Anesthesiologists, An Overlooked Resource: An Exposé on Anesthesiologists as Leaders in Disaster Preparedness and Response.

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Deborah Schwengel, Meera Gangadharan, Kelly Chilson, Ellen Choi, Ashley Weinhold, Amanda Widing, Wendy Binstock, Robert Greenberg, Christina Diaz
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Abstract

Anesthesiologists are broadly trained members of the health care workforce, managing patients daily using advanced stabilization/resuscitative techniques. They work in a collaborative, team-based model and lead multidisciplinary teams. Their work includes prioritizing patients according to the complexities of their disease presentations, and threats to life and limb. Trauma care is a regular part of the anesthesiologist's job. The presence of anesthesiologists is required in hospitals to achieve the designation "level 1" trauma center. Anesthesiology is a specialty known for promoting safe practice principles and improving quality of care, utilizing crisis resource management and implementing cognitive aids. Despite these skillsets, anesthesiologists are generally overlooked in disaster preparedness. The number of trained anesthesiologists is similar to that of emergency medicine physicians, and they are nearly twice as abundant as general surgeons. In countries outside the US, anesthesiologists are often included in the pre-hospital team.The purpose of this article is to emphasize the skillsets of anesthesiologists and to advocate for their inclusion in disaster preparedness teams. Due to their presence and comfort throughout the hospital system, broad training in emergent and elective cases, resuscitation skills, procedural skills, communication skills, daily triage, and team management, anesthesiologists should be considered essential leaders during mass casualty incident preparation and response.

麻醉师,一个被忽视的资源:揭露麻醉师作为灾难准备和响应的领导者。
麻醉师是经过广泛培训的医疗保健人员,每天使用先进的稳定/复苏技术管理患者。他们以协作、团队为基础的模式工作,并领导多学科团队。他们的工作包括根据患者疾病表现的复杂性和对生命和肢体的威胁对患者进行优先排序。创伤护理是麻醉师工作的常规部分。要达到“一级”创伤中心的标准,医院必须有麻醉师在场。麻醉学是一门以促进安全实践原则和提高护理质量,利用危机资源管理和实施认知辅助而闻名的专业。尽管麻醉师具备这些技能,但他们在备灾工作中通常被忽视。受过训练的麻醉师的数量与急诊医师的数量相似,他们的数量几乎是普通外科医生的两倍。在美国以外的国家,麻醉医师通常包括在院前团队中。本文的目的是强调麻醉师的技能,并提倡将他们纳入备灾团队。由于麻醉师在整个医院系统中的存在和舒适,在紧急和选择性病例方面的广泛培训,复苏技能,程序技能,沟通技能,日常分诊和团队管理,麻醉师应被视为大规模伤亡事件准备和反应中的重要领导者。
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来源期刊
Disaster Medicine and Public Health Preparedness
Disaster Medicine and Public Health Preparedness PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.40
自引率
7.40%
发文量
258
审稿时长
6-12 weeks
期刊介绍: Disaster Medicine and Public Health Preparedness is the first comprehensive and authoritative journal emphasizing public health preparedness and disaster response for all health care and public health professionals globally. The journal seeks to translate science into practice and integrate medical and public health perspectives. With the events of September 11, the subsequent anthrax attacks, the tsunami in Indonesia, hurricane Katrina, SARS and the H1N1 Influenza Pandemic, all health care and public health professionals must be prepared to respond to emergency situations. In support of these pressing public health needs, Disaster Medicine and Public Health Preparedness is committed to the medical and public health communities who are the stewards of the health and security of citizens worldwide.
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