【摘要】 目的 研究自貢市急救中心院前急救流行病學特征。 方法 回顧性分析2009年度自貢市急救中心出診的院前急救數據，研究院前急救疾病譜及性別、年齡構成，并分析時刻及季節分布特點，描述院前急救轉歸。 結果 2009年度自貢市急救中心院前急救共4 588例，排前6位疾病依次為損傷、中毒和外因的某些其他后果（45.6%），循環系統疾病（15.0%），呼吸系統疾病（6.3%），神經系統疾病（6.0%），精神和行為障礙（5.6%），消化系統疾病（4.9%）；性別構成男性多于女性（Plt;0.05）；年齡構成以中老年較多，青少年兒童較少（Plt;0.05）；時刻分布規律高峰點為15點40分（Plt;0.05），季節分布以冬季較多（Plt;0.05）；患者轉歸以住院、留院觀察為主，院前死亡人數占比例為3.8%。 結論 根據院前急救流行病學規律，可以合理配置急診資源，增強應急救援能力，滿足民眾不斷增加的醫療需求。【Abstract】 Objective To research on the epidemiological characteristics of the prehospital cases in Zigong emergency rescue center. Methods We retrospectively analyzed the database of prehospital cases in Zigong emergency rescue center in 2009, and reviewed the prehospital disease spectrum, gender composition, age structure, the circadian and seasonal distribution, and the outcomes of these cases. Results A total of 4 588 prehospital victims in Zigong emergency rescue center were enrolled. In the study, six leading diseases were injury, poisoning and certain other consequences due to external causes (45.6%), diseases of the circulatory system (15.0%), diseases of the respiratory system (6.3%), diseases of the nervous system (6.0%), mental and behavioral disorders (5.6%), and diseases of the digestive system (4.9%). Male patients were more than female patients (Plt;0.05). The proportion of the aged and the middle-aged was significantly larger than that of young population in the same districts (Plt;0.05), and the occurrence of prehospital care usually peaked at 15:40 (Plt;0.05). Prehospital care had a higher incidence in winter (Plt;0.05), and the outcome of prehospital cases was mainly in hospital and in observation ward. The proportion of deaths was 3.8%. Conclusion We can allocate emergency resources reasonably in prehospital care, and promote the ability of rescuing in order to meet people′s medical demands on the basis of the epidemiological study in our city.
With the post-disaster psychological crisis has aroused wide attention, psychological first aid which can relieve psychological trauma and prevent post-traumatic disorder has been valued by many countries. However, mainly domestic psychological first aid training is simply theoretical training while its popularizing rate is low, it is urgent to learn from international experience to carry out more effective psychological first aid training. In the context of combination of medicine and industry, the paper majorly embodied virtual simulation’s potential in improving psychological intervention ability, deep learning level and self-efficacy. Furthermore, the paper analyzed and illustrated theoretical basis and function module of constructing psychological first aid training platform in detail, and prospected further improvement, which laid foundations for follow-up studies.
目的:分析汶川大地震顱腦損傷的臨床特點,探討救治策略。方法:對2008年5月12日至6月2日汶川大地震中什邡市二醫院收治的222例顱腦損傷傷員進行總結分析。結果:大批地震傷員中,顱腦損傷主要以輕、中型顱腦損傷為主,其中以頭皮裂傷最多見,其次為腦挫傷、硬膜下血腫、硬膜外血腫、開放性腦損傷。大部分顱腦損傷傷員合并有其他部位損傷,以合并四肢骨折最多見。開展手術28例,死亡7例。結論:地震后傷員在短期內集中大量達到,顱腦損傷以頭皮裂傷多見,醫院有效的組織,快速評估病情,制定有效的治療計劃,注意合并傷的處理,強化院前急救以及三線醫院轉送,提高救治成功率。
Interfacility transport of critically ill children is an important part of pre-hospital emergency care. The development of 5th generation mobile networks has brought revolutionary changes to emergency medicine, which can realize real-time sharing of information between hospitals and transfer ambulance units. In order to give full play to the advantages of superior medical institutions in diagnosis and treatment technology, equipment resources, and realize the safe and fast transfer of critically ill children, the technical specifications for the construction of interfacility transport of critically ill children’s ambulances with 5th generation mobile networks are specially formulated to standardize the team building, equipment and materials, transport process and quality control requirements for critically ill children’s ambulance transport, so as to reduce the fatality rate of critically ill children and improve the prognosis.
On September 18th, 2023, the American Heart Association published clinical management guidelines for cardiac arrest and critical cardiac conditions caused by poisoning in the journal Circulation. Based on the differences in drug toxicity effects, our team has systematically interpreted the guidelines in three parts. This article, as the third part, focuses on interpreting the clinical management strategies for cardiac arrest caused by cyanide, organophosphates, carbamate and methemoglobinemia, and reviews the application of veno-arterial extracorporeal membrane oxygenation in poisoning treatment. Through in-depth analysis of the key recommendations in the guidelines, it aims to provide reference for clinical diagnosis and treatment.