Assessment of Medical Response Capacity in the time of Disaster : the Estimated Formula of Hospital Treatment Capacity (HTC), the Maximum Receivable Number of Patients in Hospital

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INTRODUCTION For the assessment on medical response capacity for disaster inlocal area (such as rescue capacity, transport capacity and treatment capacity), it isnecessary to assess it in peace time, and understand how many sufferers from disasterthe hospital can respond to. Here the estimated formula of Hospital TreatmentCapacity (hereinafter shortened to HTC), the maximum receivable number of patientsin hospital (hereinafter shortened to MRN) was showed, which derived from theassessment on emergency medical response in Kobe University Hospital as an example.MATERIALS AND METHODS We treated a total of 12,032 patients transferredand admitted to Kobe University Hospital from April 2003 to January 2005. Wecalculated the required number of medical personnel, equipment and length oftreatment time in order to respond to 410 severe traumas, 35 burn injuries, and 28patients with blood purification, which were considered to be main clinical conditionsin disaster. Beside, the occupation of emergency room and the operation room per hourwere also investigated in our hospital.RESULTS HTC (MRN) for each clinical condition within H hours is expressed byfollowing formula:(1) HTC (MRN) for burn injuries= The maximum integer of(≤Doctors/2∩≤Respirators/1∩≤outpatient beds/1∩≤inpatient beds/1∩≤monitors/1)x the minimum integer of (≥H/1.85)(2) HTC (MRN) for patients with blood purification= The maximum integer of(≤doctors/2∩≤ blood purification systems/1∩≤ outpatient beds/1∩≤inpatient beds/1∩≤monitors/1)x the minimum integer of (≥H/2.00)(3) HTC (MRN) for severe traumas=The maximum integer of(≤doctors-a/2∩≤surgeons/1∩≤anesthetists/1∩≤radiologists/1∩≤respirators/1∩≤outpatient beds/1∩≤inpatient beds/1∩≤monitors/1∩≤operation rooms/1∩≤angiography rooms/1)

Assessment of Medical Response Capacity in the time of Disaster : the Estimated Formula of Hospital Treatment Capacity (HTC), the Maximum Receivable Number of Patients in Hospital

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