关于埃尔帕索大规模伤亡事件医院响应的报告:增强冲击能力
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Updated: May 12, 2026

05:52
Prehospital Thrombolysis: A Manual from Berlin
Published on: November 26, 2013
22.3K
Susan F McLean1, Nancy Weber2, Adam Adler3
1Texas Tech University Health Sciences Center El Paso, Department of Surgery, El Paso, Texas.
The western journal of emergency medicine
|November 5, 2025
概括
创伤中心对涉及主动射击事件的大规模伤亡事件 (MCI) 的选方法显示,无论一名医生在提供护理时进行选还是两名医生在提供护理时进行选,均有相当的生存率. 快速的多学科团队反应改善了后续事件的结果.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 公共卫生准备情况 公共卫生准备情况
背景情况:
- 大规模伤亡事件 (MCIs) 和活跃射击事件对创伤中心构成重大挑战.
- 2019年埃尔帕索事件导致21人死亡,27名患者被运送.
- 有效的创伤中心反应对患者的生存和结果至关重要.
研究的目的:
- 描述创伤中心对MCI/主动射击事件后突然涌入患者的反应.
- 为了比较双医生分拣 (护理+分拣) 与单医生分拣的疗效.
- 详细介绍患者的伤害,治疗和多学科团队激活过程.
主要方法:
- 追溯的队列和医疗记录审查.
- 部门调查. 部门调查.
- 费舍尔精确测试用于比较两种分拣方法之间的生存率.
主要成果:
- 15名患者抵达埃尔帕索大学医学中心;14人在24小时内幸存下来.
- 在双医生和单医生分拣方法之间,生存率相当 (P = .56).
- 来自16个部门的132名员工组成的多学科团队迅速响应,改进了随后的MCI响应.
结论:
- 双医生分组 (护理+分组) 相当于单医生分组在MCI受害者生存率方面.
- 快速动员一个大型的多学科创伤团队对于管理MCI患者涌入至关重要.
- 从2019年活动中吸取的经验教训,在2023年MCI活动中带来了更好的反应.
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