MASS CASUALTY INCIDENT – TRAINING BASED ANALYSIS OF STATE EMERGENCY MEDICAL SYSTEM

Grzegorz Witkowski, Klaudia Perończyk, Paweł Siedlis, Igor Plewiński, K. Nadolny
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Abstract

Aim: Mass casualty incident is a challenge for the whole Emergency Medical System. The training had been prepared in order to optimize the readiness and to implement and practice the procedures issued by the ministry regarding mass casualty incidents. Material and method: The article analyzes the response capabilities of Emergency Medical System along with cooperating units, in case of mass casualty road traffic accident. Proper allocation of patients, following the procedure and the availability of forces and resources within the operational area were analyzed. Accident involved 30 casualties and was responded by numerous emergency units, such as Emergency Medical Teams, State Fire Service, Voluntary Fire Service, Police and City Guard. Emergency Medical System units implemented the procedures issued by the Ministry of Health regarding mass casualty incidents correctly. The leader of the first Emergency Medical Team to arrive served as the Action Medic in Charge. Further Emergency Medical Teams to arrive undertook proper cooperation with Medic in Charge. Allocation of patients to hospitals was correct. After the accident one casualty left the scene, which made the rescue action more complex. Conclusions: Simulating such incidents may prepare the medical personnel for real-life action. Regular training is the best form of gathering knowledge and increasing patients’ safety. Communication during incidents of this kind is problematic and requires high-priority improvement.
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大规模伤亡事件——基于训练的国家应急医疗系统分析
目的:大规模伤亡事件是对整个急救医疗系统的一个挑战。培训的目的是使准备工作达到最佳状态,并执行和实践该部关于大规模伤亡事件发布的程序。材料与方法:分析了在发生重大伤亡道路交通事故时,应急医疗系统及其配合单位的响应能力。分析了患者的合理分配、手术流程以及手术区域内的人力和资源可用性。事故造成30人伤亡,紧急医疗队、州消防局、志愿消防局、警察和城市警卫等多个应急单位对事故作出了反应。急救医疗系统各单位正确执行卫生部关于重大伤亡事件的处理程序。第一个到达的紧急医疗队的队长担任行动医疗负责人。随后抵达的紧急医疗队与负责的医务人员进行了适当的合作。将病人分配到医院是正确的。事故发生后,一名伤员离开了现场,这使救援行动更加复杂。结论:模拟此类事件可以使医务人员为现实生活中的行动做好准备。定期培训是收集知识和提高患者安全的最佳形式。这类事件中的沟通是有问题的,需要优先改进。
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