高雄石化氣爆的災難醫學經驗

2014年7月31日高雄發生令人震驚的石化氣爆事件，本院是距離災難最近的醫院，立即成立大量傷患緊急應變中心，全體醫護與行政人員共計召回醫師26員、護理人員49員、行政人員75員，外加當日值班人員約計227員投入醫療救護，我們接收的傷患為高雄市最多的醫院，二個小時之內湧進68位受傷的民眾，這些傷患面臨像火舌吞噬、碎石重擊的災難複合式傷害，呈現燒燙傷、骨折、撕裂傷、內臟破裂…等多樣性處置需求，本院接收的傷患為高雄最多的醫院，在最短時間內積極動員，快速完成救災任務，使大多數病人獲得適當協處，本文著重當時的經驗傳承，也做為各醫院因應災難醫學之參考。

關鍵字

災難；大量傷患

並列摘要

On July 31, 2014, a devastating petrochemical gas explosion occurred in Kaohsiung, Taiwan. Our hospital was immediately designated as the mass injuries emergency response center due to its geographic proximity to the site of the explosion. A total of 227 hospital personnel were called on duty immediately, including 26, 49, and 75 physicians, nurses, and administrators with other on-duty staff, respectively. Our hospital received the most patients in Kaohsiung city—68 wounded patients within the first two hours. The patients presented with combinations of burns, blunt force trauma, fractures, lacerations, and ruptured viscera. Our hospital was able to mobilize our staff in a short amount of time to help with disaster relief and the timely and proper treatment of most of the patients. The purpose of this article was to describe the disaster response experience to serve as a reference for other hospitals dealing with disaster medicine.