Access and Emergency Medical Care for Massive or Multiple Injuries

B. Lenjani, N. Baftiu, B. Krasniqi, Shpresa Makolli, Dardan Lenjani, V. Mišanović, Kenan Ljuhar, A. Dogjani
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引用次数: 2

Abstract

Access and emergency medical care for massive or multiple injuries is an comprehensive interdisciplinary challenge. Taking care of the growing causes of emergency care levels as well as cross-sectoral collaboration in the management of multiple incidents, reducing disease, disability, and mortality in the population with multiple disorders. In a disaster or extraordinary situation with mass casualties is a state in which the health care system is overloaded and the ability to provide emergency health care is considerably hindered. The aim of this review is to present the current state of knowledge on what we, the authors, say are the central aspects of trauma management of mass casualty incidents. Emergency planning and methodology are related to accidental states, elementary medical staff disasters, medical equipment, drilling material, concretizing assessment tools, monitoring, mass incident prevention. In terms of implementing a good action plan, effective collaboration between state agencies such as fire departament and law enforcement is necessary in identifying and directing critically ill patients to designated trauma centres. The integration of emergency systems for incident management, through providing resources like, medical equipment, drugs, autoambulances,  ongoing education and training. This has the impact of increasing knowledge of medical emergency procedures that would help reduce the risk of consequences of mass incidents. When applied to MCI responses, damage-control principles reduce resource utilization and optimze surge capacity, consequently reducing the rate of mortality.
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大规模或多发性损伤的获取和紧急医疗护理
大规模或多发性损伤的获得和紧急医疗护理是一项全面的跨学科挑战。照顾不断增加的紧急护理水平的原因,并在多起事件的管理方面进行跨部门合作,减少多种疾病患者的疾病、残疾和死亡率。在大规模伤亡的灾难或特殊情况下,是指医疗保健系统超负荷运转,提供紧急医疗保健的能力受到严重阻碍的状态。这篇综述的目的是介绍我们作者所说的大规模伤亡事件创伤管理的核心方面的知识现状。应急计划和方法与事故状态、初级医务人员灾难、医疗设备、钻探材料、具体评估工具、监测、大规模事件预防有关。就实施良好的行动计划而言,消防部门和执法部门等国家机构之间的有效合作对于识别危重患者并将其送往指定的创伤中心是必要的。通过提供医疗设备、药品、自动救护车、持续教育和培训等资源,整合事件管理的应急系统。这有助于增加对医疗应急程序的了解,从而有助于降低大规模事件后果的风险。当应用于MCI响应时,损伤控制原则降低了资源利用率,优化了浪涌能力,从而降低了死亡率。
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