Air - transportation of Victims During the Chi- Chi Earthquake in Taiwan in 1999

921集集大地震之空中運輸病患研究

張群岳(Chun-Yueh Chang) ； 胡為雄(Wei-Hsiung Hu) ； 紀煥庭(Huan-Ting Chi) ； 陳得時(Deh-Shin Chen) ； 楊大羽(Dar-Yu Yang)

《中華民國急診醫學會醫誌》 4卷2期 (2002/06) Pp. 51-58

摘要

背景：九二一集集地震時，埔里地區許多傷患經由直昇機轉送。
方法：回顧所收集到與空中救護有關的照片，檢討當時空中運輸的良窳，並比較空中運輸及地面運輸的病患資料。
結果：共分析二百零四張相片，發現空中運輸過程之優點為指揮中心位置功能適當、反應快速及後送區域各醫院合作無間，缺點為檢傷系統未及時建立、空中運輸的轉送規範未嚴格遵守、空降機場決定倉促及空降機場安全措施不足等。經空中運輸及地面運輸的病患性別、年齡、住院天數、死亡率、傷病結果皆無統計學意義，但經空中運輸的病患則明顯接受較多項目的到院前照護。
結論：空中運輸的規劃應著重災後第一天檢傷站設置及直昇機場的安全維護，平時必須加以訓練與演練。

關鍵字

地震 ； 空中運輸 ； 災難醫學

並列摘要

Background: In 1999, an earthquake measuring 7.3 on the Richter scale hit central Taiwan. Many victims were evacuated via helicopters. To elucidate the procedures of transportation during this disaster, we reviewed the whole course of air transport and analyzed data from the patients transported to our hospital.
Material and method: There are two parts in this study. (1). the transport procedures were reconstructed by reviewing photographs whch were taken after the earthquake. (2). data of all patients who were registered at our hospital as victims of the earthquake were collected and analyzeid.
Results: The merits of the air-transport procedures were: 1. the location and function of command center was appropriate. 2. The air-transport itself started quickly at about 6 hours after the quake. 3. Back up hospital cooperated well. The problems were: 1.No command center or triage station was built until the second day. 2. The transport criteria were not obeyed strictly. 3. The landing fields were chosen hastily after the quake, not beforehand. 4. Security on the landing field was insufficient until the 3rd day. There were no significant differences of gender, age, hospital day an~ outcome. between ground and air-transport groups. Patients transported by helicopter received significantly more prehospital treatment.
Conclusion: We should focus on the setting up of triage station and the security of the helicopter landing pad especially on the first day after the disaster. A suitable landing field should be set up beforehand. Every landing field should be assigned to specific authorities. Air transport team members should have some training to dealing with special situations of air-transport. Portable, self-powered equipment is a good alternative for dealing with an incidental disaster. Besides photographs, videos and assigning observers for specific observation may be helpful for review.

並列關鍵字

Earthquake ； air transport ； Disaster ； prehospital care