九寨沟地震中急诊科院前院内联动实施效果  

Effects of pre-hospital and in-hospital linkage of emergency department in Jiuzhaigou earthquake

作　　者：万丽[1] 卢奥蓝 蒲卿清 蒲佳[4] 冯桂秀[5] Wan Li;Lu Aolan;Pu Qingqing;Pu Jia;Feng Guixiu(Intensive Care Unit, Mianyang Central Hospital of Sichuan Province, Mianyang 621000, China （Wan L;General Committee Offtce, Mianyang Central Hospital of Sichuan Province, Mianyang 621000, China （Lu AL;Financial Department, Mianyang Central Hospital of Sichuan Province, Mianyang 621000, China （Pu QQ;Nursing Department, Mianyang Central Hospital of Sichuan Province, Mianyang 621000, China（Pu J;Emergency Department, Mianyang Central Hospital of Sichuan Province, Mianyang 621000, China（Feng G)

机构地区：[1]四川省绵阳市中心医院重症医学科,621000 [2]四川省绵阳市中心医院党办,621000 [3]四川省绵阳市中心医院财务部,621000 [4]四川省绵阳市中心医院护理部,621000 [5]四川省绵阳市中心医院急诊科,621000

出　　处：《中华现代护理杂志》2018年第13期1501-1504,共4页Chinese Journal of Modern Nursing

基　　金：四川省卫计委2017年适宜技术推广项目（川卫办发[2017]83号）

摘　　要：目的探讨地震救援中急诊科院前、院内联动实施及效果。方法九寨沟地震发生后，院前急诊救援人员合理分工、按伤情确定伤员后送批次、统筹协调救护车辆并及时准确传递救援、后送相关信息；院内急诊科与一线联动，根据后送伤员批次及数量，合理分区并调配医护人员，畅通地震伤员绿色通道。结果从指挥部指示到批量后送34名伤员、29辆救护车的车队出发，1h内完成；所有伤员安全、有序后送安置，无一例二次伤害；从急诊科接收伤员到送入病区，完成急诊再次检伤53次，检查142次，平均耗时（23．5±11．5）min。结论急诊院前院内联动可有效缩短伤员的后送安置时间，急诊医护人员在应急救援前期起到主导及纽带作用。Objective To explore effects of pre-hospital and in-hospital linkage of emergency department in earthquake rescue. Methods After earthquake occurred to Jiuzhaigou, pre-hospital rescuers divided the work reasonably, determined the wounded according to injury condition and transferred them by batch, coordinated ambulances, transmitted accurate information related to rescue and the wounded transported later in time. Emergency department of hospital linked with the first line, reasonably distributed and assigned health care providers based on the batches and numbers of the wounded transported later as well as made the green channel for the wounded of earthquake unobstructed. Results It was completed within one hour from headquarters instructed to health care providers transported 34 injured patients later by batch and 29 ambulances started. All of the wounded were safe and ordered, and then they were arranged without secondary injury. From emergency department received the wounded to the wounded were sent to the ward, the wounds were checked again for 53 times in emergency department, the checks were carried out for 142 times with average consumed time of （23.5±11.5） min. Conclusions The pre-hospital and in-hospital linkage of emergency department can effectively shorten the time of transportation and arrangement for the wound. Health care providers of emergency department play a leading and link role in the earlier stage of emergency relief.

关 键 词：地震 急诊科 院前院内联动 应急救援 

分 类 号：R129[医药卫生—环境卫生学]