Population-based triage management in response to surge-capacity requirements during a large-scale bioevent disaster.

作者: Frederick M. Burkle

DOI: 10.1197/J.AEM.2006.06.040

关键词:

摘要: Both the naturally occurring and deliberate release of a biological agent in population can bring catastrophic consequences. Although these bioevents have similarities with other disasters, there also are major differences, especially approach to triage management surge capacity resources. Conventional mass-casualty events use uniform methods for on basis severity presentation do not consider exposure, duration, or infectiousness, thereby impeding control transmission delaying recognition victims requiring immediate care. Bioevent must be based, goal preventing secondary transmission, beginning at point contact, epidemic outbreak. Whatever system is used, it first recognize requirements those Susceptible but exposed, Exposed yet infectious, Infectious, Removed by death recovery, protected Vaccination prophylactic medication (SEIRV methodology). Everyone falls into one five categories. This article addresses SEIRV-based which decision making under two-phase specific measures effectiveness increase likelihood medical success, control, conservation scarce

参考文章(52)
Tyler Ralston, Andrew E. Williams, David M. Bernstein, Stefan Bracha, Preventing post-disaster PTSD: Watch for autonomic signs ,(2005)
H. Stefan Bracha, MD, O. Joseph Bienvenu, MD, PhD, Rapidly assessing trauma exposure and stress resilience following large-scale disasters Journal of Emergency Management. ,vol. 3, pp. 27- 31 ,(2005) , 10.5055/JEM.2005.0061
Smith, P George, Triage: Endgame Realities Journal of Contemporary Health Law and Policy. ,vol. 1, pp. 143- 152 ,(1985)
Gerald R. Winslow, Triage and justice ,(1982)
P Jahrling, N Jaax, J White, E Johnson, Lethal experimental infections of rhesus monkeys by aerosolized Ebola virus. International Journal of Experimental Pathology. ,vol. 76, pp. 227- 236 ,(1995)
Molly J. Hall, Ann E. Norwood, Robert J. Ursano, Carol S. Fullerton, The Psychological Impacts of Bioterrorism Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science. ,vol. 1, pp. 139- 144 ,(2003) , 10.1089/153871303766275817
Vivek Parwani, James Paturas, Christopher Cannon, Scott Selig, Jeffrey L. Arnold, Louise-Marie Dembry, Ming-Che Tsai, Nicholas Dainiak, Ülküen Rodoplu, David J. Schonfeld, Recommended modifications and applications of the Hospital Emergency Incident Command System for hospital emergency management. Prehospital and Disaster Medicine. ,vol. 20, pp. 290- 300 ,(2005) , 10.1017/S1049023X00002740
P.C. Lai, C.M. Wong, A.J. Hedley, S.V. Lo, P.Y. Leung, J. Kong, G.M. Leung, Understanding the Spatial Clustering of Severe Acute Respiratory Syndrome (SARS) in Hong Kong Environmental Health Perspectives. ,vol. 112, pp. 1550- 1556 ,(2004) , 10.1289/EHP.7117
Fletcher B. Taylor, Kathleen Lowe, Charles Thompson, Miles M. McFall, Elaine R. Peskind, Evan D. Kanter, Nancy Allison, Judi Williams, Patti Martin, Murray A. Raskind, Daytime Prazosin Reduces Psychological Distress to Trauma Specific Cues in Civilian Trauma Posttraumatic Stress Disorder Biological Psychiatry. ,vol. 59, pp. 577- 581 ,(2006) , 10.1016/J.BIOPSYCH.2005.09.023