Optimizing mass casualty: an incident report of centralizing patient transport and its impact on triage efficiency.

Hiroaki Taniguchi, Hiroki Nagasawa, Tatsuro Sakai, Hiromichi Ohsaka, Kazuhiko Omori, Youichi Yanagawa
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Abstract

In mass casualty incidents, effective triage, treatment, and transport are critical for efficient management but often deviate from practices and ethical standards. In terms of resource allocation, decentralized transport is the predominant transport method; however, it is not standardized. This report retrospectively analyzed the response to a mass casualty incident at a university emergency center. By centralizing patient transport from the scene, the time to patient transport could be shortened, the burden on the scene related to transport could be reduced, and undertriage at the scene could be avoided. No trauma-related deaths occurred. This case provides a valuable contribution to the understanding of situations in which critical patients may concentrate in emergency centers during future mass-casualty incidents.

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优化大规模伤亡:集中病人运输的事故报告及其对分诊效率的影响。
在大规模伤亡事件中,有效的分类、治疗和运输对有效管理至关重要,但往往偏离惯例和道德标准。在资源配置方面,分散运输是主要的运输方式;然而,它并不是标准化的。本报告回顾性分析了大学急救中心对一起大规模伤亡事件的反应。通过集中现场转运,可以缩短现场转运时间,减轻现场运输负担,避免现场分流不足。没有发生与创伤相关的死亡。本案例为理解在未来大规模伤亡事件中重症患者可能集中在急救中心的情况提供了宝贵的贡献。
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