- 期刊
The Experience in Managing Mass Casualty Burn Disaster in a Downtown Hospital
市中心醫院在面對大量燒傷病患之處理經驗
摘要
Background: The Formosa Fun Coast dust explosion was disastrous. 499 victims were injured. 16 of them were sent to our hospital immediately by emergency medical technician (EMT). Most were severely injured, with second to third degree major burn over trunk and extremities. It overwhelmed our surge capacity. Aim and Objectives: There were some management principles to help us deal with such incident. We'd like to analyze the result and share our experience in managing mass casualty burn disaster. Materials and Methods: We categorized patients in 5 levels according to the Taiwan Triage and Acuity Scale (TTAS). They were treated under the guidance of Advanced Burn Life Support (ABLS). Resources were recruited and distributed based on their treatment priority. The application of inter-professional collaborative practice further improved the quality of patients care. Results: 15 patients were admitted, averaging 20 years old and 48% total body surface area burned. Respiratory distress and infection were the two major complications. There was no mortality in our series. Conclusion: Burn care is time, manpower and resource consuming. Thus we must become more efficient and treat patients in cooperation with different specialties to deal with such disaster.
並列摘要
背景：發生於2015年6月27日晚間的八仙塵爆造成了嚴重的傷亡。499名傷患被送往台灣各級醫院進行救治，其中有16名送至本院，多數為二至三度軀幹及四肢之大面積燒傷患者。大量之燒傷病患頓時超出本院人力物力所能負載之範圍，然而當時台灣北部各級醫院均已擁塞，以致病患無從轉送。目的及目標：遵循災害應變與大量燒傷病患之處理原則，可幫助我們更有效率的治療患者。在此除了分析本院治療之成果，也分享處理大量燒傷病患之經驗以供參考。材料及方法：患者依台灣急診五級檢傷分類基準決定治療及資源分配之優先順序。除依進階燒傷生命支持指引給予治療，並引進跨領域團隊合作照護模式以提升患者之照護品質。結果：15名住院病患平均年齡為20歲，燒傷深度二至三度，體表面積達48%。呼吸窘迫及感染為最主要之併發症，沒有患者死亡。結論：燒傷之治療照顧不只耗時，更需耗費相當多之人力及資源，因此面對大量燒傷病患，治療必須更有效率，並引入跨領域之照護，才能讓患者早日康復。