目的:通过分析2007年自贡市急救中心院前急救反应能力，探讨其影响制约因素及解决方法。方法：回顾性分析2007年1～12月份自贡市急救中心院前出诊的全部有效病例呼救时间、出车时间、到达现场时间及出诊距离，计算出车准备时间、车辆行驶速度、应急反应时间、急救半径。结果：全年院前出诊共3336例，出车准备时间（2.06±0.93） min，车辆平均行驶速度32.17 km/h，应急反应时间（12.51±10.87） min，急救半径（5.60±5.35） km。结论：我市急救中心目前取得一定成绩，需采取多种措施进一步提高急救反应能力。
目的:讨论规范急诊科仪器设备的管理，提高护士抢救患者的质量和效率。方法:对监护室的急救仪器设备定点定位放置，规范管理；设计操作保养维修流程图，规范护士的行为；加强培训考核力度，使护士熟练掌握急救技能。结果:急救仪器设备地完好率、患者抢救的成功率、医生对护士的满意度均有所提高。结论:规范了急救设备的管理，有效的提高了护理质量，及时杜绝了护理隐患的发生。
To comprehend the present situation in diagnosis and treatment of traunatic hepatorrhexis in this country,693 patients with traumatic rupture of the liver in 31 hospitals where to be located in Sichuan,Zhejiang,Guizhou,Yunnan,Fujian,Heilongjiang,Gguangxi and Hebei province in this country were collected through questionnaire and analysed.The data showed that male to female ratio was 4.17 to 1,with an average of 39.3 years.Closed injury accounted for 74.5% and 53.9 percent of them were injured in traffic accident.47.4% of the patients were admitted to the hospital within 4 hours after injury.Hemorrhagic shock was present high up to 61.9%.During exploratory laparotomy,hematoperitoneum was greater than 1000ml accounted for 61.5%,injury to the right lobe of liver 70.0%,and hepatorrexis associated with other organs and tissues injuries were 19.8%.45.5% of the patients was in third degree or more according to the AAST classificatino.All of the patients were treated by surgery,83.7% percent of them with debridement and suture and omentum packing for hemostasis,49 patients undergone partial hepatectomy.The postoperative complication rate was 22.2% and mortality was 8.7%.The authors consider that to perfect the emergency treatment system,enrich the knowlege and skill of the basic personnel so that the injured can be properly treated is cruical to improve the cure rate and reduce the mortality.
Through reviewing the regulations on the right of emergency treatment of hospitals, we analyzed reasons of emergency treatment of hospitals, including uninformed patients and informed patients without consent in emergency situations, as well as the risk of emergency rescue of hospitals. We put forward how to consider the judgment of emergency situations, justification of emergency treatment of hospitals, and risk attribution. We suggested improving the related legislation and regulations, developing compulsory medical insurance and a medical rescue system on emergency treatment.
Objective To discuss how to improve organization and management of first-aid nursing during the rescue work. Methods Data about the wounded patients in the Emergency Department of our hospital were collected from 12 to 21 May, 2008. The relevant information concerning the interventions and effects of the organization of first-aid nursing was analyzed. Results In the first ten days after the quake, 1 766 wounded patients were received and treated in the Emergency Department. The results of post-evaluation showed that the rescue work was successful including the first-aid path, rationality of the rescuer dispatch, management of the medical resources, collection of the patients information, and high-quality nursing. Conclusion Effective organization and management of first-aid nursing guarantee the rescue work.
Objective To investigate the transferring methods of earthquake casualties accepted by the Department of Emergency, discuss the requirement for rescue materials in pre-hospital transference and provide information for transferring casualties after disasters in future. Methods Traumatic types and conditions of the wounded admitted by the Department of Emergency of West China Hospital within 3 weeks after Wenchuan earthquake,were collected. The characteristics of the wounded transferred by ambulances and helicopters were analyzed. Results Of the 2 338 wounded, ambulances transferred the most accounting for 60.56%, helicopter transferred 13.47%, and the other transport modes took up 25.96%. As for the macrotraumas, ambulances transferred more than helicopter and other transport mode did (Plt;0.05), while there was no statistical significance between helicopters and other transport modes(Pgt;0.05). Conclusion After the disaster, a field first-aid command system should be immediately established, casualties should be triaged concisely, an appropriate transference mode should be decided according to the degree of injuries and sufficient rescue materials should be provided based on different transference modes.
Objective To explore the utilization of emergency materials for mass disaster. Methods We retrospectively analyzed the 2 338 casualties from Wenchuan earthquake who visited our emergency department from 2:28 PM, May 12 to 2:28 PM, June 2. The injury condition and demand on emergency materials at different phase were also analyzed.Results mong the 2 338 casualties, the most common injuries were fracture, skin or soft tissue injury, and brain injury. Primary drugs are tetanus immune globulin, normal sodium and antibiotics. The injury condition and demand on medical resource were different at different phase. The demand on emergency materials depended on the category and severity of injury. Conclusion It is necessary to make a good medical resource planning for mass disaster. The catogory of injury and demand on emergency materials are different at different phase.