Major Incident Hospital: Development of a Permanent Facility for Management of Incident Casualties.

摘要: INTRODUCTION: Preparation is essential to cope with the challenge of providing optimal care when there a sudden, unexpected surge casualties due disaster or major incident. By definition, requirements such cases exceed standard facilities hospitals in qualitative quantitative respects and interfere regular patients. To meet growing demands be prepared for disasters, permanent facility provide structured, relief situations was developed. METHODS: A but reserved Major Incident Hospital (MIH) has been developed through cooperation between large academic medical institution, trauma center, military hospital, National Poison Information Centre (NVIC). The infrastructure, organization, support systems, training systematic working methods MIH are designed create order chaotic, situation optimize logistics any possible scenario. Focus points are: patient flow triage, registration, communication, evaluation training. Research literature used identify characteristic pitfalls chaos associated nature adapt our organization. RESULTS: At MIH, exceptional become core business, preparation large-scale emergency daily occupation. An Emergency Response Protocol enables admittance normally dormant hospital up 100 (in even 300) patients after start-up time only 15 min. Patient Barcode Registration System (PBR) EAN codes guarantees quick adequate registration data facilitate good coordination follow-up during DISCUSSION: fact that strictly this type availability minimizes impact on normal care. When it not being incident, address research. Collaboration NVIC infrastructural adjustments enable us physical trauma, also centralized under quarantine conditions for, say, MRSA, SARS, smallpox, chemical biological hazards. Triage plays an important role management therefore key organization infrastructure. Caps distribution recognizibility. PBR resulted more accurate real-time group information. Infrastructure plan enough; training, research necessary continuously work preparedness. CONCLUSION: Utrecht (Netherlands) globally unique can immediate multiple circumstances. Resulting from NVIC, offers complete infrastructure expertise required disasters incidents. Language: en