基层医院长途转运危重症患者死亡因素的探讨

2016-09-01吴明刘丹贵州省人民医院急诊科贵州贵阳550002

中国卫生产业 2016年18期

吴明，刘丹贵州省人民医院急诊科，贵州贵阳　550002

吴明，刘丹
贵州省人民医院急诊科，贵州贵阳550002

随着经济及交通的快速发展，患者对疾病治愈率的要求提高，长途转运已逐渐成为院前急救的另一主要任务。如何安全有效地将危重症患者转入到目的医院，成为我们关注的焦点。该文以2013年1月1日—2014年12月31日该院急诊科接诊全省各地市州急救车转运患者到院24 h内死亡（包括放弃治疗）的患者为研究对象，通过快速急性生理评分（RAPS）、工作衔接方式、途中治疗方式等方面进行探讨。建立科学的转运方式；加强基础医院院前急救医务人员规范化培训；完善救护车设备装置；掌握长途转运适应证；耐心向患者家属做好病情沟通；做好与接诊医院有效的工作衔接将对提高转运效率、降低死亡率有益。

院前急救；长途转运；危重症；因素

［Abstract］With the rapid development of economy and transportation，the requirement for the disease cure rate of patients is improved，and the long distance transferring has gradually been another main task of pre-hospital emergency，how to effectively and safely transfer the critically ill patients to the target hospital has been our focus，the paper considers the patients transferred from all cities in the whole province to the department of emergency of our hospital from January 1，2013 to December 31，2014 as the research objects，and the patients died within 24 h（including giving up treatment），and the paper conducts the study from the rapid acute physiology score，work connection mode and treatment mode on the way. Constructing scientific transferring mode，enhancing the standardized training of pre-emergency medical staff in the basic hospital，improving the ambulance equipment，mastering the long distance transferring indication，patient disease communication with the patient's family and effective connection work with the reception hospital will be conducive to improving the transferring efficacy and reducing the death rate.

［Key words］Pre-hospital emergency；Long distance transferring；Critically ill；Factor

随着急诊医学的不断发展，院前急救已经成为急诊医疗体系的主要环节。在实际工作中，除解决本辖区急救工作外，长途转运已成为院前急救的另一主要任务。如何避免长时间转运及不合理的治疗给患者带来伤害，如何做好与转诊医院的工作衔接，值得广大急救医务人员重视。现就笔者所在医院接收长途转运急危重患者到院24 h内死亡的因素做回顾性分析总结。