核事故应急医学救援伤员快速分类处置流程优化设计  

Optimized design of casualty triage flow in urgent medical support of nuclear accidents

作　　者：刘书锋 马得勋 许加文 殷爱民 王利 刘承军 

机构地区：[1]解放军第四○一医院崂山分院核辐射损伤检测与救治中心,山东青岛266101

出　　处：《海军医学杂志》2017年第1期1-4,共4页Journal of Navy Medicine

基　　金：军队2015年度后勤计划项目(CJN15J001)

摘　　要：目的探讨优化核事故伤员分类处置流程的路径。方法根据核事故医学救援任务特点规律以及核事故医学救援队编配实际,对现有流程进行重组设计。结果将伤员由多种类型整合为4种类型,通过流程优化为:A1型伤员通过3个环节、A2型伤员通过4个环节、B_1型伤员通过3个环节、B_2型伤员通过2个环节;分类工作流程优化至2个环节;处置工作流程得到进一步明确。结论伤员分类工作贯穿于救援行动的全过程,应当在最优化的流程基础上,细化明确各组室和岗位的职责分工,并在实际建设过程中加以实证和改进。Objective To explore routes for the optimization of casualty triage flow in urgent medical support of nuclear acci -dents.Methods The present working procedures were reorganized and redesigned in accordance with the feature and pattern of the medi -cal mission , as well as the practical organization of medical support teams in case of nuclear accidents .Results Through optimized proce-dures, the casualties were integrated from multiple types to simpler types：i.e.the A1 casualty type that would go through 3 steps and A2 would go through 4 steps;B1 casualty type would go through 3 steps and B2 casualty type would go through only 2 steps.The triage work flow was optimized to 2 steps, and treatment work flow was also optimized and clarified .Conclusion Casualty triage was permeated in the whole process of medical rescue mission , for this reason, the responsibilities and divisions of work for various teams should be elaborated and clarified on the basis of optimized work procedures , and they should be demonstrated and further rectified in practical work .

关 键 词：核事故 医学救援 伤员分类 

分 类 号：R827.31[医药卫生—临床医学]