城市成批伤员院内应急救护模式的探讨  

Investigation on Emergency Rescuing Mode for Mass Casualties in Hospital

作　　者：张宝胜[1] 桂莉[2] 崔宏冰[1] 席淑华[1] 

机构地区：[1]第二军医大学长征医院护理部,上海200003 [2]第二军医大学护理学院急救护理学教研室,上海200433

出　　处：《解放军护理杂志》2012年第11期58-60,共3页Nursing Journal of Chinese People's Liberation Army

基　　金：第二军医大学优秀硕士苗子培育基金;上海市自然科学基金(10ZR1437800);上海市浦江人才计划(10PJC001)

摘　　要：目的探讨城市成批伤员的救护模式,以提高医院有序、高效、安全救护城市成批伤员的能力。方法对第二军医大学长征医院运用"护士首诊负责、急诊科室诊治、病房收治分流"的救护模式实施某次地铁追尾事故的救护过程进行总结与分析。结果 40名伤员均得到了及时的分流及诊治,整体救护效果较为满意,患者均康复出院。结论在城市成批伤救护中采用"护士首诊负责、急诊科室诊治、病房收治分流"的救护模式能使伤员快速分流、及时得到诊断及收治,值得临床推广应用,但需对救护方案进行优化,以进一步提高医院对成批伤员救护的能力。Objective To explore an emergency rescuing mode,so as to enhance hospitals’ capacity in rescuing urban mass casualties orderly、efficiently and safely.Methods Forty victims were rescued timely by establishing nurse first diagnosis responsibility,emergency departments diagnosis and ward billabong rescue model of this hospital,who were wounded in a rear-end accident of Shanghai subway.Then the rescuing experience of mass casualties was summed up.Results With timely triage and treatment,the general rescue effectiveness was quite good and all the wounded were discharged after recovery.Conclusion The hospital’s rescuing model to mass casualties has successful experiences to follow in timely triage and treatment,while the hospitals’ capacity of mass casualties should be further enhanced by optimizing rescue scheme.

关 键 词：突发公共事件 成批伤员 救护方案 优化 

分 类 号：R197.323[医药卫生—卫生事业管理]