汶川大地震首日医院急诊流程的应急调整
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摘要
5.12四川汶川大地震发生后,成都市第二人民医院立即启动了紧急医疗救援预案,对急诊流程进行应急调整优化。在15min内将病员56名,包括6名重症患者和4名正准备入院的患者转移至安全空旷地带继续治疗;10min内开始救治成都市内地震伤员。地震后1h内医疗救援队即驱车赶赴地震重灾区都江堰市参与救治伤员。建立临时分诊台和眼科、产科急诊室。简单外科处理如包扎、固定和化验、X线检查、B超检查等辅助检查在急诊室进行。对一些病例进行心理干预。地震发生后6h内,救护车出车56次,转运伤员182名;急诊科收治创伤患者268名,清创缝合179名,石膏固定52名。院内无伤员死亡。笔者认为,原来的急诊预案缺少有关地震的内容,应予补充。
After the May 12 Wenchuan earthquake occurred, Chengdu Second Municipal People's Hospital immediately set the prepared counter plan against emergent medical events and optimize and revise the emergency medicine flow to meet the urgent need. Fifty-six patients under observation in the Department of Emergency were transferred to safe open areas to be treated continuously within 15 minutes. Within 10 minutes the hospital began to accept the Chengdu downtown citizens wounded in the earthquake. The medical rescue team dispatched by this hospital left for Dujiangyan City, a seriously disastrous area near Chengdu in 1 hour. Temporary triage table and temporary emergency rooms for ophthalmological and obstetric patients were established. Simple surgical operations, such as bandaging and fixation were done, and some supplemental examinations, such as laboratory, examination X-ray, and B mode ultrasonography, were conducted in the emergency room. Psychological intervention was adopted for some cases. During the period of 6 hours, ambulances were dispatched 56 times, 182 wounded patients were referred, 268 patients were treated in the Department of Emergency, 179 underwent debridement and suture, and 52 underwent external fixation with gypsum. No death occurred in the Department of Emergency. However, the author holds that original prepared counter plan against emergent medical events has to be improved, for example, earthquake was not considered therein.
After the May 12 Wenchuan earthquake occurred, Chengdu Second Municipal People's Hospital immediately set the prepared counter plan against emergent medical events and optimize and revise the emergency medicine flow to meet the urgent need. Fifty-six patients under observation in the Department of Emergency were transferred to safe open areas to be treated continuously within 15 minutes. Within 10 minutes the hospital began to accept the Chengdu downtown citizens wounded in the earthquake. The medical rescue team dispatched by this hospital left for Dujiangyan City, a seriously disastrous area near Chengdu in 1 hour. Temporary triage table and temporary emergency rooms for ophthalmological and obstetric patients were established. Simple surgical operations, such as bandaging and fixation were done, and some supplemental examinations, such as laboratory, examination X-ray, and B mode ultrasonography, were conducted in the emergency room. Psychological intervention was adopted for some cases. During the period of 6 hours, ambulances were dispatched 56 times, 182 wounded patients were referred, 268 patients were treated in the Department of Emergency, 179 underwent debridement and suture, and 52 underwent external fixation with gypsum. No death occurred in the Department of Emergency. However, the author holds that original prepared counter plan against emergent medical events has to be improved, for example, earthquake was not considered therein.
引文
[1]高星.“5.12”四川汶川特大地震灾害绵阳医疗卫生救援应急机制.中国急救复苏与灾害医学杂志,2008,3(6):328-329.
[2]侯世科,樊毫军.汶川大地震的现场医学急救——国家地震灾害紧急救援队在汶川地震灾区的医疗救援,中国急救复苏与灾害医学杂志,2008,3(6):324.
[2]侯世科,樊毫军.汶川大地震的现场医学急救——国家地震灾害紧急救援队在汶川地震灾区的医疗救援,中国急救复苏与灾害医学杂志,2008,3(6):324.
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