地震伤员院间分流及其意义探讨
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摘要
目的总结分析四川大学华西医院汶川地震伤员的院间分流情况,为未来重大突发自然灾害伤员分流提供参考。方法收集整理汶川地震后两周医院收治地震伤员情况及其去向,分析转出原因及实施方法。结果震后第1~14天,医院可提供给地震伤员的床位数平均为124张/天,而在此期间共收治地震伤员2227人,其中住院1181人,占同期收治地震伤员的53.03%。面对巨大的病床需求,为充分利用有限的医疗资源,提高救治效果,降低病死率和致残率,医院及时、合理地对伤员进行院间分流,使伤员每日在院人数相对稳定,分流及在院伤员均得到及时治疗。结论重大突发自然灾害发生后,医院及时多次评估医院现有医疗资源,充分估计伤员流量,在不同时间段采取有效措施,对伤员实施院际间合理分流,以使医疗资源利用最优化,伤员处置最恰当。
Objective To provide a disaster triage method by analyzing the data of the hospital transferring casualties after Wenchuan earthquake. Method The data of the patients' admission and hospital transferring in the West China Hospital were collected after the earthquake in two weeks. Moreover, the reason and the method of the hospital transferring were analyzed. Result In the first two weeks since the earthquake struck Wenchuan, the number of the available bed for earthquake patients in West China Hospital was 124 per day, but in the 2 227 earthquake patients treated, 1 181 patients were admitted. Comparing with the number of the total hospitalized, the percentage is 53.03%.The hospital was overloaded. After a reasonable hospital transference, the daily number of inpatients was stable and all the patients were treated sufficiently. Conclusion After a natural disaster, an effective administration transferring patients to suitable medical recourse should be performed, so that more right treatments should be given to more right patients in the right time and right place.
Objective To provide a disaster triage method by analyzing the data of the hospital transferring casualties after Wenchuan earthquake. Method The data of the patients' admission and hospital transferring in the West China Hospital were collected after the earthquake in two weeks. Moreover, the reason and the method of the hospital transferring were analyzed. Result In the first two weeks since the earthquake struck Wenchuan, the number of the available bed for earthquake patients in West China Hospital was 124 per day, but in the 2 227 earthquake patients treated, 1 181 patients were admitted. Comparing with the number of the total hospitalized, the percentage is 53.03%.The hospital was overloaded. After a reasonable hospital transference, the daily number of inpatients was stable and all the patients were treated sufficiently. Conclusion After a natural disaster, an effective administration transferring patients to suitable medical recourse should be performed, so that more right treatments should be given to more right patients in the right time and right place.
引文
1李大江,张卫东,刘启望.汶川地震医疗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.
2Kirschenbaum L,Keene A,O'Neill P,et al.The experience at St.Vincent's Hospital,Manhattan,on September11,2001:preparedness,response,and lessons learned.Crit Care Med,2005,33(1Suppl):S48-52.
3曾波,曾凡志.浅谈医院人力资源编设.中华现代医院管理杂志,2006,4(11).
4尚咏.评价伤员能否空运后送的标准.空军总医院学报,2005,21(3):167.
5徐卸古.唐山地震伤员空运的经验及启示.人民军医,1997,40(2):71-72.
6Barillo DJ,Renz E,Broger K,et al.An emergency medical bag set for long-range aeromedical transportation.Am J Disaster Med,2008,3(2):79-86.
7Barnes SL,Branson R,Gallo LA,et al.En-route care in the air:snapshot of mechanical ventilation at37,000feet.J Trauma,2008,64(2Suppl):S129-34;discussion S134-5.
8Bleeker JK,Rutten FL,van Leeuwen FL,et al.The quality of ambulance transportation between regional hospitals and a central hospital.Ned Tijdschr Geneeskd,1993,137(22):1091-1095.
2Kirschenbaum L,Keene A,O'Neill P,et al.The experience at St.Vincent's Hospital,Manhattan,on September11,2001:preparedness,response,and lessons learned.Crit Care Med,2005,33(1Suppl):S48-52.
3曾波,曾凡志.浅谈医院人力资源编设.中华现代医院管理杂志,2006,4(11).
4尚咏.评价伤员能否空运后送的标准.空军总医院学报,2005,21(3):167.
5徐卸古.唐山地震伤员空运的经验及启示.人民军医,1997,40(2):71-72.
6Barillo DJ,Renz E,Broger K,et al.An emergency medical bag set for long-range aeromedical transportation.Am J Disaster Med,2008,3(2):79-86.
7Barnes SL,Branson R,Gallo LA,et al.En-route care in the air:snapshot of mechanical ventilation at37,000feet.J Trauma,2008,64(2Suppl):S129-34;discussion S134-5.
8Bleeker JK,Rutten FL,van Leeuwen FL,et al.The quality of ambulance transportation between regional hospitals and a central hospital.Ned Tijdschr Geneeskd,1993,137(22):1091-1095.
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