重大灾害事件的紧急医疗救援

Emergency Medical Rescue in Grave Disaster Events

目的报告河南省5次重大突发事件和紧急救援的组织管理。方法重大灾害事件发生后,迅速报告上级主管部门和紧急救援中心,公安、消防和医疗急救人员共同参加现场急救,使通讯和道路通畅,维持现场秩序,保证现场急救和顺利转运伤员到医院。河南省突发公共卫生事件应急医疗救治专家迅速赶赴现场和救治伤员的医院,指导急诊手术和重症监护治疗。结果5次重大突发事件现场共死亡259例,181例伤员送入院治疗,其中危重伤员26例。仅2例死于多器官衰竭,其余179例康复出院。结论重大突发事件紧急救援需要消防、警察、医疗急救等多系统的协调合作,急诊医学专家指导大批伤员的分类急救和重症监护治疗,可提高救治成功率。

Objective To report 5 grave disaster events in Henan Province and the management of emergency medical rescue. Methods Reported to supervises and emergency medical rescue center immediately when disaster events happened. Policemen,firefighters and docters cooperated,preserved information and read unobstructed,first aid at scene and transferred the wounded to the hospitals promptly. Emergency medical specialists of Henan Public Health went to the hospitals speedly and gave guidelines for the emergency operation and intensive care for the patients. Results 259 persons died, 181 wounded were sent to the hospitals,including 26 serious wounded, in 5 grave disaster events. 2 cases died of multiple organ failure, the other discharged with recovered. Conclusion Policemen,firefighters,docters and others need cooperation during emergency rescue for grave disaster event. Emergency medical specialist gives guidelines for the emergency operation and intensive care may increase successful rescue rate.