Competence and organization for mass casualties in maritime incidents Findings from the KOMPASS project

被引：1

作者：

Schulz-Drost, S. ^{[1
]}

Weigeldt, M. ^{[1
]}

Trach, S. ^{[1
]}

Henning, E. ^{[2
]}

Ekkernkamp, A. ^{[1
,2
,3
]}

Guembel, D. ^{[1
,2
]}

机构：

[1] BG Klinikum Unfallkrankenhaus Berlin gGmbH, Warener Str 7, D-12683 Berlin, Germany

[2] Univ Med Greifswald, Klin & Poliklin Unfall Wiederherstellungschirurg, Greifswald, Germany

[3] Gesetzliche Unfallversicherung gGmbH, BG Kliniken Klin Verbund, Berlin, Germany

来源：

TRAUMA UND BERUFSKRANKHEIT | 2018年 / 20卷 / 03期

关键词：

Nautical crew; Qualified personnel; Lay persons; Injury management; Triage;

D O I：

10.1007/s10039-018-0399-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Mass casualties of sick or injured persons in the maritime environment present rescue workers with particular challenges because limited personnel resources are available, long intervention times have to be bridged and often only insufficient material is stored on ships. The joint project KOMPASS (competence and organization for mass casualties of maritime patients, grant numbers 13N13255-13N13260) funded by the Federal Ministry of Education and Research provides scientifically based recommendations for initial measures on board. The nautical crew is of particular importance for both organizational tasks and primary medical care. Recommendations were given on how to integrate on-board medical and lay personnel in a structured way into management of injured and rescued persons. In addition to early communication on landside assistance, patients should be collected on assembly points prepared for this purpose and documented, followed by a prioritization of treatment and finally the organization of the area for treatment. Through electronically assisted triage and a networked self-contained tablet/laptop system, the effectiveness of on-board treatment can be greatly increased while ensuring communication with the professional shore help in a timely fashion. The takeover of the management by the leading emergency doctor "Sea" and an injury treatment team is thereby ensured.

引用

页码：196 / 204

页数：9