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  • 期刊

毒化災建置醫院之“不預警動員演練”

Response System Operation in a Toxic-Chemical Disaster Equipped Hospital

摘要


目的:自93年度開始,衛生署輔導全國各責任醫療院所,將責任醫院區分為臺北區、北區、中區、南區和東部區,再由各區選擇一醫療院所作為協調中心,以利各受輔導醫院資源做有效整合,進而提升民眾生命財產安全之更深一層保障。臺北市立和平醫院自九十一年起,獲衛生署指定為建置「醫療除污暨個人防護裝備儲備醫院」。目的在於期許儲備醫院得以確實做到一旦本區有毒化災害發生時,於第一時間內做到立即的應變、處理並有效控制傷患數的增加。方法:民國93年11月27日於和平醫院辦理非上班時間之不預警演練,藉此了解擬定之相關應變規劃與實際狀況兩者間之落差,以了解本院相關應變規劃之缺失。結果:指揮中心設立完成(含防護裝備與物資準備)花費17分;人力動員於30分內抵達有88人、30-60分內抵達有23人;除污帳棚架設人員反應與召集時間為13分,架設時間篇21分;婦幼院區支援人力抵達花費23分、仁愛醫院31分。結論:無論天災或人禍,災難的發生都是瞬息間就必須做立即反應,使得將災害影響減至最小。雖然每年都會安排演習,但災難實際發生與演習所擬定的狀況,其差距是必然會產生的。如何縮減實際與虛擬之間距,也衹能靠演練與團隊的默契。

並列摘要


Background and Purpose: Since 2004, the Department of Health has been organizing responsible hospitals and dispensaries throughout Taiwan. Responsible hospital regions are categorized as: Taipei area, North area, Central area, South area and East area. Each area selected a hospital to be an accommodative center to accept the responsible hospital resources to engage in effectual integration. Improved lifestyles and personal property aided the process of increasing safeguards. If an area suffers the calamity of a toxic-chemical disaster, the hospital would be able to deal with the incident immediately, and effectively treat the increased number of injuries. Methods: On 11.27.2004 we conducted a surprise drill to observe if the emergency plan and practical plan worked successfully. Results: Command center established completely (including protective equipment and expendable preparation) within 17 minutes; manpower: 78 people arrived within 30 minutes and a further 23 people between 30 and 60 minutes. Strikes tent within 21 minutes. Women's and Children's Hospital support manpower arrived within 23 minutes. Taipei Jen-Ai Municipal hospital time elapsed 31 minutes.

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