摘要
目的 :寻找上海市突发事故的某些规律 ,就如何提高对突发事故的现场救护能力进行探讨。方法 :对 1987～ 1988年期间 ,由上海市医疗救护中心院前急救的 10 1次突发事故的资料 ,作流行病学分析和Foxplus处理。结果 :突发事故类型前三位构成比依次为交通事故2 2 7%、火灾 2 0 77%和房屋倒塌 12 87% ;人员伤亡主要集中在 2 1～ 50岁的年龄段 ;事故主要发生在上午 10 :0 0至下午 4 :0 0之间 ;对突发事故应急反应 3项指标均有延长趋势。 65%的反应间期超过 10min ;一半以上的伤员在 10min内得到现场诊治和转运。结论 :为提高对突发事故的现场救援能力 ,应向市民普及急救和安全知识 ,及时更新救护中心的通讯设备 ,增加救护站点 。
Objective:Search for the pattern of accidents in Shanghai and explore how to improve the ability of providing emergency care at the site of accident.Methods:Epidemiological analysis and Foxplus are performed based on the data collected from prehospital emergency medical care in 101 accidents provided by Shanghai Medical First Aid Center during 1987～1998.Results:The most prevalent kinds of sudden accidents were:traffic accidents(22 7%),fire(20 77%)and building collapse(12 87%).Most of the casualties fell into the age groups of 21～50 years.The accidents happened most often from 10am to 4pm.All of the 3 indices of response to emergency revealed delays;in 65% of the cases the response time exceeded 10 minutes.Half of the injured received on site assessment,treatment and transportation within 10 minutes.Conclusion:In order to improve the ability of providing on scene emergency care to accident victims,it is vital to popularize the knowledge of first aid and safety to citizens,to renew the communication supplies in first aid centers,to increase the numbers of emergency care stations and spots,and to rationalize the management and transportation time.
出处
《急诊医学》
CSCD
2000年第5期295-297,316,共4页
关键词
院前急救
流行病学
突发事故
应急反应
Prehospital emergency medical care Epidemiology Accident Radius of emergency care
