多学科医护一体化模式在马拉松医疗保障中的应用

Application of Multidisciplinary Medical and Nursing Integration Model in Marathon Medical Security

目的总结多学科医护一体化模式在厦门国际半程马拉松医疗保障中的应用与实践工作经验。方法回顾性总结和分析2022年12月厦门国际半程马拉松比赛(参赛13571名)实施多学科医护一体化模式的管理与实践工作经验,包括应急小组成立、保障前培训和人员配置与分布的具体工作安排与实施方法。结果共接诊患者43例,其中普通住院26例,ICU 5例,留观12例,未出现死亡人数;在就诊科室中,呼吸内科占比达13.95%,神经内科占比最低,为4.65%。由于提供及时有效的医疗保障服务,预检分诊二三级中的急救时间和改良早期危险评分(modified early warning score,MEWS)评分均在正常范围之内,保证了比赛的顺利进行。结论多学科医护一体化模式能够很好地发挥救治作用,通过提前预案演练查找救治缺陷和问题,为以后高强度体育赛事提供应急管理依据和经验。

Objective To summarize the management and practical work experience of multidisciplinary medical integration mode in the medical security of Xiamen International Half Marathon.Methods The management and practical work experience of implementing multidisciplinary medical integration mode in Xiamen International Half Marathon 2022(13571 participants)were retrospectively summarized and analyzed,including the specific work arrangement and implementation methods of emergency team establishment,presupport training,personnel allocation and distribution.Results A total of 43 patients were treated,including 26 in general hospital,5 in ICU and 12 under observation.No death occurred.The proportion of respiratory medicine was 13.95%,and the proportion of neurology was the lowest(4.65%).Due to the provision of timely and effective medical security services,the first aid time and MEWS score in the second and third levels of pre-examination triage were within the normal range,ensuring the smooth progress of the competition.Conclusion The multidisciplinary medical integration model can play a good role in treatment,and the defects and problems of treatment can be found through pre-planning drills,which provides the basis and experience for emergency management of highintensity sports events in the future.