The Study of the Impact of a Terrorist Attack on Individual Trauma Centers

恐怖袭击对个体创伤中心影响的研究

• 批准号: 7074360
• 负责人: CONNIE JEAN POTTER
• 金额: $ 14.88万
• 依托单位: NATIONAL FOUNDATION FOR TRAUMA CARE, INC
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-01 至 2006-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7074360
• 关键词: behavioral /social science research tag; biohazard control; bioterrorism /chemical warfare; data collection methodology /evaluation; disasters; educational resource design /development; emergency care; emergency health services; health care policy; health care service evaluation; health services research tag; health surveys; human subject; interview; questionnaires; regional medical planning; trauma; war /peace

Trauma Centers have historically functioned as critical medical resources and communication hubs for both natural and human-caused catastrophes of mass scale. They are organized so that injured patients are rapidly triaged, assessed, and treated as tested in the 1993 and 2001 World Trade Center terrorist attacks, the attack on the Oklahoma City Murrah Building, and natural disasters of all types nationwide. Our premise is that this capability and capacity will vary where trauma systems are not developed or fully implemented, or where trauma centers are economically or resource threatened . Despite their role in disaster/terror response, a 2004 NFTC survey of EMS/trauma systems identified only two (2) States (FL, NC) that had provided any direct fiscal support for trauma system preparedness for terror attacks, and those amounts allocated were meager. No national evaluation of the effect upon a trauma center from a terrorist blast attack has been conducted. Therefore, trauma centers lack practical examples to help them prepare for the resultant mass casualties and will benefit from the experiences of highly performing and best practice trauma centers identified in this study. The project deliverables will be written, audiovisual, and educational information that can be adapted to any trauma center's unique circumstances. The program addresses the "Healthy People 2010" focus area(s) of Injury and Violence Prevention and will occur in two (2) phases. Phase I: Develop and conduct a survey of all known verified, designated, or functional Level I and II trauma centers to identify the degree to which they meet key characteristics of a well prepared trauma center in the event of a Blast-type terror attack, including one with the potential for biological, chemical, nuclear agents and other hazards. Phase II: Selected trauma centers will undergo a site visit, provide appropriate documents, and participate in a summary review of their their preparation for a blast-type terror attack as defined in the grant. The public will benefit by trauma centers becoming better prepared for a Blast-type terror attack. Trauma centers need templates from highly performing trauma centers and best practices in areas of preparedness where few trauma centers report readiness in order to meet the needs of the injured public when and if this type of event occurs.

创伤中心历来在大规模自然和人为灾难中发挥着重要的医疗资源和通信中心的作用。他们的组织方式是为了对受伤患者进行快速分类、评估和治疗，就像 1993 年和 2001 年世界贸易中心恐怖袭击、俄克拉荷马城默拉大厦袭击以及全国各类自然灾害中所经过的测试一样。我们的前提是，在创伤系统尚未开发或充分实施的情况下，或者在创伤中心受到经济或资源威胁的情况下，这种能力和容量将会有所不同。尽管它们在灾难/恐怖响应中发挥着重要作用，但 2004 年 NFTC 对 EMS/创伤系统的调查发现，只有两 (2) 个州（佛罗里达州、北卡罗来纳州）为创伤系统应对恐怖袭击的准备提供了直接财政支持，而且这些金额 分配的资金微薄。尚未对恐怖爆炸袭击对创伤中心的影响进行全国性评估。因此，创伤中心缺乏实际例子来帮助他们为由此造成的大规模伤亡做好准备，并将受益于本研究中确定的高性能和最佳实践创伤中心的经验。该项目的交付成果将是书面、视听和教育信息，可适应任何创伤中心的独特情况。该计划针对“2010 年健康人民”伤害和暴力预防的重点领域，将分两 (2) 个阶段进行。第一阶段：对所有已知的经过验证的、指定的或功能性的一级和二级创伤中心进行开发和调查，以确定它们满足该地区准备充分的创伤中心关键特征的程度 爆炸型恐怖袭击事件，包括可能产生生物、化学、核制剂和其他危险的袭击。第二阶段：选定的创伤中心将进行现场访问，提供适当的文件，并参与对其针对拨款中定义的爆炸型恐怖袭击的准备工作的总结审查。公众将受益于创伤中心为爆炸型恐怖袭击做好更好的准备。创伤中心需要来自高性能创伤中心的模板和准备领域的最佳实践，而很少有创伤中心报告准备就绪，以便在发生此类事件时满足受伤公众的需求。