"9·22"北京市通州区公交车起火事件医学救援及探讨  

Beijing Tongzhou District bus fire:medical rescue and discussion

作　　者：葛书萌[1] 高丁[1] 王勇 韩鹏达[1] Ge Shumeng;Gao Ding;Wang Yong;Han Pengda(Beijing Emergency Center,Beijing 100031,China)

机构地区：[1]北京急救中心,北京100031

出　　处：《中华卫生应急电子杂志》2023年第6期354-359,共6页Chinese Journal of Hygiene Rescue(Electronic Edition)

基　　金：北京市高层次公共卫生技术人才建设项目(学科骨干-02-10)。

摘　　要：目的:通过对北京市通州区发生的公交车被水泥罐车追尾后起火事件救援经过进行分析,从应急预案启动、调度指挥、现场紧急救援进行回顾和分析,总结救援经验,提高院前医疗急救机构对突发公共事件中公交车起火事件的救援能力。方法:对2023年9月22日北京市通州区公交车被水泥罐车追尾后起火事件信息接报、救护车调派、现场检伤分类、信息上报、分流医院、四台联动等救援过程进行回顾性分析,收集并分类统计伤患基本信息、病种分类、伤病程度、救护车各状态间耗时及转运伤员数量。结果:此次救援中共派出5辆救护车,整体救援工作共耗时77 min,18名伤员全部安全、及时转运到医院并得到进一步救治,其中4名中等程度伤员经院内治疗病情稳定,整体调派工作顺利,救援及时有效。结论:加强"120"急救体系建设,推进调度调派系统智能化、信息化,强化院前急救队伍应对突发公共事件的培训与演练,对突发公共事件成批伤员的院前急救具有重要意义。Objective To analyze the rescue process after a bus was rear-ended by a cement tanker in Tongzhou District,to review and analyze the start of emergency plan,dispatch and command,on-site emergency rescue,and to summarize rescue experience in order to improve pre-hospital medical rescue and agency's ability to rescue a bus fire in a public emergency.Methods A retrospective analysis was conducted on the rescue process of the fire incident after a bus was rear-ended by a cement truck on September 22 in Tongzhou District,Beijing,including information reception,ambulance dispatch,on-site triage,information reporting,triage hospital,four-station linkage,basic information of the wounded,the classification of the disease,degree of the wounded,time-consuming of each state of the ambulance and the number of the wounded transferred.Results A total of 5 ambulances were sent to the rescue.The overall rescue work took a total of 77 minutes.All 18 patients were safely and timely transferred to the hospital and received further treatment,4 patients with moderate degree of injuries were in stable condition after treatment in hospital,the overall deployment work was smooth,and the rescue was timely and effective.Conclusion To strengthen the construction of 120 emergency medical system,to advance the intelligence and informationization of dispatch system,and to strengthen the training and drilling of pre-hospital first aid team in dealing with public emergencies,it is of great significance to the pre-hospital first aid of batch of wounded in public emergency.

关 键 词：突发公共事件 公交车起火 院前急救 成批伤员 

分 类 号：R129[医药卫生—环境卫生学]