和地区的血液供应,显著提高了对大规模伤亡事件的准备.
相关概念视频
Applications of GIS: Disaster Management and Emergency Response
87
Geographic Information System (GIS) technology is essential for risk identification, action prioritization, and resource optimization in critical situations like flooding and earthquakes. By integrating spatial and demographic data, GIS provides a comprehensive framework for emergency response.GIS integrates data layers, like rainfall intensity, topography, elevation profiles, and river levels, to model high-risk flood zones. These layers assess areas susceptible to flooding based on their...
87
Steps in Outbreak Investigation
131
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
131
Stress Response System
91
The stress response system, also known as the fight-or-flight response, is the body's automatic physiological reaction to perceived threats. Hans Selye introduced the concept of General Adaptation Syndrome (GAS) to describe the predictable pattern of changes that occur in response to stress. GAS consists of three sequential stages: alarm, resistance, and exhaustion. This model helps explain how chronic stress can contribute to health problems.
Alarm stage
In the alarm stage, the body's...
Alarm stage
In the alarm stage, the body's...
91
SBAR II: Application of SBAR
4.4K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.4K
Manipulation and Analysis
26
GIS manipulation and analysis functions are vital for decision-making and planning. These activities range from data retrieval tasks, such as selecting information based on specific criteria, to advanced analytical techniques that address complex spatial problems.One critical GIS analysis method is overlaying, which combines multiple data layers to examine impacts. For example, overlaying a river-dammed lake boundary with road networks can identify affected infrastructure. Another common...
26
Integrated Healthcare System
1.6K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.6K


