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首页> 外文期刊>Wilderness & environmental medicine >The Care of Thermally Injured Patients in Operational, Austere, and Mass Casualty Situations
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The Care of Thermally Injured Patients in Operational, Austere, and Mass Casualty Situations

机译：在运营，AUSTER和大规模伤亡情况下热损伤患者的照顾

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Burn injury affects a half million people in the United States annually. The severe thermal injury can have long-term debilitating effects. The management of burn patients in austere and operational environments is more complex. Mass casualty incidents can result in a large number of patients with multiple traumatic injuries, which often include burn injury. Appropriate triage of casualties is essential. Severely burned patients should be evacuated to a burn center if possible. Airway management and fluid resuscitation of burn patients present unique challenges. Supplies, resources, and expertise to maintain a definitive airway may not be readily available. Airway adjuncts can be helpful but judicious use of resources is warranted in the austere setting. Traditional resuscitation of severe thermal injury is not practical in the austere environment. Oral resuscitation and in rare cases rectal hydration may be utilized until the patient can be transported to a medical facility. Much has been learned about the management of burn and polytraumatized patients after mass casualty incidents such as the September 11, 2001 tenor attacks and the Pope Air Force Base disaster. A well-coordinated emergency preparedness plan is essential. The care of burn patients in austere, operational, and mass casualty situations can tax resources and manpower. The care of these patients will require creativity and ingenuity. Burn patients can be difficult to manage under normal circumstances but the care of these patients under the above situations complicates the management severalfold.
机译：伯恩伤害每年影响美国的五百万人。严重的热损伤可具有长期的衰弱效果。 AURTERE和操作环境中烧伤患者的管理更复杂。大规模伤亡事件可导致大量具有患有多种创伤损伤的患者，这通常包括烧伤损伤。适当的伤亡之物是必不可少的。如果可能的话，严重烧伤的患者应该被抽空到烧伤中心。烧伤患者的气道管理和流体复苏呈现出独特的挑战。维护最终气道的供应，资源和专业知识可能无法容易获得。 Airway附件可以有用，但在AUSTERE设置中有助于资源使用。传统的重新复苏严重热损伤在奥斯特世环境中不实用。口腔复苏和在极少数情况下，可以使用直至患者可以运送到医疗设施。大量关于燃烧和多重患者在大规模伤亡事件之后的管理，如2001年9月11日，1921年9月11日，教皇空军基础灾难。协调的应急准备计划至关重要。护理Austere，业务和大规模伤亡情况下的烧伤患者可以税收资源和人力。这些患者的护理需要创造性和聪明才智。烧伤患者在正常情况下难以管理，但在上述情况下，这些患者的照顾使管理变得复杂多重。

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