从中国国际救援队国外地震救援实战论灾害医疗救援模式
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摘要
目的:总结中国国际救援队在四次国外地震救援中的医疗工作,探讨灾害医疗救援模式。方法:回顾工作记录,分析历次医疗救援行动所做的工作和特点。结果:根据地震灾害的特点,医疗救援可分为三个阶段。早期医疗工作重点是:分批、分组、全天候在废墟区进行搜救,全力救治幸存者;展开移动医院抢救大批量外科病员。中期医疗工作重点是:外出医疗巡诊、卫生防疫、联合转运偏远地区重伤员、继续开展营地移动医院。后期医疗工作重点是:帮助恢复当地各级医疗机构,进驻医疗单位,建立中国病区,捐赠药品和设备,协助恢复正常就医途径。结论:实践表明该模式可以在有限的时间内、最大程度地发挥外来医疗救援队的作用,服务于当地的灾民。
Objective Approach of disaster medical relief model by summarizing medical relief work of China International Search And Rescue Team (CISAR) on oversea earthquake. Method:Review our medical record and analysis our performance record. Result:Medical relief work can devided three stages. The wok in earlier period is emergency medical treatment on earthquake site and field hospital. The wok in earlier period is refugee patrol medical treatment, sanitary and antiepidemic. The wok in later period is recovering local medical establishment and donating medicine. Conclusion:Practice indicating this model can enhance the efficiency of foreign medical relief corps.
引文
1郑静晨.谈中国国际救援队紧急医疗救援事业的发展.中国危重病急救医学,2005,17:388-390.
    2Ashkenazi I,Isakovich B,Kluger Y,et al.Prehospital management of earthquake casualties buried under rubble.Prehospital Disaster Med,2005,20:122-133.
    3Tural U,Coskun B,Onder E,et al.Psychological consequences of the1999earthquake in Turkey.J Trauma Stress,2004,17:451-459.
    4Task Force on Quality Control of Disaster Management;The World Asso-ciationfor Disaster and Emergency Medicine;The Nordic Societyfor Dis-aster Medicine.Health disaster management:guidelines for evaluation andresearch in the Utstein Style.Prehospital Disaster Med,2003,17Suppl3:1-177.

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