大批量地震伤员的远程转运
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摘要
目的探讨地震伤员远程转运的护理经验。方法对42例地震伤员通过火车转运至武汉,转运前制订详细的转运方案、做好伤情与风险评估、物品的准备、患者准备,转运过程中规范搬运并妥善、合理安置患者、做好伤情统计并严密观察病情变化、做好心理护理及基础护理。结果全部伤员均顺利、安全转运至目的地。转运过程中未发生任何紧急情况和意外,无1例死亡,未发生护理并发症。结论转运前处理危及生命的并发症,严格把握转运时机,转运过程中对轻、重伤员进行合理放置、细致观察,严格查对,集中监护是保证患者安全远程转运的关键。
Objective To analyze nursing experience in the long-distance mass transport of the wounded from earthquake-struck areas. Methods Totally 42 wounded persons in earthquake-hit areas were transported by train from Sichuan to Wuhan. Before the transport, we worked out a detailed plan, assessed the conditions of the wounded persons and the risks of transport, prepared all articles needed and made the wounded well prepared. During the transport, we arranged the transport process orderly, performed meticulous observation, and provided specific emotional support and basic nursing to the wounded. Results All of the 42 wounded persons were transported to the destination safely and smoothly. No emergency or accidents happened during the process of transport, and no death or nursing complications were reported. Conclusion Appropriate Handling of the life-threatening complications before the transport, timely action, proper arrangement, meticulous observations, careful checking and intensive care are the key to the safety of the long-distance mass transport of the wounded.
Objective To analyze nursing experience in the long-distance mass transport of the wounded from earthquake-struck areas. Methods Totally 42 wounded persons in earthquake-hit areas were transported by train from Sichuan to Wuhan. Before the transport, we worked out a detailed plan, assessed the conditions of the wounded persons and the risks of transport, prepared all articles needed and made the wounded well prepared. During the transport, we arranged the transport process orderly, performed meticulous observation, and provided specific emotional support and basic nursing to the wounded. Results All of the 42 wounded persons were transported to the destination safely and smoothly. No emergency or accidents happened during the process of transport, and no death or nursing complications were reported. Conclusion Appropriate Handling of the life-threatening complications before the transport, timely action, proper arrangement, meticulous observations, careful checking and intensive care are the key to the safety of the long-distance mass transport of the wounded.
引文
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[4]杨红明,柴家科,盛志勇,等.成批烧伤患者长途转送后的救治[J].军医进修学院学报,2004,25(2):120-121.
[5]任秋芝,蒋小春.意外伤害成批患者救治的护理[J].实用医药杂志,2004,21(6):535.
[6]钟爱珍,李建红.社区急危重患者的程序化转运[J].护理学杂志,2006,21(7):68-69.
[7]刘云松,胡家云,彭大云,等.严重多发伤的陆地远程转运[J].创伤外科杂志,2008,10(1):78.
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