四川大学华西医院芦山地震应急医学救援纪实
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摘要
四川大学华西医院近5年来亲历了汶川、玉树、彝良和芦山4次里氏5.7～8.0级地震应急医学救援,不断完善和发展了汶川经验。2013年4月20日芦山地震发生后2周内,全院共接诊伤员392人,入院321人[危重39人(12.15%),重症14人(4.36%)],手术184台;通过集中资源、多科联动、分级管理,实现了43名危重伤员(峰值)集中收治零死亡;共派出医疗队12支、88名医护人员赴震中参与和指导救援。康复心理专家于震后第2天赴震中参与和指导一线救援,并开展临床心身康复干预。
he West China hospital of Sichuan university has underwent four times emergency medical rescue(EMR)of earthquakes,measuring 5.7 Ms to 8.0 Ms on the Richter scale,happened at Wenchuan,Yushu,Yiliang and Lushan in recent 5 years,which gradually improved and supplemented Wenchuan experience.After Lushan earthquake,a total of 392 patients were received during 2 weeks.Among 321 hospitalized patients,there were 39(12.15%) patients with critical injury and 14(4.36%) patients who needed intensive care.184 operations were performed.Based on the experiences of resource centralization,multidisciplinary cooperation,and hierarchical management,zero death,a new medical record,has been achieved among 43 patients with critical injury after centralized admission and treatment.A total of 12 medical rescue teams involving 88 healthcare workers were sent to the epicenter to join and guide EMR.Besides,rehabilitation and psychological experts came to Lushan on the first day of earthquake,and started clinical intervention of mental and physical health for people needed on the second day.
he West China hospital of Sichuan university has underwent four times emergency medical rescue(EMR)of earthquakes,measuring 5.7 Ms to 8.0 Ms on the Richter scale,happened at Wenchuan,Yushu,Yiliang and Lushan in recent 5 years,which gradually improved and supplemented Wenchuan experience.After Lushan earthquake,a total of 392 patients were received during 2 weeks.Among 321 hospitalized patients,there were 39(12.15%) patients with critical injury and 14(4.36%) patients who needed intensive care.184 operations were performed.Based on the experiences of resource centralization,multidisciplinary cooperation,and hierarchical management,zero death,a new medical record,has been achieved among 43 patients with critical injury after centralized admission and treatment.A total of 12 medical rescue teams involving 88 healthcare workers were sent to the epicenter to join and guide EMR.Besides,rehabilitation and psychological experts came to Lushan on the first day of earthquake,and started clinical intervention of mental and physical health for people needed on the second day.
引文
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