大型公共活动的急救医疗转运保障——2010年上海世博会急救医疗转运情况汇总分析

The analysis of pre-hospital emergency transport in expo 2010 shanghai China

目的:汇总分析2010年上海世博会期间急救医疗转运的实际成效及出现的相关问题,以期提高今后大型公共活动急救医疗转运保障能力。方法:采集了上海市医疗急救中心记录的全部8533份世博急救转运随车病案,对运力、转运病患特点、转运时效性、随车救援措施、救援车辆能耗等情况进行了回顾和相应的分析。结果:世博期间,急救转运月平均出车(1238.86±194.23)车次,转运患者(1 192±188.90)人次,有效转运率为90.92%,常规配备的救护车可基本满足日常急救转运需求。转运患者中以创伤患者(37.55%)最为常见,其中又以女性患者居多(62.51%)。园区内转运半径及转运时效性优于全市平均水平,但救援车辆油耗量高于相关要求,且随车急救措施、救护能力及信息记录系统有待进一步完善。另外随车救援实施率仅为34.98%。结论:创伤是上海世博会期间最常见的需转运的疾病类型,世博会期间的医疗运力和时效性基本满足实际需要,但仍可通过改善布局、完善法规、促进民众意识、优化流程、改良设施配备来进一步的提高转运效率,以符合此类大型活动的需求。

Objective：To improve the medical transport capacity and efficiency in large pubic medical security services of the future via analyzing the results of emergency medical service transport（EMS transport）in World Expo 2010Shanghai China.Method：The data was collected by gathering all the 8 533pieces of ambulance cases of EMS transport which were from World Expo area to suitable hospitals,and the corresponding data about vehicle condition of ambulance recorded by Shanghai medical emergency centre in the period of World Expo 2010.The total transport capacity,the relationship between the number of visitors and transport patients,the temperature and characteristic of transport patients＇ diseases,the efficiency of transport,the related rescue measures and energy consumption of ambulance were respectively reviewed and analyzed.Result：During World Expo 2010,the number of conventional equipped ambulances basically meet the need in daily EMS transport by dispatching（1238.86±194. 23）ambulances,transporting（1 192±188.90）patients per month,and the rate of effective action reached 90. 92%.The average age was 38.72（±0.31）in all EMS transport patients,of which trauma patients（37.55%） were the most common ones.Although the transport range and efficiency in the World Expo area outperformed the average standard in all Shanghai distract,the fuel consumption of rescue vehicle was more serious than requested. Conclusion：The requirement in actual operation of World Expo in Shanghai had been satisfied by marvelous medical transport capacity and efficiency.However,further improvement of arrangement,emergency measures and information recording system are still needed in order to meet the medical requirements in large activities.