新型冠状病毒肺炎院外医疗转运特点分析

目的 探讨新型冠状病毒肺炎(简称新冠肺炎)患者院外医疗转运的临床特点.方法 对2020年1月20日0时—2月27日0时期间北京急救中心防控转运组转运新冠肺炎疫情相关任务的出车数据进行统计和回顾性分析.结果 从2020年1月20日0时—2月27日0时29 d内北京急救中心防控转运组总出车数为556次,按任务类别和占比依次...

Characteristic analysis of COVID-19 in pre-hospital medical transport

Objective To investigate the clinical characteristics of pre-hospital emergency medical transport for corona?virus disease 2019(COVID-19).Methods From 0 o'clock on January 20 to 0 o'clock on February 27,2020,COVID 19 epidemic related tasks performed by Beijing EMS prevention and control transfer team were statistically and retro?spectively analyzed.Results From 0 o'clock on January 20 to 0 o'clock on February 27,2020,within 29 days,the total number of ambulance dispatched by the prevention and control transfer team of Beijing EMS was 556.According to the task categories and proportion,236(42.45%)confirmed cases were transferred,39(7.01%)suspect cases,199(35.79%)close contacts,port quarantine 29(5.22%),48(8.63%)from Wuhan,and 5(0.90%)cured cases.The average transfer time was 59.2 minutes.According to the transfer site categories and proportion,hospital 291(52.34%),resi?dence 111(19.96%),hotel 59(10.61%),public places 21(3.78%),airport 36(6.47%),railway station 30(5.40%),other 4(0.72%),police station 3(0.54%),working place 1(0.18%).According to the receiving site categories and proportion,255(45.86%)in intensive care hospitals,144(25.90%)in isolation points,98(17.63%)in fever clinics,50(8.99%)in minimally ill hospitals,and 9(1.62%)in other places.Among 556 cases,281(50.54%)males and 275(49.46%)females,with a median age of 43 and interquartile range of 31~58.All patients were transferred to the receiving sites safely with no new infections occurred during the transport period by epidemiological follow-up.Conclusion The diversifica?tion of the categories of transferred patients as well as the diversity of transfer/receiving sites is the basic feature of the pre-hospital transport mission of COVID-19.Appropriate transport schemes should be developed according to the characteristics of different groups.Effective respiratory support is the most important medical measure in pre-hospital transport.