广州市院前急救发展现状及对策
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摘要
目的研究目前广州市院前急救医疗现状,探讨其存在的问题,提出发展对策。方法通过查阅相关文献,浏览广州市医疗急救指挥中心相关信息,对广州院前急救现状进行调查,提出目前亟待解决的问题,展望今后广州的院前急救事业。结果广州院前急救模式采用的是"指挥型模式";其优势为急救网络医院覆盖面广,急救设备精良,网络医院救治力量强大。加强院前急救队伍的建设;将社区卫生服务中心纳入院前急救网络;加强急救网络医院的管理,规范院前急救行为;普及公众急救知识,加大急救技能培训力度;增加公共场所AED等急救设备配置。结论借鉴发达国家和地区的先进经验,遵循院前急救原则,完善院前急救系统建设,提高院前急救成功率,加快广州市院前急救医疗事业的发展。
Objective To study the current status of pre-hospital emergency medical care in Guangzhou, discuss its existing problems, and put forward development countermeasures. Methods Through consulting the relevant literature, browsing the relevant information of the Guangzhou Medical Emergency Command Center, it investigated the current status of pre-hospital emergency care in Guangzhou, put forward the urgent problems to be solved, and looked forward to the future development of the pre-hospital emergency service in Guangzhou. Result The pre-hospital emergency mode in Guangzhou used the "command mode"; its advantages were the wide coverage of emergency cyber hospitals, excellent emergency equipment, and powerful medical treatment ability of cyber hospitals; strengthening the construction of pre-hospital emergency teams, strengthening the management of emergency cyber hospitals, standardizing prehospital emergency behavior; incorporating some community health service centers into the pre-hospital emergency network; popularizing emergency knowledge for the public, increasing emergency skill training; increasing the allocation of AEDs and other emergency equipment in public places. Conclusion Drawing on the advanced experience of developed countries and regions and following the principle of pre-hospital emergency care to improve the construction of the pre-hospital emergency care system and increase the success rate of pre-hospital emergency care and accelerate the development of pre-hospital emergency medical services in Guangzhou.
Objective To study the current status of pre-hospital emergency medical care in Guangzhou, discuss its existing problems, and put forward development countermeasures. Methods Through consulting the relevant literature, browsing the relevant information of the Guangzhou Medical Emergency Command Center, it investigated the current status of pre-hospital emergency care in Guangzhou, put forward the urgent problems to be solved, and looked forward to the future development of the pre-hospital emergency service in Guangzhou. Result The pre-hospital emergency mode in Guangzhou used the "command mode"; its advantages were the wide coverage of emergency cyber hospitals, excellent emergency equipment, and powerful medical treatment ability of cyber hospitals; strengthening the construction of pre-hospital emergency teams, strengthening the management of emergency cyber hospitals, standardizing prehospital emergency behavior; incorporating some community health service centers into the pre-hospital emergency network; popularizing emergency knowledge for the public, increasing emergency skill training; increasing the allocation of AEDs and other emergency equipment in public places. Conclusion Drawing on the advanced experience of developed countries and regions and following the principle of pre-hospital emergency care to improve the construction of the pre-hospital emergency care system and increase the success rate of pre-hospital emergency care and accelerate the development of pre-hospital emergency medical services in Guangzhou.
引文
[1]沈洪,刘中民.急诊与灾难医学[Z].北京:人民卫生出版社,2013.
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[7]Scott D W,Factor L E,Gorry G A.Predicting the response time of an urban ambulance system[J].Health Serv Res,1978,13(4):404-417.
[8]钟仕锟,刘子锋,张玲玲,等.广州市中心城区院前急救反应时间影响因素实证研究--基于分位数回归方法[J].中国医院管理,2016(11):59-61.
[9]Carlowe J.Ambulance service puts too much emphasis on response time to detriment of overall care,says National Audit Office[J].BMJ,2011,342:d3672.
[10]陈建国,周素红,柳林,等.交通拥堵对急救医疗服务时空可达性的影响--以广州市为例[J].地理科学进展,2016(04):431-439.
[11]张在其,骆福添,陈兵,等.我国八个大中城市院前急救流行病学调查分析[J].中华急诊医学杂志,2010(11):1130-1136.
[12]蒋亚斌,俞锐敏,朱宁.综合性大学开设院前急救医学课程的探索[J].中国高等医学教育,2006(6):5,26.
[13]Fitzgerald A,Johnson M,Hirsch J,et al.Inconsistent shock advisories for monomorphic VT and Torsade de Pointes--A prospective experimental study on AEDs and defibrillators[J].Resuscitation,2015,92:137-140.
[14]周沂,邱朝晖.体外自动除颤仪在心脏骤停院前急救中的应用[J].伤害医学(电子版),2016(3):59-62.
[2]柳俊,李群芳,胡梦含.中法院前急救管理模式比较[J].医学与社会,2011(09):55-57.
[3]李金年.我国院前急救事业的现状与展望[J].中国危重病急救医学.2002(05):259-261.
[4]陈晓辉.广州特色院前急救[Z].中国四川成都:20131.
[5]朱明辉.广州市院前急救的分级管理模式[J].健康必读(中旬刊),2012(6):541-542.
[6]陈贵声,黄力.广州院前急救医疗网络的探讨[J].岭南急诊医学杂志,2002(04):377-378.
[7]Scott D W,Factor L E,Gorry G A.Predicting the response time of an urban ambulance system[J].Health Serv Res,1978,13(4):404-417.
[8]钟仕锟,刘子锋,张玲玲,等.广州市中心城区院前急救反应时间影响因素实证研究--基于分位数回归方法[J].中国医院管理,2016(11):59-61.
[9]Carlowe J.Ambulance service puts too much emphasis on response time to detriment of overall care,says National Audit Office[J].BMJ,2011,342:d3672.
[10]陈建国,周素红,柳林,等.交通拥堵对急救医疗服务时空可达性的影响--以广州市为例[J].地理科学进展,2016(04):431-439.
[11]张在其,骆福添,陈兵,等.我国八个大中城市院前急救流行病学调查分析[J].中华急诊医学杂志,2010(11):1130-1136.
[12]蒋亚斌,俞锐敏,朱宁.综合性大学开设院前急救医学课程的探索[J].中国高等医学教育,2006(6):5,26.
[13]Fitzgerald A,Johnson M,Hirsch J,et al.Inconsistent shock advisories for monomorphic VT and Torsade de Pointes--A prospective experimental study on AEDs and defibrillators[J].Resuscitation,2015,92:137-140.
[14]周沂,邱朝晖.体外自动除颤仪在心脏骤停院前急救中的应用[J].伤害医学(电子版),2016(3):59-62.