芦山和汶川地震中不同急诊接诊分诊流程对地震伤员急诊滞留时间的影响
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摘要
目的比较在芦山和汶川地震伤员救治中四川大学华西医院两种不同急诊接诊、分诊流程对大规模地震伤员急诊滞留时间的影响。方法回顾性分析芦山地震后12小时内华西医院急诊科收治的65例伤员的诊治信息及在急诊科滞留时间,与汶川地震时批量伤员急诊滞留时间相对比,分析两种院内急诊接诊、分诊流程对大规模地震伤员急诊滞留时间的影响。结果芦山地震伤员按接诊、分诊流程在急诊滞留时间中位数为0.51 h,而汶川伤员在急诊滞留时间中位数为2.13 h,两者差异有统计学意义(P<0.05)。结论芦山接诊、分诊流程是对汶川地震时的接诊、分诊流程的经验总结和改进,可作为类似灾后批量伤员院内急诊接诊、分诊的参考。
Objective To explore the influence of two emergency reception and triages workflows between Wenchuan and Lushan earthquakes on the victim's length of stay in emergency department of the West China Hospital of Sichuan University.MethodsA total of 65 victims admitted in the West China Hospital within 12 hours after Lushan earthquake were retrospectively analyzed,and their diagnosis and treatment information and the length of stay in emergency department were collected and compared with those of the victims in Wenchuan earthquake.Then we analyzed the influence of two emergency reception and triage workflows on the length of stay of the batches of earthquake victims.ResultsFor the Lushan earthquake victims,the median length of stay in the emergency reception and triage workflow was 0.51 hour,while that was 2.13 hours for the Wenchuan earthquake victims,with a significant difference(P<0.05).ConclusionThe emergency reception and triage workflow for Lushan earthquake victims is a summarized experience and improvement based on that for Wenchuan earthquake,which can be used as references for treating batches of victims in the emergency department after a disaster.
Objective To explore the influence of two emergency reception and triages workflows between Wenchuan and Lushan earthquakes on the victim's length of stay in emergency department of the West China Hospital of Sichuan University.MethodsA total of 65 victims admitted in the West China Hospital within 12 hours after Lushan earthquake were retrospectively analyzed,and their diagnosis and treatment information and the length of stay in emergency department were collected and compared with those of the victims in Wenchuan earthquake.Then we analyzed the influence of two emergency reception and triage workflows on the length of stay of the batches of earthquake victims.ResultsFor the Lushan earthquake victims,the median length of stay in the emergency reception and triage workflow was 0.51 hour,while that was 2.13 hours for the Wenchuan earthquake victims,with a significant difference(P<0.05).ConclusionThe emergency reception and triage workflow for Lushan earthquake victims is a summarized experience and improvement based on that for Wenchuan earthquake,which can be used as references for treating batches of victims in the emergency department after a disaster.
引文
1李大江,张卫东,刘启望.汶川地震医学救援中的伤员接诊处置与转出管理.中国循证医学杂志,2008,8(6):383-385.
2胡海,唐时元,曹钰,等.浅论“5.12”汶川地震直升飞机大批量转运伤病员的医疗管理.中国急救复苏与灾害医学杂志,2009,4(4):206-208.
3高宏光,秦嗪,李大江,等.汶川地震3周2621例急诊伤员分检流程分析.中国循证医学杂志,2008,8(9):718-721.
4胡海,何亚荣,曹钰,等.浅析日本灾难救援体系以及对我国建立灾难救援体系的借鉴.中国急救复苏与灾害医学杂志,2012,7(10):893-896.
5张庆江.地震灾害应急医学救援的难点及对策探讨.武警医学,2006,17(10):788-789.
6徐家相.地震灾害的应急医学救援.中华急诊医学杂志,2005,14(7):557-558.
7胡海,杜鑫淼,曹钰,等.医学生灾害医学救援培训需求调查分析.灾害医学与救援,2012,1(4):220-222.
8杜鑫淼,胡海,曹钰,等.汶川地震中早期评估一线医院危重伤患者死亡风险的多因素分析.灾害医学与救援,2012,1(4):216-219.
9胡海,何庆,汶川地震中直升机转运伤员760例.中华急诊医学杂志,2008,17(9):908-910.
10李桂蓉,刘晓春.对地震灾害救灾医院志愿者的管理对策.中华护理杂志,2008,43(11):983-984.
11黄玉梅,靳桂明,吴江平,等.地震创伤性感染病原菌状况分析.中华医院感染学杂志,2009,19(13):1757-1759.
12 Ding R,Mccarthy ML,Desmond JS,et al.Characterizing WaitingRoom Time,Treatment Time,and Boarding Time in the EmergencyDepartment Using Quantile Regression.Acad Emerg Med,2010,17(8):813-823.
13 Guttmann A,Schull MJ,Vermeulen MJ,et al.Association betweenwaiting times and short term mortality and hospital admission a erdeparture from emergency department:population based cohortstudy from Ontario,Canada.BMJ,2011,342:d2983.
14胡海,杜鑫淼,蒋臻,等.院前急救中两种创伤评分法对急性酒精中毒合并外伤性颅内出血患者的评估作用.华西医学,2009,24(8):1929-1931.
2胡海,唐时元,曹钰,等.浅论“5.12”汶川地震直升飞机大批量转运伤病员的医疗管理.中国急救复苏与灾害医学杂志,2009,4(4):206-208.
3高宏光,秦嗪,李大江,等.汶川地震3周2621例急诊伤员分检流程分析.中国循证医学杂志,2008,8(9):718-721.
4胡海,何亚荣,曹钰,等.浅析日本灾难救援体系以及对我国建立灾难救援体系的借鉴.中国急救复苏与灾害医学杂志,2012,7(10):893-896.
5张庆江.地震灾害应急医学救援的难点及对策探讨.武警医学,2006,17(10):788-789.
6徐家相.地震灾害的应急医学救援.中华急诊医学杂志,2005,14(7):557-558.
7胡海,杜鑫淼,曹钰,等.医学生灾害医学救援培训需求调查分析.灾害医学与救援,2012,1(4):220-222.
8杜鑫淼,胡海,曹钰,等.汶川地震中早期评估一线医院危重伤患者死亡风险的多因素分析.灾害医学与救援,2012,1(4):216-219.
9胡海,何庆,汶川地震中直升机转运伤员760例.中华急诊医学杂志,2008,17(9):908-910.
10李桂蓉,刘晓春.对地震灾害救灾医院志愿者的管理对策.中华护理杂志,2008,43(11):983-984.
11黄玉梅,靳桂明,吴江平,等.地震创伤性感染病原菌状况分析.中华医院感染学杂志,2009,19(13):1757-1759.
12 Ding R,Mccarthy ML,Desmond JS,et al.Characterizing WaitingRoom Time,Treatment Time,and Boarding Time in the EmergencyDepartment Using Quantile Regression.Acad Emerg Med,2010,17(8):813-823.
13 Guttmann A,Schull MJ,Vermeulen MJ,et al.Association betweenwaiting times and short term mortality and hospital admission a erdeparture from emergency department:population based cohortstudy from Ontario,Canada.BMJ,2011,342:d2983.
14胡海,杜鑫淼,蒋臻,等.院前急救中两种创伤评分法对急性酒精中毒合并外伤性颅内出血患者的评估作用.华西医学,2009,24(8):1929-1931.
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