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Will emergency health care providers respond to mass casualty incidents?

机译：紧急医疗保健提供者是否会应对大规模人员伤亡事件？

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INTRODUCTION: Emergency response plans often call on health care providers to respond to the workplace outside of their normal working pattern. HYPOTHESIS: Providers will report to work during a mass casualty emergency regardless of family duties, type of incident, or availability of treatment. METHODS: Survey of emergency personnel needed to respond to a mass casualty incident. Two scenarios were presented: one involving the release of a nontransmissible biological agent with proven treatment and the other the release of a transmissible biological agent with no treatment. At critical time points, participants were asked whether they would report to work. Additional questions considered the effect of commonly used treatment dissemination methods. RESULTS: A total of 186 surveys were issued and returned. (45 physicians, 29 nurses, 86 EMS personnel, and 20 support staff); 6 were incomplete and excluded. Initial commitment rates were 78%. The highest commitment rate identified was 84% and the lowest was 18%. Any treatment dissemination method excluding providers' family members led to decreases in commitment rate, as did agents identified to be transmissible. CONCLUSIONS: As an event develops, fewer health care providers will report to work and at no time will all providers report when asked. This conclusion may be generalizable to several types of incidents ranging from pandemic influenza to bioterrorism. Identification of the causative agent is a major decision point for providers to return to or stay away from work. Offering on-site treatment of providers' family increases commitment to work. These factors should be considered in emergency planning.
机译：简介：应急响应计划通常要求卫生保健提供者在正常工作方式之外对工作场所做出响应。假设：提供者将在大规模人员伤亡紧急情况下报告工作，而不管家庭职责，事件类型或是否可获得治疗。方法：调查应​​对大规模人员伤亡事件所需的紧急人员。提出了两种情况：一种涉及经过证实的治疗释放非传染性生物制剂，另一种未经治疗而释放一种可传播生物制剂。在关键时间点，参与者被问及是否愿意上班。其他问题考虑了常用的治疗传播方法的效果。结果：共发布和返回了186个调查。 （45名医生，29名护士，86名EMS人员和20名支持人员）; 6个不完整，被排除在外。最初的承诺率为78％。确定的最高承诺率是84％，最低的是18％。除提供者家属以外的任何治疗传播方法都导致承诺率下降，被确定为可传播的特工也是如此。结论：随着事件的发展，越来越少的医疗保健提供者将报告上班，并且所有的提供者都不会在被询问时立即报告。该结论可以推广到从大流行性流感到生物恐怖主义的几种类型的事件。确定病原体是提供者返回或远离工作的主要决策点。提供服务提供者家庭的现场治疗可以增加工作投入。在应急计划中应考虑这些因素。

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