tailieunhanh - Báo cáo khoa học: "Disaster preparedness perspective from 90.05.32w, 29.57.18n"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Disaster preparedness perspective from , . | Available online http content 10 1 108 Commentary Disaster preparedness perspective from Norman McSwain Jr Professor Department of Surgery Tulane University New Orleans Louisiana USA Corresponding author Norman McSwain Jr editorial@ Published 14 December 2005 Critical Care 2006 10 108 doi cc3940 This article is online at http content 10 1 108 2005 BioMed Central Ltd Abstract A major disaster occurred in a major city in the USA. The aftermath produced significant difficulties in patient care. Failure of the communication system lack of command and control and incomplete planning were at the root of all of these difficulties. Introduction Despite what the Federal Government would have you believe disasters in the USA and most of the rest of the world will probably not result from biochemical terrorism or weapons of mass destruction. Such events could happen but over the past 20 years including the period since 9 11 disasters have resulted primarily from natural causes blasts or structural collapse. Because such disasters are the most common it is for these that we must prepare. Biochemical terrorism and use of weapons of mass destruction are possible but the same principles of patient care apply to these events and the more common disasters but with some variations. Principles vs preferences The principles apply to all. The preferences will vary according to etiology. The ole medical school axiom still applies - when you hear hoof beats expect horses not zebras. Most physicians in the USA are not informed about disaster management have only a very superficial knowledge of the preparations made by their individual hospitals or within their community and have not participated in local disaster drills. There are several reasons for such lack of knowledge it has never happened here so I won t waste my time learning about it the nurses and administrators do all the planning and don t include me and the drills