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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >First response, rehabilitation, and outcomes of hand and upper limb function: survivors of the bali bombing disaster. A case series report.
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First response, rehabilitation, and outcomes of hand and upper limb function: survivors of the bali bombing disaster. A case series report.

机译：第一反应，康复以及手和上肢功能的结局：巴厘岛爆炸案的幸存者。病例系列报告。

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In October 2002, two bombs exploded in Bali injuring hundreds, and killing 202 people. The purpose of this paper is to report the organization of the first response, rehabilitation strategies, and outcome of a series of patients evacuated to the Royal Perth Hospital (RPH), a civilian hospital in Australia. The initial medical response in Bali was primarily conducted by holidaying health professionals supporting the hospital on the island. The Australian Defence Force was primarily responsible for the ongoing acute clinical management during the evacuation and repatriation of survivors to all major burn units in Australia. At the RPH, hospital adaptations included novel staffing and treatment strategies to sustain a team effort beyond the acute phase of the disaster to manage the surge of 28 patients (15% of yearly admissions) in 7 days. Data collected were related to service delivery and patient outcomes (shoulder active range of motion, grip strength, and the Burns Specific Health Scale). Data were compared to baseline, similar data collected during normal practice and population norms. Bali patients received 3.2% more therapy treatment sessions and 6.8% less contact hours than usual protocols. Shoulder AROM recovered to normal limits by 3 months postdischarge. Grip strength for women was shown to reach population norms by 1 month after discharge and by 6 months for males. Self-rated physical recovery exceeded major burn population norms at 6 months postdischarge. Physical therapy outcome measures demonstrated upper limb recovery as usual in the Bali group, despite a mass casualty situation. To achieve this required support from the multidisciplinary team, in combination with community, government, and hospital administrative assistance.
机译：2002年10月，两枚炸弹在巴厘岛爆炸，造成数百人受伤，202人死亡。本文的目的是报告在澳大利亚民用医院皇家珀斯医院（RPH）撤离的一系列患者的第一反应，康复策略和结果。巴厘岛的最初医疗应对措施主要是由度假医疗专业人员为岛上的医院提供支持。在将幸存者撤离和遣返澳大利亚所有主要烧伤单位期间，澳大利亚国防军主要负责正在进行的急性临床管理。在RPH中，医院的改编包括新颖的人员配备和治疗策略，以在灾难的急性期之后维持团队合作，以在7天内管理28名患者（每年住院人数的15％）激增。收集的数据与服务的提供和患者的预后有关（活动的肩膀活动范围，握力和“烧伤特定健康量表”）。将数据与基线，正常实践期间收集的相似数据以及人群规范进行比较。巴厘岛患者的治疗疗程比平常方案多3.2％，接触时间少6.8％。出院后3个月，肩膀AROM恢复到正常极限。结果表明，出院后1个月女性的握力达到了人群标准，而男性则达到了6个月。出院后6个月，自我评估的体能恢复超过主要烧伤人群标准。尽管有大量人员伤亡，物理治疗结果指标仍显示巴厘岛组的上肢恢复正常。为了实现这一目标，需要多学科团队的支持，并需要社区，政府和医院的行政协助。

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