| Summary: | 碩士 === 中央警察大學 === 消防科學研究所 === 104 === In recent years, there were several tremendous disasters, including the fire at Taichung Allah nightclub in 2011, the propylene gas explosion at Kaohsiung in 2014, the crash of Trans Asia Airways aircraft at Nan kang in 2015, and the Dust Explosion at Formosa Fun-Coast in 2015. These detrimental disasters raise not only the evolution but also the reexamination of rescue modes for Multiple Casualty Incident (MCI) in both firefighting and medical systems.
According to the current provision, MCI represents a single accident with more than 15 casualties. The commanders of onsite emergency rescue are assigned by the Fire Department and the Bureau of Health Care, respectively. Since the disaster site is highly dangerous and chaotic, the rescue crews in the early stage should have the abilities to deal with MCI tasks correctly and effectively. The tasks range from the operations of initial rescue, the transmission of disaster notification, Patient Triage, the organization of commanding system, and the medical evacuation of serious patients.
In the beginnig of this study, we review domestic and international literature regarding how to conduct emergency care and rescue for MCI, and a case study on the dust explosion at Formosa Fun-Coast are discussed successively. In the case study, we interview the on-site rescue crew to restore the model of accident and the processes of emergency rescue at that day. Based on the results of case study, we summarize several key factors leading to MCI and propose some options to improve the mechanism of emergency rescue in Taiwan. In the end, we develop new mechanism to increase the efficiency of emergency rescue. We expect that the improved mechanism will be benefit and become a reference for other rescue/medical units in Taiwan.
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