最终的实地护理:一个历史战略的现代应用
Jason M Hiles1, Luke J Hofmann2, April A Grant1,3
1Four Winds Professional Guild, El Paso, TX.
概括
绝对现场护理 (DFC) 在疏散不可能时提供关键医疗治疗. 这一战略要求提供者适应严格的条件和稀缺的资源,提高在高风险环境中的生存能力.
科学领域:
- 军事医学 军事医学
- 紧急医疗服务 紧急医疗服务
- 应对灾害的应对措施
背景情况:
- 当疏散由于战术,环境或政治因素而不可行时,绝对现场护理 (DFC) 是必不可少的.
- 与长期现场护理 (PFC) 或长期伤亡护理 (PCC) 不同,DFC要求初始医疗提供者承担完整的治疗责任.
- 历史上的先例,包括第二次世界大战的南斯拉夫游击队和阿富汗抵抗战士,强调在严格的,高威胁的环境中需要DFC.
研究的目的:
- 将绝对现场护理 (DFC) 定义为一个独特的医疗策略.
- 突出DFC在不规则战争环境中的独特挑战和要求.
- 倡导将DFC正式纳入军事和人道主义医疗规划.
主要方法:
- 在资源有限且无法撤离的场景中对医疗保健策略的概念分析.
- 在过去的冲突中对DFC应用的历史案例研究审查.
- 确定DFC的关键运营约束,风险考虑和提供商思维特征.
主要成果:
- DFC改变了医疗优先事项,需要做出艰难的决定和适应资源短缺.
- 在DFC场景中,提供者必须在没有标准保护的情况下运作,并接受非西方医疗标准.
- 不规则的战争需要提供者心态,其特点是性,适应能力和接受具有挑战性的条件.
结论:
- 鉴于不规则战争的兴起,正式承认和研究DFC至关重要.
- 将DFC整合到医疗规划中将提高极端环境中的运营效率和生存率.
- 对于DFC的培训人员来说,在严峻的,无法撤离的情况中,提高医疗能力至关重要.
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