2023-12-14 リンショーピング大学
◆研究によれば、2か所以上の配置が最も多くの命を救うが、出入り口には配置すべきでないことがわかりました。これは一斉避難時にアクセスが難しいためで、救命キットは90秒以内で到達可能な位置に配置すべきです。出血制御キットはAEDと同じ場所に配置する方が有益であり、研究者はこの知見が公共の場や政策形成に役立つと期待しています。
<関連情報>
- https://liu.se/en/news-item/correct-placement-of-lifesaving-bleeding-control-equipment-saves-lives
- https://www.cambridge.org/core/journals/disaster-medicine-and-public-health-preparedness/article/recommendations-for-placement-of-bleeding-control-kits-in-public-spacesa-simulation-study/CC19850EBED85DD4B18076CB85684621
公共スペースにおける出血抑制キットの設置に関する推奨事項 — シミュレーション研究Recommendations for Placement of Bleeding Control Kits in Public Spaces—A Simulation Study
Krisjanis Steins,Craig Goolsby,Anna-Maria Grönbäck,Nathan Charlton,Kevin Anderson,Nicole Dacuyan-Faucher,Erik Prytz,Tobias Andersson Granberg and Carl-Oscar Jonson
Disaster Medicine and Public Health Preparedness Published:19 October 2023
DOI:https://doi.org/10.1017/dmp.2023.190
Abstract
Objective:
Bleeding control measures performed by members of the public can prevent trauma deaths. Equipping public spaces with bleeding control kits facilitates these actions. We modeled a mass casualty incident to investigate the effects of public bleeding control kit location strategies.
Methods:
We developed a computer simulation of a bomb exploding in a shopping mall. We used evidence and expert opinion to populate the model with parameters such as the number of casualties, the public’s willingness to aid, and injury characteristics. Four alternative placement strategies of public bleeding control kits in the shopping mall were tested: co-located with automated external defibrillators (AEDs) separated by 90-second walking intervals, dispersed throughout the mall at 10 locations, located adjacent to 1 exit, located adjacent to 2 exits.
Results:
Placing bleeding control kits at 2 locations co-located with AEDs resulted in the most victims surviving (18.2), followed by 10 kits dispersed evenly throughout the mall (18.0). One or 2 kit locations placed at the mall’s main exits resulted in the fewest surviving victims (15.9 and 16.1, respectively).
Conclusions:
Co-locating bleeding control kits with AEDs at 90-second walking intervals results in the best casualty outcomes in a modeled mass casualty incident in a shopping mall.
