摘要
汶川5·12大地震造成大量伤病员，震区大部分医疗机构遭到严重破坏，交通和通讯中断，许多伤病员只能通过直升飞机转送出去。四川大学华西医院急诊科在18d内接收各种方式转运来的2338例伤病员，用直升飞机转运伤病员315例，占13．47％。轻重伤病员比例为71：29。这些伤病员多来自偏僻地区，未经初步处理，多无家属或其他人陪伴。直升飞机最大运输量为65例／d，平均14．32例／d。成都120急救中心负责指挥医护人员到机场接机，获得有关信息后该中心即制定调度计划。伤病员一到达，医护人员立即评估伤情病情和生命体征，需要时进行现场处理，然后将伤病员用救护车送医院。在中国医疗救助史上直升飞机运送大批伤病员属首次。从中总结出以下经验：①总体调度应有机场和医务部门负责人共同完成，前者负责安全培训和准备，后者负责组织义务人员。②安全管理至关重要。③接机的医护人员必须接受紧急的简单安全培训。④与交通警察以及志愿者的合作也很必要。
The Wenchuan Earthquake caused a lot of wounded persons. Because many medical institutions and means of transportation were severely destroyed, and the communication was interrupted completely, many wounded and ill persons had to be transported by helicopters to Chengdu. From May 13, one day after the earthquake, to June 2 the West China Hospital had accepted 315 persons suffering from a broad spectrum of diseases, accounting for 13.4% of all wounded and ill persons transported by helicopters. The helicopter transportation lasted for 18 days at an average transportation rate of 14.32 persons/ day on the maximum of 65 persons/day. Most of these airlifted patients were from out-of-the-way places, without pre-hospital treatment, and accompanied by nobody. 224 of them （71%） suffered from critical imjuries and 91 （29%） from others. The Chengdu 120 Emergency Center was in charge of the meeting the wounded transported by helicopters in the airport. Having received relevant information a dispatching plan was made immediately. The medical personnel assigned to the airport were to assess the wound condition and vital signs of the wounded soon after the helicopters landed. When necessary on-the-spot primary treatment was given, and then the patients were driven to the hospital by ambulances. From the practice the following experiences were summarized： ① The general dispatch should be done by the directors of the airport in charge of safety training and preparation and the medical directors organizing the medical workers together, ②Safety management is necessary, ③ The medical workers that come to the airport must receive urgent safety training and should obey the dispatch of the airport, and ④ Co-operation with the traffic police and volunterers is very important.
出处
《中国急救复苏与灾害医学杂志》
2009年第4期206-208,共3页
China Journal of Emergency Resuscitation and Disaster Medicine
关键词
直升飞机
运输
伤病员
地震
Helicopter
Transportation
Earthquake
The wounded
