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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Communication and logistics in the response to the 1998 terrorist bombing in Omagh, Northern Ireland. | Available online http ccforum.eom content 9 4 401 Review Clinical review Communication and logistics in the response to the 1998 terrorist bombing in Omagh Northern Ireland Gavin G Lavery1 and Ene Horan2 1 Director of Critical Care Services Royal Group Hospitals Trust Belfast UK 2Specialist Registrar Northern Ireland Intensive Care Medicine Training Programme Royal Group Hospitals Trust Belfast UK Corresponding author Gavin G Lavery gavin.lavery@royalhospitals.n-i.nhs.uk Published online 23 March 2005 This article is online at http ccforum.com content 9 4 401 2005 BioMed Central Ltd Critical Care 2005 9 401-408 DOI 10.1186 cc3502 Abstract The Omagh bombing in August 1998 produced many of the problems documented in other major incidents. An initial imbalance between the demand and supply of clinical resources at the local hospital poor information due to telecommunication problems the need to triage victims and the need to transport the most severely injured significant distances were the most serious issues. The Royal Group Hospitals Trust RGHT received 30 severely injured secondary transfers over a 5-hour period which stressed the hospital s systems even with the presence of extra staff that arrived voluntarily before the hospital s major incident plan was activated. Many patients were transferred to the RGHT by helicopter but much of the time the gained advantage was lost due to lack of a helipad within the RGHT site. Identifying patients and tracking them through the hospital system was problematic. While the major incident plan ensured that communication with the relatives and the media was effective and timely communication between the key clinical and managerial staff was hampered by the need to be mobile and by the limitations of the internal telephone system. The use of mobile anaesthetic teams helped maintain the flow of patients between the Emergency Department and radiology operating theatres or the intensive care unit ICU . The mobile anaesthetic teams
