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目的提高120院前急救人员对突发院前各类批量事件的现场应急处置能力,保证现场抢救时的合理有效性。方法建立120院前救援急救体系,制订院前紧急突发批量事件救援的应急预案及流程,并在大型突发批量事件抢救时按预案及流程的有效实施。结果通过制定详细班次及岗位职责,使得院前现场应急救援时间由原来的30 min左右缩短到15 min之内,抢救成功率从120院前救援急救体系建立前的93%提高到98%,在近9年发生的多起重大突发事件的处置中取得了良好效果,无1例因院前现场抢救不及时而死亡。结论说明120院前应急救护体系的运作能满足突发批量事件的抢救需求,有效保障了伤员的生命安全,同时医务人员的现场救援抢救能力也在历次的大批量伤员处置抢救历练中得到了锻炼和提升。
Objective To improve the on-site emergency response capability of emergency personnel in front of the hospital for all kinds of batch incidents in front of the hospital, and to ensure the reasonable and effective when rescuing on-site. Methods To establish 120 pre-hospital rescue and emergency system, formulate contingency plans and procedures for the rescue of emergencies in front of the hospital, and effectively implement the plans and procedures in the rescue of large-scale emergency batches. Results By setting detailed shifts and job responsibilities, the on-site emergency rescue time was shortened from about 30 minutes to 15 minutes. The success rate of rescue was improved from 93% to 98% before the establishment of rescue and pre-hospital rescue system of 120 hospitals. In the past nine years, many major emergencies have been treated with good results. No one died of the accidental rescue in time. The conclusion shows that the operation of the pre-hospital emergency rescue system can meet the emergency rescue needs of emergency batches and effectively protect the lives of the wounded. At the same time, the on-site rescue and rescue capabilities of medical staff have also been tempered in the previous batch rescue operations And promotion.