| Summary: | 碩士 === 中央警察大學 === 防災研究所 === 105 === Several common problems often present themselves immediately after a mass casualty incident (MCI), such as the lack of medical resources (ambulences, medical staff, and medical equipment), low accessibility and absence of priority roads for ambulances. Yet at the same time, patient prognoses are significantly underpinned by the ability of medical staff to swiftly identify and transport priority patients to hospitals. Meanwhile, as the levels of emergency medical resources vary from town to town and the capacity and complexity of relief efforts differ from location to location, the planning of emergency medical relief efforts and transportation at MCI sites becomes crucial. It is believed that collaboration aross organizations, cities, and even medical zones should be promoted for full medical relief effort integration. This study uses geographic information system (GIS) visuals and graphics to present the medical relief effort of the 2015 Formosa Fun Coast Dust Burning incident in terms of patient transportation to and between hospitals. In-depth interviews with experts and scholars reveal that even though MCI relief efforts include patient triage, the main goal of such efforts is to clear the site as quickly as possible. As a result, patients of different severities are often sent to hospitals at the same time, causing congestion at some responsibility hospitals of first aid. To make matters worse, the inability of the health system and fire department to effectively communicate information on MCI emergency medical resources only compounds what is already a challenging situation. This study proposes to include the idea of an emergency medical regulation center (EMRC) in current MCI relief efforts and categorize MCIs based on response time and patient conditions. MCIs in the form of progressive disasters and planned gatherings should be addressed in ways similar to the spirit of quasi-field hospitals. In terms of sudden mass casualty incidents (SMCIs), those requiring longer processing time should be addressed by regional disaster medical assistant teams (RDMATs) while those requiring shorter processing time can be excluded from the EMRC. This study also suggests the inclusion of RDMAT management and area assignment to RDMATs so that they can provide on-site assistance and transport patients to the right hospitals that reflect the patient priority mechanisms in responsibility hospitals of first aid. This can also help build a system between the fire department, health deparment
and hospitals for the betterment of MCI relief efforts.
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