阿尔伯塔省大规模烧伤事故事件规划:一个案例研究
Danielle Fuchko1, Kathryn King-Shier2, Vincent Gabriel3
1Faculty of Nursing, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada.
概括
加拿大缺乏针对大规模烧伤事故 (BMCI) 的准备. 阿尔伯塔省阿尔伯塔省的情况
科学领域:
- 灾难医学 灾难医学
- 烧伤护理 烧伤护理
- 公共卫生政策 公共卫生政策
背景情况:
- 在加拿大,对大规模烧伤事故 (BMCI) 的准备不足.
- 现有的大规模伤亡事故 (MCI) 计划往往是一般性的,并没有解决烧伤患者的具体需求.
- 需要评估当前的BMCI响应政策和实践.
研究的目的:
- 探索阿尔伯塔省当前的政策,协议和做法,以应对BMCI.
- 发现现有的准备和应对火灾灾难的应对策略中的缺陷.
- 为改善省级和国家级的BMCI准备提供建议.
主要方法:
- 采用了定性描述性案例研究方法.
- 通过分析15份相关文件和9份与医疗保健专业人员的半结构面试,收集了数据.
- 专题分析被用来确定政策和参与者响应中的共同主题.
主要成果:
- 目前的政策和协议主要集中在一般所有危险MCI规划上,缺乏燃烧特定考虑.
- 关键的缺陷包括在烧伤中心缺乏专门的烧伤具体计划,缺乏省级对BMCI挑战的认可,以及没有建立的加拿大烧伤灾难沟通计划.
- 参与者提出了前分拣,优化患者移动,远程医疗,跨学科人员配置和加强供应采购等策略.
结论:
- 阿尔伯塔省目前的MCI框架不足以满足BMCI的独特需求.
- 省级卫生当局必须优先制定专门的BMCI应对计划.
- 为烧伤护理专家提供专注的时间和资源对于创建有效的BMCI准备策略以改善患者的治疗结果至关重要.
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