潜艇失事脱险艇员的分类救治探讨——以北约分类救治为例

Discussion on triage and treatment for surviving crew members after a submarine accident—taking NATO triage and treatment system as an example

我国目前尚缺乏针对援潜救生伤病员的分类救治系统。北约针对援潜救生过程中的伤病员情况进行分类救治。该分类系统基于病情危重程度,将疾病分为4类(T1、T2、T3和T4);根据是否需要加压治疗,将疾病分为2类(C1和C2)。另外,将救治场地分为5个区:分类区、一级治疗区、二级治疗区、三级治疗区和T4治疗区。笔者基于前期援潜救生的教学体会,对该分类救治系统存在的问题提出一些建议,为后期制定我国援潜救生分类救治系统提供借鉴。

At present,there is no triage and treatment system in China for the surviving crew members after a submarine accident.The North Atlantic Treaty Organization(NATO)provides a Triage and Treatment System for the management of diseases for the patients after a submarine accident.This system classifies diseases into four types,i.e.,T1,T2,T3,and T4,according to the severity of the specific disease.Furthermore,the diseases are classified into type C1 and C2 depending on whether the hyperbaric therapy is needed.The treatment zone is divided into 5 areas:triage area,grade 1 treatment area,grade 2 treatment area,grade 3 treatment area,and T4 treatment area.Based on our previous experience in teaching submarine rescue,we put forward some suggestions for improvement on the system,so as to provide a point of reference for the development of Chinese triage and treatment system after a submarine accident in future.