第19届杭州亚运会救护车医疗保障的实践与探讨  

Practice and discussion on ambulance medical support in the 19th Hangzhou Asian Games

作　　者：张燕军 张军根[1] 袁轶俊 孙宝云 王建岗[1] 唐春福[1] 王瑞 Zhang Yanjun;Zhang Jungen;Yuan Yijun;Sun Baoyun;Wang Jiangang;Tang Chunfu;Wang Rui(Hangzhou Emergency Medical Center of Zhejiang Province,Hangzhou 310021,China;Medical and Health Department of the Organizing Committee of the 19th Asian Games in Hangzhou,Hangzhou 310016,China)

机构地区：[1]浙江省杭州市急救中心,杭州310021 [2]杭州第19届亚运会组委会医疗卫生部,杭州310016

出　　处：《中华急诊医学杂志》2023年第12期1628-1633,共6页Chinese Journal of Emergency Medicine

基　　金：杭州市科技局重点项目(20200416A19)。

摘　　要：目的总结第19届杭州亚运会救护车医疗保障经验,为今后大型体育赛事救护车医疗保障工作提供参考。方法根据亚运保障的实际情况,以突出重点、统筹兼顾为原则,确定保障对象;以动静结合、区域联动为原则配置各类救护车,救护车保障分为赛事侧和城市侧,以区域保障车作为赛事侧的补充和城市侧的保障,实行"一馆一策"、"一场一策"、"一地一策""一车一方案",通过亚运智能医疗急救保障信息系统(The Asian Games Intelligent Emergency Medical Support System,EMSS)实现各医疗点(室)、定点医院、管理指挥人员与救护车的互联互通。结果2023年9月16日08:00至2023年10月9日08:00期间,亚运会实际调用救护车207辆,竞赛场馆88(42.5%)辆,训练场馆11(5.3%)辆,非竞赛场馆30(14.5%)辆,区域保障车78(37.7%)辆;其中20辆场馆救护车空闲时参与了区域保障等任务;救护车共转送赛事侧患者345次,其中竞赛场馆转送次数最多,共187次,协办城市湖州转送次数最少,共6次;竞赛场馆救护车使用率最高为70.5%,训练场馆、非竞赛场馆、区域保障救护车使用率分别为45.5%、53.3%、42.3%;转送人员年龄中位数为26(21,36),男性居多(59.1%),运动员占52.5%,工作人员与观众分别占39.7%、7.8%,转送人员中出现关节损伤情况最多,为58(16.8%)例;区域保障救护车参与转运和补位75次,其中转运17(22.7%)次,补位58(77.3%)次。结论本研究证实了亚运会救护车保障方案的可行性、高效性,且EMSS起到了关键作用,本研究提示除运动员外,应加强对工作人员医疗保障。Objective To summarize the experience of ambulance medical support in the 19th Hangzhou Asian Games,and provide reference for the ambulance medical support work of large-scale sports events in the future.Methods According to the actual situation of the Asian Games,the objectives of the medical support were determined according to the principles of highlighting the key points and overall consideration.All kinds of ambulances were allocated according to the principles of combining dynamic and static and regional linkage.The ambulance support was divided into the event side and the city side,with the regional security vehicle as the supplement of the event side and the guarantee of the city side,the implementation of"one pavilion one policy","one game one policy","one place one policy"and"one vehicle one plan",and the interconnection of medical points(rooms),designated hospitals,management and command personnel and ambulances were realized through the Asian Games Intelligent Emergency Medical Support Syetem(EMSS).Results Between September 16,2023,08:00,and October 9,2023,08:00,a total of 207 ambulances were deployed during the 19th Hangzhou Asian Games.Of these,88(42.5%)were at competition venues,11(5.3%)at training venues,30(14.5%)at non-competition venues,and 78(37.7%)were regional support vehicles.Among them,20 venue ambulances participated in regional support tasks during idle times.Ambulances transported patients from event sites 345 times,with the highest number of transports occurring at competition venues(187 times)and the fewest in the assisting city of Huzhou(6 times).The highest ambulance utilization rate was 70.5%at competition venues,while training venues,non-competition venues,and regional support ambulances had utilization rates of 45.5%,53.3%,and 42.3%,respectively.The median age of transported individuals was 26(21,36),with a majority being male(59.1%).Athletes comprised 52.5%of transports,while staff and spectators accounted for 39.7%and 7.8%,respectively.Joint injuries were the most common conditi

关 键 词：大型体育活动 救护车医疗保障 智能医疗急救保障信息系统 

分 类 号：R459.7[医药卫生—急诊医学]