儿科大规模伤亡事件和重症监护反应
Kellie C Snooks1, Kelsey Wehrenberg2, Kari Rajzer-Wakeham1
1Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA.
Disaster medicine and public health preparedness
|February 10, 2025
概括
一个儿童大规模伤亡事件 (MCI) 测试了创伤中心的创伤中心.
科学领域:
- 儿科急救医学 儿科急救医学
- 创伤外科 手术 创伤外科
- 关键的护理关键的护理
背景情况:
- 一辆机动车撞到了假日游行中的参与者,导致了一起大规模伤亡事故 (MCI).
- 18名儿科患者遭受了严重的不物创伤.
- 患者在社区急诊室接受初始复苏,然后转移到1级儿科创伤中心.
研究的目的:
- 反思和分享从一个儿科三级中心管理儿科MCI的经验中学到的经验教训.
- 突出整个系统对紧急医疗,重症监护和外科服务的影响.
- 为儿童医院的灾难准备计划提供信息.
主要方法:
- 在特定的MCI事件期间对患者护理的回顾性审查.
- 分析从初始呈现到重症监护室入院的患者流动.
- 确定关键的操作和心理社会因素.
主要成果:
- 在18名受伤儿童中,有10名儿童需要进入儿科重症监护室 (PICU).
- 由于MCI造成了多个医院服务的重大压力.
- 成功管理需要在多个医疗保健机构之间进行协调.
结论:
- 儿童大规模伤亡事件需要强有力的灾难准备计划.
- 考虑机构特征,资源激活和心理社会支持至关重要.
- 有效的反应依赖于紧急医疗,重症监护和手术团队的协调努力.
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