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Environment of care: Vertical evacuation concerns for acutely ill patients and others with restricted mobility

机译：护理环境：急性病患者和行动不便的其他人的垂直疏散问题

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摘要

This perspective paper was intended to raise awareness and the urgency of needing additional evacuation-related, hospital building design policies. We addressed the challenges to maintain the integrity of exits and inadequate hospital design considerations for individuals with restricted mobility. Hospitals are occupied by people who may have restricted mobility and visitors who are likely unfamiliar with their surroundings. A hospital fire threatens all people in the building, but especially patients in the intensive care unit who are frail and have limited mobility. Evacuating immobile patients is complex, involving horizontal and vertical evacuation approaches. Hospital design must consider the needs of individuals with restricted mobility, who are the most vulnerable in case of a hospital fire. Consequently, we urge that acutely ill patients and others with restricted mobility should occupy units located on the ground floor or Level 2. In addition, when configuring the physical environment of hospitals, providing step-free ground floor access (indoor or outdoor ramps) and evacuation aids for vertical evacuation is crucial. Step-free ground floor access between Level 2 and the ground floor should be wide enough to allow transporting patients on their beds. A standard revision to include these recommendations is desperately needed.
机译：该观点文件旨在提高人们的认识，并迫切需要其他与​​疏散有关的医院建筑设计政策。我们解决了保持出入口完整性和行动不便人士的医院设计考虑不足的挑战。医院到处都是行动不便的人和来访者，他们可能对周围的环境不熟悉。医院火灾威胁着大楼中的所有人，尤其是重症监护室中体弱且行动不便的患者。疏散无法移动的患者非常复杂，涉及水平和垂直疏散方法。医院的设计必须考虑行动不便者的需求，这些人在发生医院火灾时最容易受到伤害。因此，我们敦促患有严重疾病的患者和行动不便的其他人居住在位于地面或2楼的病房。此外，在配置医院的物理环境时，应提供无障碍的地面通道（室内或室外坡道）和垂直疏散辅助工具至关重要。第2层和底层之间无障碍的地面通道应足够宽，以允许将患者运送到床上。迫切需要对这些建议进行标准修订。

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