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首页> 外文期刊>Journal of Occupational Medicine and Toxicology >A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts
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A mass casualty incident of infectious diseases at the port of Hamburg: an analysis of organizational structures and emergency concepts

机译：汉堡港的传染病的大规模伤亡事件：组织结构和紧急概念分析

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The project “ARMIHN” (Adaptive Resiliency Management in Port) focuses on strengthening the capability to act in a mass casualty incident (MCI) due to an outbreak of infectious diseases (MCI-ID). In addition to the current threat from the COVID-19 pandemic and associated outbreaks on cruise ships, previous MCI-ID were especially caused by pathogens such as Influenza virus or Norovirus. The first step was, to get an overview of processes and resources using the example of the Port of Hamburg, and to show the associated interaction of involved parties. This will serve as a basis for developing an operational strategy and offers the opportunity to optimize current work processes. A selective literature research using specified key words was performed and existing MCI concepts were received from local authorities. Identified structures and processes were analyzed in a multiple step process and also brought together through discussions in workshops with involved organizations and other experts. Additionally, the distances between the nearest rescue stations and selected hospitals from the Port of Hamburg were analyzed. The current available concepts are proven, but an adaptation to an MCI-ID shows opportunities for a further cross-organizational development. The organizational structure of an MCI-ID in the Port of Hamburg was described, including a large number of involved organizations (n?=?18). There are 17 involved fire and rescue stations and the port can be reached from these locations within 6 to 35?min. Based on their specialist expertise, 14 of the 31 listed clinics were selected. The purpose of the study was to provide an analysis of the current situation and show how involved parties would cope an MCI. A description of processes and resources at the Port of Hamburg will be used when designing a management plan for responding to an MCI-ID.
机译：该项目“ARMIHN”（港口的自适应弹性管理）侧重于加强由于传染病爆发（MCI-ID）爆发的大规模伤亡事故（MCI）的能力。除了来自Covid-19大流行和相关爆发的相关爆发的当前威胁，之前的MCI-ID尤其由甲型病毒或诺罗病毒等病原体引起。第一步是，使用汉堡端口的示例来了解进程和资源的概述，并显示涉及方的相关互动。这将是开发运营战略的基础，并提供优化当前工作流程的机会。使用指定关键词的选择性文献研究，并从地方当局收到现有的MCI概念。在多步骤过程中分析了鉴定的结构和过程，并通过涉及组织和其他专家的研讨会讨论聚集在一起。此外，分析了汉堡港口的最近救援站和所选医院之间的距离。经常可用的概念被证明，但适应MCI-ID显示了进一步交叉组织发展的机会。描述了汉堡港的MCI-ID的组织结构，包括大量涉及的组织（n？=？18）。有17个涉及的火灾和救援站，可以从6到35内的这些位置到达港口。根据他们的专业专业知识，选择了31个上市诊所中的14个。该研究的目的是提供目前情况的分析，并展示各方如何应对MCI。在设计响应MCI-ID的管理计划时，将使用汉堡端口的进程和资源的描述。

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