Administration and Significance of Hospital Transferring Patients after Earthquake Disaster_Chinese Journal of Evidence-Based Medicine

Authors：

TANG Shiyuan ¹ , LIU Qiwang ² , LI Dajiang ² , ZHONG Yan ² , ZHANG Weidong ² , ZENG Zhi ³ , WANG Yiping ¹ ,  CAO Yu ¹

1. Emergency Department, West China Hospital, Sichuan University, Chengdu 610041, China; 2. Department of Medical Affairs, West China Hospital, Sichuan University, Chengdu 610041, China;3. Department of Internal Medicine, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

CAO Yu, Email: dr.yu.cao@gmail.com

Keywords：

Earthquake; Earthquake first aid; Hospital transferring

DOI：

10.7507/1672-2531.20080164

Video：

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Objective 　To provide a disaster triage method by analyzing the data of the hospital transferring casualties after Wenchuan earthquake.
Method 　The data of the patients’ admission and hospital transferring in the West China Hospital were collected after the earthquake in two weeks. Moreover, the reason and the method of the hospital transferring were analyzed.
Result 　In the first two weeks since the earthquake struck Wenchuan, the number of the available bed for earthquake patients in West China Hospital was 124 per day, but in the 2 227 earthquake patients treated, 1 181 patients were admitted. Comparing with the number of the total hospitalized, the percentage is 53.03%. The hospital was overloaded. After a reasonable hospital transference, the daily number of inpatients was stable and all the patients were treated sufficiently.
Conclusion 　After a natural disaster, an effective administration transferring patients to suitable medical recourse should be performed, so that more right treatments should be given to more right patients in the right time and right place.

Citation： TANG Shiyuan,LIU Qiwang,LI Dajiang,ZHONG Yan,ZHANG Weidong,ZENG Zhi,WANG Yiping,CAO Yu. Administration and Significance of Hospital Transferring Patients after Earthquake Disaster. Chinese Journal of Evidence-Based Medicine, 2008, 08(9): 726-728. doi: 10.7507/1672-2531.20080164 Copy

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1. 李大江, 张卫东, 刘启望. 汶川地震医疗救援中的伤员接诊处置与转出管理. 中国循证医学杂志, 2008, 8(6): 383-385.
2. Kirschenbaum L, Keene A, O’Neill P, et al. The experience at St. Vincent’s Hospital, Manhattan, on September 11, 2001: preparedness, response, and lessons learned. Crit Care Med, 2005, 33(1 Suppl):S48-52.
3. 曾波, 曾凡志. 浅谈医院人力资源编设. 中华现代医院管理杂志, 2006, 4(11).
4. 尚咏. 评价伤员能否空运后送的标准. 空军总医院学报, 2005, 21(3): 167.
5. 徐卸古. 唐山地震伤员空运的经验及启示. 人民军医, 1997, 40(2): 71-72.
6. Barillo DJ, Renz E, Broger K, et al. An emergency medical bag set for long-range aeromedical transportation. Am J Disaster Med, 2008, 3(2): 79-86.
7. Barnes SL, Branson R, Gallo LA, et al. En-route care in the air: snapshot of mechanical ventilation at 37,000 feet. J Trauma, 2008, 64(2 Suppl): S129-34; discussion　S134-5.
8. Bleeker JK, Rutten FL, van Leeuwen FL, et al. The quality of ambulance transportation between regional hospitals and a central hospital. Ned Tijdschr Geneeskd, 1993, 137(22): 1091-1095.

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