院前急救机构应对疫情防控转段阶段措施回顾性分析  

A retrospective analysis on the measures at the transitional stage of COVID-19 epidemic prevention and control in pre-hospital emergency medical institutions

作　　者：李帅[1] 张擎[1] 唐峰[1] 邵小颖 谭沛泽 李尚伦[1] LI Shuai;ZHANG Qing;TANG Feng;SHAO Xiaoying;TAN Peize;LI Shanglun(Tianjin Emergency Medical Center,Tianjin 300011,China)

机构地区：[1]天津市急救中心,天津300011

出　　处：《中国急救复苏与灾害医学杂志》2024年第6期744-747,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：天津市卫生健康科研项目资助(编号:TJWJ2023MS043)。

摘　　要：目的总结院前急救机构针对疫情防控转段阶段的应对经验与存在的问题。方法对比疫情防控转段期间与2021年同期天津市急救中心电话呼入量、10 s接听率、派车量、急救反应时间、平均院内交接时间变化、病情分级患者变化等数据。结果疫情防控转段后120电话呼入量增加181.2%,10 s接听率由88.97%回升到100%,派车量增加125.2%;平均急救反应时间由18 min 4 s缩短到11 min左右;普通患者、急症患者、危重患者、濒危患者分别增加了176.7%、-30.0%、102.1%、227.9%,普通患者占比为71.03%,与2021年同期比较有统计学差异(P<0.01);院内交接时间延长至19 min 16 s后逐渐回落。结论院前急救机构通过提前布局扩充调派负荷能力、构建战时服务指挥体系、动态分类调配救治转运力量、畅通院前院内病员交接等措施,可有效应对突发工作量大幅增加的情况;但也暴露出在急救资源挤兑情况下,确保危重症患者优先得到救治及院前院内衔接方面有所欠缺。Objective To summarize the response experience and existing problems of pre-hospital emergency institutions in the transition stage of epidemic prevention and control.Methods The data of the 120 inbound calls,the rate of pickup in 10 seconds,dispatch vehicles,the changes of emergency response time,the changes in average of the handover time between ambulance and hospital,and hierarchical classification of patients of Tianjin Emergency Center after the policy transition of COVID-19 epidemic prevention and control and the same period in 2021 were compared and analyzed.Results After the policy transition of epidemic prevention and control,the number of 120 inbound calls increased by 181.2%,the rate of pickup in 10 seconds recovered from 88.97%to 100%,the number of vehicle dispatches increased by 125.2%,the average emergency response time was shortened from 18 minutes 4 seconds to about 11 minutes,and the number of ordinary patients,emergency patients,critically ill patients and endangered patients increased by 176.7%,-30.0%,102.1%and 227.9%respectively.The proportion of general patients was 71.03%,which was significantly different from the same period in 2021(P<0.01).The average handover time between ambulance and hospital extended to 19 minutes 16 seconds,and then gradually fell back.Conclusion Pre-hospital emergency institutions can effectively respond to the large increase in emergency workload by expanding the dispatching load capacity in advance,building a wartime service command system,dynamically classifying the deployment of treatment and transfer force,and unblocking the pre-hospital patient handover.However,it is also exposed a lack of ensuring that critically ill patients receive priority treatment and handover between ambulance and hospital in a run on emergency resources.

关 键 词：院前急救 疫情防控转段 回顾性分析 

分 类 号：R605[医药卫生—外科学]