兒童事故傷害緊急照護處置及防制策略

Children's Accidents: Emergency Care Intervention and Preventive Strategies

兒童事故傷害已是全球性的公共衛生議題，因其衍生之影響層面不僅涵蓋個人、家庭，甚至是整個社會都會受到莫大的衝擊。本文闡述兒童事故傷害的緊急照護處置，兒童遭受創傷後的生、心理變化與後續照護，以及成人於兒童事故傷害時應扮演的角色；此外，針對當前緊急醫療網系統和急診的檢傷分類做一系統性的分析，並提出值得省思的倫理議題，以儘早採取防制策略及確保遭逢事故傷害的兒童能夠得到良好的醫療照護。

The injuries sustained by children in accidents have been a global public health topic because their influence is not confined to the child and his or her family, but extends to the wider society. This paper explains the emergency care intervention involved in treating child accident victims, the physical and mental changes that follow both trauma and care, and the adult's role when children have injuries. In addition, a systemic analysis is provided of the emergency medical system and emergency room triage, and ethical issues are discussed, in order that preventive strategies may be adopted as quickly as possible and to ensure good medical care for children suffering injury in accidents.