Mass Casualty Triage in the Case of Carbon Monoxide Poisoning: Lessons Learned

被引：5
作者：
Pasquier, Mathieu [1 ]
Dami, Fabrice [1 ]
Carron, Pierre-Nicolas [1 ]
Yersin, Bertrand [1 ]
Pignel, Rodrigue [2 ]
Hugli, Olivier [1 ]
机构：
[1] Univ Hosp Ctr CHUV, Dept Emergency Med, Lausanne, Switzerland
[2] Univ Hosp Ctr HUG, Dept Emergency Med, Hyperbar Unit, Geneva, Switzerland
来源：
DISASTER MEDICINE AND PUBLIC HEALTH PREPAREDNESS | 2018年 / 12卷 / 03期
关键词：
carbon monoxide; hyperbaric chamber; intoxication; oxygen treatment; triage; PULSE CO-OXIMETRY; EMERGENCY MEDICAL-SERVICE; CRITICAL-ISSUES; ICE ARENA; MANAGEMENT; CARBOXYHEMOGLOBIN; EXPOSURE; PROVIDERS; CORRELATE;
D O I：
10.1017/dmp.2017.65
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Carbon monoxide (CO) can cause mass intoxication, but no standard triage algorithm specifically addresses CO poisoning. The roles of some recent diagnostic tools in triage as well as treatment with hyperbaric oxygen are controversial. We describe a mass casualty case of CO poisoning involving 77 patients, with a focus on the triage and treatment options decided on-site. The reasons for choosing these options are reviewed, and the pitfalls that occurred and the lessons learned from this major incident are described. We discuss the potential to improve the management of such an event and strategies to accomplish this, including simplifying triage and administering oxygen to all exposed persons for 6 h.
引用
收藏
页码：373 / 378
页数：6
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