| 英文摘要 |
It’s so many disaster events around the world, from which so-called mass casualty incidents (MCIs) are troublesome, for example, 911 in US, 921 in Taiwan, and recent earthquake in Sichuan, China. Based upon literature review, this paper proposes an emergency medical service (EMS) framework for mass-casualty scenarios. By integrating domains of information technology (IT) and disaster medicine, the framework offers an operation procedure for the scenarios, then highlights the intervention opportunities of IT on EMS. We conclude four EMS steps: they are the first scene, triage, evacuation, back-end hospitals. About information transferring of patients, both physical media and mobile wireless communications can be applied simultaneously. For the physical media transferring, using personal information carrier (PIC) instead of traditional medical tag is a new approach in triage step; the information kept in PIC can be monitored and updated constantly by portable devices in pre-hospital time interval. While up-to-date patients information can also be instantly transferred by mobile wireless communications to back-end hospitals for first time medical resource allocation. This paper also points out the opportunities of three IT, they are PIC interface format, integrated vital signs retrieve, and mechanism of information transferring, so that the IT enhance the efficiency of MES operations. |
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