汶川地震傷員轉送方式及其物資準備分析_《中國循證醫學雜志》

作者：

蔣臻 ¹ , 姚蓉 ¹ , 王玲 ¹ , 張志 ¹ , 廖中華 ¹ , 李大江 ² , 張衛東 ² , 曾智 ³ ,  曹鈺 ¹

1. 四川大學華西醫院急診科（成都 610041）；2. 四川大學華西醫院醫務部；3. 四川大學華西醫院內科;

關鍵詞：

汶川地震急救入院前轉送急救物資

DOI：

10.7507/1672-2531.20080166

視頻：

導出 下載 收藏 掃碼 引用

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

目的　調查分析急診收治5·12 汶川地震傷員來院前的各種轉送方式，探討地震醫療救援中院前轉送時所需要的物資準備，為今后重大災害性事件發生后傷員的現場轉送提供借鑒。
方法　收集震后3 周內四川大學華西醫院急診科所接收地震傷員的受傷類型和傷情等基礎資料，對救護車和直升飛機轉送傷員的特點進行統計分析。
結果　在2 338 名被統計的傷員中，經救護車轉送來的傷員比例最大，達60.56%，其它方式（包括汽車、船、警車、消防車、步行、抬送等）次之，占25.96%，飛機占13.47%。經由救護車轉送傷員中重傷以上患者的比例明顯大于飛機及其它方式，而后兩者差異無統計學意義（P gt;0.05）。
結論　重大災難性事件發生后應盡快建立現場急救指揮體系，簡潔快速分檢傷員，根據病情輕重合理選擇轉送方式，并根據不同轉送方式的特點配備相應足夠的急救物資。

引用本文： 蔣臻,姚蓉,王玲,張志,廖中華,李大江,張衛東,曾智,曹鈺. 汶川地震傷員轉送方式及其物資準備分析. 中國循證醫學雜志, 2008, 08(9): 734-737. doi: 10.7507/1672-2531.20080166 復制

1.	Super G, Groth S, Hook R, et al. START: simple triage and rapid treatment plan. Newport Beach, Calif.: Hoag Memorial Presbyterian Hospital, 1994.
2.	Aufder Heide E, ed. Disaster response: principles of preparation and coordination. St. Louis: C.V. Mosby, 1989.
3.	Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med, 1996, 334: 438-444.
4.	Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE: a new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med (in press).
5.	Chan YF, Alagappan K, Gandhi A, et al. Disaster management following the Chi-Chi Earthquake in Taiwan. Prehosp Disast Med, 2006, 21(3): 196–202.
6.	Schultz CH, DiLorenzo RA, Koenig KL, et al. Disaster medical direction:a medical earthquake response curriculum. Ann Emerg Med, 1991, 20: 470-471. abstract.
7.	Black JJM, Ward ME, Lockey DJ. Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: an algorithm. Emerg Med J, 2004, 21: 355-361.
8.	Warren J, Fromm RE Jr, Orr RA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med, 2004 Jan, 32(1): 256-262.
9.	Schultz CH. Conscious sedation in the emergency department. West J Med, 1993, 159: 600-601.
10.	Chen KT, Chen WJ, Malilay J, et al. The Public Health Response to the Chi-Chi Earthquake in Taiwan, 1999. Public Health Rep, 2003, 118(6): 493-499.
11.	黃麗婷, 閻成美, 宋斌. 戰傷空運后送救護特點. 解放軍護理雜志, 2008, 25: 72-73.
12.	Kianoush BK, Christopher JF. The support of severe respiratory failure beyond the hospital and during transportation. Current Opinion in Critical Care, 2006, 12: 43-49.
13.	徐相瑞, 馬曉鷗, 徐功志, 等. 直升機飛行中艙內醫療急救的實施. 中華急診醫學雜志, 2002, 11: 208.

1. Super G, Groth S, Hook R, et al. START: simple triage and rapid treatment plan. Newport Beach, Calif.: Hoag Memorial Presbyterian Hospital, 1994.
2. Aufder Heide E, ed. Disaster response: principles of preparation and coordination. St. Louis: C.V. Mosby, 1989.
3. Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med, 1996, 334: 438-444.
4. Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE: a new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med (in press).
5. Chan YF, Alagappan K, Gandhi A, et al. Disaster management following the Chi-Chi Earthquake in Taiwan. Prehosp Disast Med, 2006, 21(3): 196–202.
6. Schultz CH, DiLorenzo RA, Koenig KL, et al. Disaster medical direction:a medical earthquake response curriculum. Ann Emerg Med, 1991, 20: 470-471. abstract.
7. Black JJM, Ward ME, Lockey DJ. Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: an algorithm. Emerg Med J, 2004, 21: 355-361.
8. Warren J, Fromm RE Jr, Orr RA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med, 2004 Jan, 32(1): 256-262.
9. Schultz CH. Conscious sedation in the emergency department. West J Med, 1993, 159: 600-601.
10. Chen KT, Chen WJ, Malilay J, et al. The Public Health Response to the Chi-Chi Earthquake in Taiwan, 1999. Public Health Rep, 2003, 118(6): 493-499.
11. 黃麗婷, 閻成美, 宋斌. 戰傷空運后送救護特點. 解放軍護理雜志, 2008, 25: 72-73.
12. Kianoush BK, Christopher JF. The support of severe respiratory failure beyond the hospital and during transportation. Current Opinion in Critical Care, 2006, 12: 43-49.
13. 徐相瑞, 馬曉鷗, 徐功志, 等. 直升機飛行中艙內醫療急救的實施. 中華急診醫學雜志, 2002, 11: 208.

《中國循證醫學雜志》

汶川地震傷員轉送方式及其物資準備分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

《中國循證醫學雜志》

汶川地震傷員轉送方式及其物資準備分析

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

上一篇

下一篇

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料