The World Trade Center Attack The paramedic response an insiders view 英文参考文献.docVIP

Available online /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@ 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 expe- riences of the author. This article is purely from the perspec- tive of a paramedic ‘on the ground’ and should not be construed as official views or policy of the City of New York Fire Department. each branch operates dynamically and can expand or con- tract as the situation escalates or de-escalates. In New York City, mass casualty triage is accomplished through the