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首页> 外文期刊>Pediatric emergency care >Hospital-based emergency preparedness: Evacuation of the neonatal intensive care unit - The smallest and most vulnerable population
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Hospital-based emergency preparedness: Evacuation of the neonatal intensive care unit - The smallest and most vulnerable population

机译：医院应急准备：撤离新生儿重症监护室-最小，最脆弱的人群

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OBJECTIVE: The objective of this study was to report an experience with a full-scale neonatal intensive care unit evacuation exercise. METHODS: This was a retrospective review of lessons learned from a full-scale evacuation exercise following a simulated catastrophe. Thirty-four realistically simulated neonatal intensive care unit infants (including 12 infants who required respiratory support and 3 with very complex medical issues) were horizontally evacuated emergently to limit immediate danger, followed by a vertical evacuation down several flights of stairs to a temporary holding area. The infants were then set up for transport for ongoing care to other regional hospitals. As with a real emergency, the drill involved the hospital incident management resources plus external partners (eg, police, public health, and fire departments). RESULTS: We found that effective and constant communication was critical. Essential health care personnel resources included (1) staff to physically transport patients, (2) a central communication/coordinating site, and (3) on-site triage in the holding areas. Because it is impossible to anticipate every eventuality, flexibility and creativity are essential in disaster management. Adult tracking forms, equipment, and emergency procedures were nontransferable and often inappropriate for infants. CONCLUSIONS: When a disaster occurs, hospital clinical staff, emergency management, and administrators may help avoid unnecessarily high morbidity and mortality among the smallest and most vulnerable patients by developing and practicing contingency plans. We learned what our rate-limiting steps are and how we would mitigate these.
机译：目的：本研究的目的是报告一次全面的新生儿重症监护室疏散运动的经验。方法：这是对模拟灾难后从全面撤离演习中汲取的教训的回顾性回顾。紧急地将34名实际模拟的新生儿重症监护室婴儿（包括12名需要呼吸支持的婴儿和3名有非常复杂的医疗问题的婴儿）紧急撤离以限制眼前的危险，然后垂直撤离几级楼梯至临时收容区。然后，将婴儿设置为运送到其他地区医院的持续护理。与真正的紧急情况一样，演习涉及医院事故管理资源以及外部合作伙伴（例如警察，公共卫生和消防部门）。结果：我们发现有效和持续的沟通至关重要。基本的医疗保健人员资源包括（1）运送病人的人员，（2）中央通讯/协调站点以及（3）存放区的现场分类。由于不可能预料到所有可能发生的情况，因此灵活性和创造力对于灾难管理至关重要。成人追踪表，设备和应急程序不可转让，通常不适合婴儿使用。结论：发生灾难时，医院临床人员，紧急情况管理人员和管理人员可以通过制定和实施应急计划来帮助避免最小和最脆弱患者中不必要的高发病率和死亡率。我们了解了什么是限速步骤以及如何减轻这些限制。

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