军队医院批量车祸伤员救治组织管理
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摘要
目的探讨医院急诊接诊车祸伤批量伤员救治组织管理的方法,以优化批量伤员急救流程,提高应急救治能力和水平。方法迅速启动医院接诊成批伤应急预案,伤员根据病情分为危重伤、重伤、轻伤三级,并进入相应的诊疗区域。根据1名极危重伤员3名护士配合抢救,危重伤员与护士比为1∶2,普通伤员与护士比为1∶1的配比对18名车祸伤伤员实施有效救治。结果 18名伤员除1名极危重伤员在ICU进行综合救治外,其余9名伤员转至病房,8名伤员回家随访治疗,相关人员对救治流程实施结果满意。结论完善的突发事件及成批伤应急响应机制及预案是救治成功的前提,熟练、高效的组织实施是成功救治的关键,实施过程中合理的人力资源调配,医院各部门间的协调,确保救治流程的畅通,可避免不必要的救治环节,提高批量伤员救治成功率。
Objective To explore the organization and management of emergency treatment for a batch of patients of traffic accidents, so as to optimize first-aid procedures and improve emergency treatment capacity.Methods An emergency plan for the treatment of a batch of injuries was initiated instantly, and patients were divided into three categories based on their conditions, namely critical injury, serious injury and minor injury, and then admitted to the corresponding diagnosis and treatment areas. Sticking to the plan of allocating 3 nurses for rescuing 1 critically injured, the ratio of the critically wounded to the nurse was 1∶2, and the ratio of the ordinarily wounded to the nurse was 1∶1. So, effective treatment of 18 patients of car accident injuries was carried out.Results In addition to 1 critically ill patient receiving comprehensive treatment in ICU, 9 patients were transferred to the ICU, and 8 patients were sent home for follow-up treatment.Conclusion Perfect emergency response mechanism and plans for a batch of wounded are prerequisites of the successful rescue. Also, skilled and efficient implementation is the key to successful treatment. Unnecessary rescue procedures could be saved provided that deployment of human resources is reasonable, that coordination among different departments is smooth, and that procedure of recue is unhindered. And in doing so, the overall success of rescue and treatment is ensured.
Objective To explore the organization and management of emergency treatment for a batch of patients of traffic accidents, so as to optimize first-aid procedures and improve emergency treatment capacity.Methods An emergency plan for the treatment of a batch of injuries was initiated instantly, and patients were divided into three categories based on their conditions, namely critical injury, serious injury and minor injury, and then admitted to the corresponding diagnosis and treatment areas. Sticking to the plan of allocating 3 nurses for rescuing 1 critically injured, the ratio of the critically wounded to the nurse was 1∶2, and the ratio of the ordinarily wounded to the nurse was 1∶1. So, effective treatment of 18 patients of car accident injuries was carried out.Results In addition to 1 critically ill patient receiving comprehensive treatment in ICU, 9 patients were transferred to the ICU, and 8 patients were sent home for follow-up treatment.Conclusion Perfect emergency response mechanism and plans for a batch of wounded are prerequisites of the successful rescue. Also, skilled and efficient implementation is the key to successful treatment. Unnecessary rescue procedures could be saved provided that deployment of human resources is reasonable, that coordination among different departments is smooth, and that procedure of recue is unhindered. And in doing so, the overall success of rescue and treatment is ensured.
引文
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[2] Champion H R,Sacco W J,Copes W S,et al.A revision of the Trauma Score[J].J Trauma,1989,29(5):623-629.
[3] 夏鹊.灾难医学急救的组织和实践[J].中华急救医学,2004,13(8):575.
[4] 张永恒,石瑜岚.以严重腹部外伤为主的多发伤的抢救与护理[J].急诊医学,2000,9(2):139-140.
[5] 李蕊,席淑华.医院急诊战创伤救治中护理人力配置及定位协作团队的救护[J].解放军护理杂志,2017,34(4):72-74.
[6] 卢勇,苏磊,秦伟毅,等.危重症患者院内转运的探讨[J].中国急救医学,2005,25(6):457.
[7] 王鸿香,邹倚红,陈凤莲.急救程序化管理对提高创伤救治成功率的调查与分析[J].护理管理杂志,2004,4(10):11-12.
[8] 王秋侠.无缝隙急救护理模式在急诊创伤护理中的应用[J].当代护士,2017(2):95-96.