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Báo cáo y học: "The World Trade Center Attack The paramedic response: an insider’s view"

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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: The World Trade Center Attack The paramedic response: an insider’s view. | Available online http ccforum.eom content 5 6 301 Review The World Trade Center Attack The paramedic response an insider s view Louis Cook FDNY EMS Division Two Bronx New York USA Correspondence Louis Cook divemedic@compuserve.com Published online 6 November 2001 Critical Care 2001 5 301-303 2001 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract The World Trade Center attack and collapse is the first time an aircraft has been used as a weapon of mass effect. The scale and magnitude of this manmade disaster can only be compared with a natural catastrophe such as the Armenian earthquake of December 1988. The importance of an incident command system and the Simple Triage and Rapid Treatment and the need for fixed Casualty Collection Points is explained. Keywords casualty collection incident command World Trade Center A mass casualty incident in New York City is defined as any incident that produces five or more patients with the potential need for extraordinary resources 1 . Managing a mass casualty incident begins with notifying local emergency response agencies. Whichever agency arrives first sizes up the situation and provides a preliminary situation report. This forms the basis of an Incident Command System ICS . The accuracy of the ICS plan is crucial to the successful command and control of an incident. This discussion will outline the mass casualty incident response and the ICS plan of the World Trade Center attack through the personal experiences of the author. This article is purely from the perspective of a paramedic on the ground and should not be construed as official views or policy of the City of New York Fire Department. Incident management system and START triage All incidents have an Incident Commander. The World Trade Center attack was primarily an aircraft crash so the Incident Commander came from the Fire Department of New York FDNY . As part of the ICS plan the Incident Commander breaks down the operation into task-specific .

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