汶川和玉树地震伤员院内救治的组织管理
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摘要
目的探讨地震伤员院内救治中,如何调配人力、物力、抢救和分流等环节,以达到科学的组织管理。方法通过我院对汶川和玉树两次地震伤员院内救治的组织管理进行回顾性分析。结果在汶川地震伤救治中我院收入院治疗2196例,死亡27例,截肢截瘫64例,转出省外631例。玉树地震伤患者86例全部收治住院,目前已全部康复出院,无1例死亡。结论在地震造成的批量伤院内救治中,建立强有力的统一指挥系统,对人力、物力、抢救和分流各环节进行科学的组织管理,能保证急诊抢救工作有序进行,提高抢救成功率,降低病死率和致残率。
Objective To discuss the material allocation,human resource redeployment,the link of urgent treatment and triage and achieve the purpose of scientific management.Methods The management of rescue for patients in the Wenchuan and Yushu earthquake were analyzed by retrospective method.Results In Wenchuan earthquake 2196 patients were admitted and 27 patients died,64 patients amputated and paraplegia,631 patients were transferred to other provinces.In Yushu earthquake 86 patients were admitted.They all were discharged successfully.Conclusion The allocation of material,human resource and rescue under a strong and unitive command system is very important.It is necessary for promoting the success rate of rescue,decreasing the mortality and disability rate.
Objective To discuss the material allocation,human resource redeployment,the link of urgent treatment and triage and achieve the purpose of scientific management.Methods The management of rescue for patients in the Wenchuan and Yushu earthquake were analyzed by retrospective method.Results In Wenchuan earthquake 2196 patients were admitted and 27 patients died,64 patients amputated and paraplegia,631 patients were transferred to other provinces.In Yushu earthquake 86 patients were admitted.They all were discharged successfully.Conclusion The allocation of material,human resource and rescue under a strong and unitive command system is very important.It is necessary for promoting the success rate of rescue,decreasing the mortality and disability rate.
引文
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[3]宋雁宾,王蔓,原艳丽.批量伤员院内急救的组织与管理[J].护理管理杂志,20099,(4):37～38
[4]吴恒义.地震伤的特点和救治策略[J].创伤外科杂志,2008,9(5):2527
[5]徐洁,张玲,姚梅芳.探索成批伤员在急诊科的救护程序[J].解放军护理杂志,19961,3(4):37～39
[6]马晓琳,张济梅.地震灾害成批伤员的急诊分诊及救护[J].现代临床医学,20094,(35):144～145
[7]李红樱,代小舟,刘蔚,等.5.12汶川大地震2196例住院伤员综合分析[J].实用医院临床杂志,2008,11(6):26～28
[8]刘洲,王晋川,辜玉刚,等.5.12汶川大地震1874例伤员伤情分析[J].实用医院临床杂志,2008,11(6):29～30
[9]许静华.提高急诊护士抢救能力的做法和体会[J].中国实用护理杂志,20052,1(5B):54～55
[10]王瑜,王惠卿.突发事件成批伤员现场急救程序的研究[J].解放军护理杂志,20052,2(2):79
[11]李婉玲,李小金,王菊香.护士分区工作流程在救治成批伤员中的应用[J].海南医学,2010,21(1):129～130
[12]叶爱珠,黎均越.大批车祸伤员院内急救护理及组织管理[J].岭南急诊医学,20049,(2):156
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