Chinese journal of nautical medicine and hyperbaric medicine 2022;29(3):281-284

doi:10.3760/cma.j.cn311847-20210710-00201

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

Wenwu LIU 1 ; Shuo YAN ; Jie CHEN ; Ci LI ; Jiajun XU ; Xuhua YU ; Shifeng WANG

Affiliations

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Keywords

Diving rescue; Triage and treatment; Evacuation; Diving disease

Country

China

Language

Chinese

Abstract

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.