Disaster Triage Systems for Large-scale Catastrophic Events
| Autor: | Italo Subbarao, Nathan A. Bostick, Edbert B. Hsu, John H. Armstrong, James J. James, Frederick M. Burkle |
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| Rok vydání: | 2008 |
| Předmět: |
Emergency Medical Services
media_common.quotation_subject Population Poison control Disaster Planning Disasters Scarcity Health care Humans Mass Casualty Incidents Medicine education media_common education.field_of_study business.industry Public Health Environmental and Occupational Health medicine.disease Triage United States Mass-casualty incident Intervention (law) Scale (social sciences) Public Health Medical emergency business |
| Zdroj: | Disaster Medicine and Public Health Preparedness. 2:S35-S39 |
| ISSN: | 1938-744X 1935-7893 |
| Popis: | Large-scale catastrophic events typically result in a scarcity of essential medical resources and accordingly necessitate the implementation of triage management policies to minimize preventable morbidity and mortality. Accomplishing this goal requires a reconceptualization of triage as a population-based systemic process that integrates care at all points of interaction between patients and the health care system. This system identifies at minimum 4 orders of contact: first order, the community; second order, prehospital; third order, facility; and fourth order, regional level. Adopting this approach will ensure that disaster response activities will occur in a comprehensive fashion that minimizes the patient care burden at each subsequent order of intervention and reduces the overall need to ration care. The seamless integration of all orders of intervention within this systems-based model of disaster-specific triage, coordinated through health emergency operations centers, can ensure that disaster response measures are undertaken in a manner that is effective, just, and equitable. (Disaster Med Public Health Preparedness. 2008;2(Suppl 1):S35–S39) |
| Databáze: | OpenAIRE |
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