黄山山岳型景区外伤患者院前急救与转运的护理体会

目的分析黄山景区院前急救中外伤患者的院前急救与转运特点,探讨山岳型景区外伤患者院前急救护理经验,提高山岳型景区医疗急救人员院前急救和转运外伤患者的能力。方法对2005年1月1日～2010年12月31日黄山风景区院前急救中的483例外伤患者的病情、急救应急反应、急诊诊断、转运情况、院前护理、死亡等情况进行统计、分析。结果院前急救外伤患者483例患者,其中头面部外伤216例,死亡5例;四肢伤155例;全身多处伤112例,死亡4例。按病情:一般362例,较重85例,危重27例,死亡9例;转运途中(共转运259例):平稳234例,加重23例,死亡2例。结论山岳型景区发生的外伤患者需要得到现场及时的急救和规范的院前急救护理,以及转运途中的良好护理,从而提高院前急救的整体水平和急救效果。

Nursing experiences of trauma patients with prehospital care and transport in Mount Huangshan

Objective To analyse the characteristics in trauma patients with pre-hospital emergency and transport in Mount Huangshan,and discuss the first-aid nursing experiences in trauma patients of pre-hospital emergency,to improve the emergency medical technicians＇ ability of pre-hospital care and transport of trauma patients in mountain type scenic spot.Methods Statistics and analysis were made of the emergency response,emergency diagnosis,transfer case,pre-hospital care,death on 483 cases of trauma patients with pre-hospital care in the Mount Huangshan scenic area from January 1,2005 to December 31,2010.Results The 483 cases of pre-hospital trauma patients,included 216 cases of head and face injuries,5 deaths;limb injuries 155 cases;systemic multiple injuries 112 cases,4 deaths.As for the disease： general 362 cases,severe 85 cases,27 cases critical,9 dead;In the course of transport：smooth 234 cases,worsen 23 cases,2 deaths.Conclusion Trauma patients need to receive timely and standard pre-hospital emergency care,and good transit care,to improve the overall level of first aid and first-aid effect.