重新评估未来冲突中的逆向分流。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Daniel J Hurst, T L Ray
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引用次数: 0

摘要

未来战争很可能涉及近距离或同级别的冲突,在这种情况下,发生大规模伤亡的风险很大。由于反介入和区域封锁,空中优势将无法保证,这将妨碍伤员的快速撤离和补给。在这种情况下,军事医务人员可能会因为战场的限制和让军人返回岗位的战术需要而被迫实施反向分流,即先治疗伤势较轻的军人。然而,反向分流可能与国际人道法不符。此外,如果需要实施反向分流,从现有的军事理论来看,还不能确定何时适合实施反向分流或可能遵循的步骤,这凸显了在战场上考虑将反向分流作为军事理论之前存在的差距。最后,我们质疑反向分流可能对军事医务人员、部队士气和部队凝聚力造成的心理影响。虽然最近有建议称在近期的未来冲突中可能需要实施反向分流,但这些问题依然存在。现在是西方军队评估反向分流的优点和潜在缺点的时候了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reassessing reverse triage in future conflict.

Future warfare will likely involve near-peer or peer-peer conflict in which there is a great risk of mass casualty scenarios. Because of anti-access and area denial, air superiority will not be guaranteed, which will hamper rapid evacuation of casualties as well as resupply. Under such circumstances, military medical personnel may be forced, due to the constraints of the battlefield and tactical necessity to return servicemembers to duty, to implement reverse triage in which servicemembers with less severe injuries are treated first. However, reverse triage is potentially incongruent with international humanitarian law. Furthermore, should reverse triage need to be implemented, from the extant military doctrine it is not certain when this would be appropriate or the steps that might be followed, which highlight the gaps that exist before reverse triage should be considered as military doctrine on the battlefield. Lastly, we question the psychological impact that reverse triage could portend on military medical personnel, unit morale and unit cohesion. While there have been recent recommendations that reverse triage might need to be implemented in a near-term future conflict, these issues linger. It is time for Western militaries to assess the merits of reverse triage and the potential drawbacks.

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来源期刊
Bmj Military Health
Bmj Military Health MEDICINE, GENERAL & INTERNAL-
CiteScore
3.10
自引率
20.00%
发文量
116
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