Báo cáo y học: " The World Trade Center Attack Observations from New York’s Bellevue Hospital"

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 Observations from New York’s Bellevue Hospital. | Available online http content 5 6 307 Review The World Trade Center Attack Observations from New York s Bellevue Hospital J David Roccaforte Department of Anesthesiology Bellevue Hospital Center New York USA Correspondence J David Roccaforte JDavidR@ Published online 6 November 2001 Critical Care 2001 5 307-309 2001 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract This report describes selected aspects of the response by Bellevue Hospital Center to the World Trade Center attack of 11 September 2001. The hospital is miles 4 km from the site of the attack. These first-hand observations and this analysis may aid in future preparations. Key issues described relate to communication organization injuries treated staffing and logistics. Keywords communication disaster preparation terrorism triage Bellevue Hospital Center is a large metropolitan Level I trauma tertiary care teaching hospital miles 4 km from the World Trade Center. Despite the inevitable chaos and confusion surrounding the attack on 11 September 2001 we were able to organize and deploy effective resources within hours. In this article we describe and retrospectively analyze our actions in the hope that it will lead to improved response to future disasters. Responding to facts not rumors In the first few hours following the attack communication was poor and rumors were rampant. The hospital s internal and external phone lines were overloaded and a dial tone was unavailable internal and external pagers and cell phones were working only intermittently. Given the sketchy and unreliable nature of the information our hospital s response was to fully prepare all areas for a worst-case scenario involving high volumes of critically injured patients. The Anesthesiology Department alone reported a cost of over US 20 000 for the period 11-12 September 2001 which was attributed to setting up all operating rooms drawing up drugs opening consumables and lending out .

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