Influence of Different Emergency Reception and Triage Workflows between Wenchuan and Lushan Earthquakes on the Victim’s Length of Stay in Emergency Department_Chinese Journal of Evidence-Based Medicine

Authors：

SHENG Jie , XI Qian , BAI Yan , HU Hai ,  CAO Yu

Department of Emergency, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

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

Keywords：

Lushan earthquake; Wenchuan earthquake; Emergency reception and triage workflow; Length of stay; Triage

DOI：

10.7507/1672-2531.20130111

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective 　To explore the influence of two emergency reception and triages workflows between Wenchuan and Lushan earthquakes on the victim’s length of stay in emergency department of the West China Hospital of Sichuan University.
Methods 　A total of 65 victims admitted in the West China Hospital within 12 hours after Lushan earthquake were retrospectively analyzed, and their diagnosis and treatment information and the length of stay in emergency department were collected and compared with those of the victims in Wenchuan earthquake. Then we analyzed the influence of two emergency reception and triage workflows on the length of stay of the batches of earthquake victims.
Results 　For the Lushan earthquake victims, the median length of stay in the emergency reception and triage workflow was 0.51 hour, while that was 2.13 hours for the Wenchuan earthquake victims, with a significant difference (P lt;0.05).
Conclusion 　The emergency reception and triage workflow for Lushan earthquake victims is a summarized experience and improvement based on that for Wenchuan earthquake, which can be used as references for treating batches of victims in the emergency department after a disaster.

Citation： SHENG Jie,XI Qian,BAI Yan,HU Hai,CAO Yu. Influence of Different Emergency Reception and Triage Workflows between Wenchuan and Lushan Earthquakes on the Victim’s Length of Stay in Emergency Department. Chinese Journal of Evidence-Based Medicine, 2013, 13(6): 637-640. doi: 10.7507/1672-2531.20130111 Copy

1.	李大江, 张卫东, 刘启望. 汶川地震医学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.	胡海, 唐时元, 曹钰, 等. 浅论“5·12”汶川地震直升飞机大批量转运伤病员的医疗管理. 中国急救复苏与灾害医学杂志, 2009, 4(4): 206-208.
3.	高宏光, 秦嗪, 李大江, 等. 汶川地震3周2621例急诊伤员分检流程分析. 中国循证医学杂志, 2008, 8(9): 718-721.
4.	胡海, 何亚荣, 曹钰, 等. 浅析日本灾难救援体系以及对我国建立灾难救援体系的借鉴. 中国急救复苏与灾害医学杂志, 2012, 7(10): 893-896.
5.	张庆江. 地震灾害应急医学救援的难点及对策探讨. 武警医学, 2006, 17(10): 788-789.
6.	徐家相. 地震灾害的应急医学救援. 中华急诊医学杂志, 2005, 14(7): 557-558.
7.	胡海, 杜鑫淼, 曹钰, 等. 医学生灾害医学救援培训需求调查分析. 灾害医学与救援, 2012, 1(4): 220-222.
8.	杜鑫淼, 胡海, 曹钰, 等. 汶川地震中早期评估一线医院危重伤患者死亡风险的多因素分析. 灾害医学与救援, 2012, 1(4): 216-219.
9.	胡海, 何庆, 汶川地震中直升机转运伤员760例. 中华急诊医学杂志, 2008, 17(9): 908-910.
10.	李桂蓉, 刘晓春. 对地震灾害救灾医院志愿者的管理对策. 中华护理杂志, 2008, 43(11): 983-984.
11.	黄玉梅, 靳桂明, 吴江平, 等. 地震创伤性感染病原菌状况分析. 中华医院感染学杂志, 2009, 19(13): 1757-1759.
12.	Ding R, Mccarthy ML, Desmond JS, et al. Characterizing Waiting Room Time, Treatment Time, and Boarding Time in the Emergency Department Using Quantile Regression. Acad Emerg Med, 2010, 17(8): 813-823.
13.	Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ, 2011, 342: d2983.
14.	胡海, 杜鑫淼, 蒋臻, 等. 院前急救中两种创伤评分法对急性酒精中毒合并外伤性颅内出血患者的评估作用. 华西医学, 2009, 24(8): 1929-1931.

1. 李大江, 张卫东, 刘启望. 汶川地震医学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. 胡海, 唐时元, 曹钰, 等. 浅论“5·12”汶川地震直升飞机大批量转运伤病员的医疗管理. 中国急救复苏与灾害医学杂志, 2009, 4(4): 206-208.
3. 高宏光, 秦嗪, 李大江, 等. 汶川地震3周2621例急诊伤员分检流程分析. 中国循证医学杂志, 2008, 8(9): 718-721.
4. 胡海, 何亚荣, 曹钰, 等. 浅析日本灾难救援体系以及对我国建立灾难救援体系的借鉴. 中国急救复苏与灾害医学杂志, 2012, 7(10): 893-896.
5. 张庆江. 地震灾害应急医学救援的难点及对策探讨. 武警医学, 2006, 17(10): 788-789.
6. 徐家相. 地震灾害的应急医学救援. 中华急诊医学杂志, 2005, 14(7): 557-558.
7. 胡海, 杜鑫淼, 曹钰, 等. 医学生灾害医学救援培训需求调查分析. 灾害医学与救援, 2012, 1(4): 220-222.
8. 杜鑫淼, 胡海, 曹钰, 等. 汶川地震中早期评估一线医院危重伤患者死亡风险的多因素分析. 灾害医学与救援, 2012, 1(4): 216-219.
9. 胡海, 何庆, 汶川地震中直升机转运伤员760例. 中华急诊医学杂志, 2008, 17(9): 908-910.
10. 李桂蓉, 刘晓春. 对地震灾害救灾医院志愿者的管理对策. 中华护理杂志, 2008, 43(11): 983-984.
11. 黄玉梅, 靳桂明, 吴江平, 等. 地震创伤性感染病原菌状况分析. 中华医院感染学杂志, 2009, 19(13): 1757-1759.
12. Ding R, Mccarthy ML, Desmond JS, et al. Characterizing Waiting Room Time, Treatment Time, and Boarding Time in the Emergency Department Using Quantile Regression. Acad Emerg Med, 2010, 17(8): 813-823.
13. Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. BMJ, 2011, 342: d2983.
14. 胡海, 杜鑫淼, 蒋臻, 等. 院前急救中两种创伤评分法对急性酒精中毒合并外伤性颅内出血患者的评估作用. 华西医学, 2009, 24(8): 1929-1931.

Chinese Journal of Evidence-Based Medicine

Influence of Different Emergency Reception and Triage Workflows between Wenchuan and Lushan Earthquakes on the Victim’s Length of Stay in Emergency Department

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