急诊绿色通道在分检地震伤员中的作用

目的分析“5·12”汶川特大地震后不同时段地震伤员在我院急诊科停留时间，探讨急诊绿色通道在分检地震伤员中的作用，为救治特大灾害伤员积累经验。方法回顾性分析2008年5月12日14时28分至5月15日14时27分汶川地震伤员在四川大学华西医院急诊科救治停留的时间，并分为震后24h内、震后24～48h和48-72h三个时段进行比较。结果震后72h内我院收治伤员536例，其中24h内收治伤员207例，伤员在急诊科平均停留时间为129min；24—48h收治伤员104例，伤员在急诊科平均停留时间97min；48～72h内收治伤员226例，伤员在急诊科平均停留时间为86min。第一个24h与第二个24h和第三个24h比较，地震伤员在急诊科的停留时间差异有统计学意义（P〈0．05），但第二个24h和第三个24h比较差异无统计学意义（P〉0．05），表明建立建全急诊绿色通道，对加快应急状态下伤员救治处理有重要意义。结论应根据实际情况，及时更新绿色通道，使地震伤员在急诊科的停留时间不断缩短，保证伤员尽快得到专科处理，为抢救危重伤员赢得宝贵时间。

Role of First-aid Fast Track in Triaging Earthquake Trauma Patients

Objective To elucidate the effect of first-aid fast track in triaging earthquake trauma patients by studying the earthquake trauma patients staying in the Emergency Department of West China Hospital after ＂5·12 Wenchuan Earthquake＂ so as to accumulate experience in the treatment of disaster traumas. Methods A retrospective study was done on earthquake trauma patients staying in the Emergency Department of West China Hospital after ＂5·12 Wenchuan Earthquake＂ from 14：28 May 12, 2008 to 14：27 May 15, 2008. Differences in care given during the time period were analyzed. Results There were 536 earthquake trauma patients in West China Hospital within 72 hours after the earthquake. Twohundred and seven earthquake trauma patients staying in the Emergency Department had an average stay of 129 minutes during the 24 hours after the quake; 104 earthquake trauma patients staying in the Emergency Department had an average stay of 97 minutes in the second 24 hours; and 226 earthquake trauma patients staying in the Emergency Department had an average stay of 86 minutes in the third 24 hours. Each consecutive day showed shorter average stays. Conclusion The first-aid fast track not only guarantees earthquake trauma patients are saved as soon as possible but also shortens the time in the Emergency Department.