大批量重症伤员救护演练的组织与评价

目的：探讨局部战争条件下大批量重症伤员紧急救护演练的组织及效果。方法由院校专家设计局部战争条件下发生大批量重症伤员情景，医疗队分两批组织紧急救护演练。每次演练的方法是人员编组与调配、物资装备、训前培训及推演、紧急救护流程演练、训后评价与总结、修订救治方案等。比较两次演练效果（检伤分类时间、等待处置时间、第一诊断准确率、考评得分及工作效率）。结果两批伤员检伤分类时间、等待处置时间及第一诊断准确率均在参考范围内。考评得分及伤员满意率第二批高于第一批，差异有统计学意义（P ＜0．05）。两批次伤员救护效率均高于参考范围，差异有统计学意义（P ＜0．05）。结论分批组织局部战争条件下大批量重症伤员紧急救护模拟演练，能持续提高大批量重症伤员救护效率及医疗队人员综合素质。

Organization and Evaluation of Emergency Rescue Drilling for Massive Critically -Wounded Patients

Objective To discuss the organization and effectiveness of emergency rescue drilling for mas -sive critically -wounded patients in local wars .Methods A scenario where a large number of people were criti-cally wounded in local wars was designed by university experts .Two batches of medical teams were organized to conduct emergency rescue drilling , which included staff grouping and redeployment , materials and equipment prep-aration, training before the drilling and inference, drilling of emergency rescue process, evaluation and conclusion after the drilling, and revision of rescue schemes.Results of two drillings were compared, regarding time for tria-ging, time for disposal waiting, the first diagnostic accuracy rate , evaluation score, and working efficiency.Results Time for triaging, time for disposal waiting, and the first diagnostic accuracy rate of both batches fell within the ref -erence range.As for evaluation score and patient satisfaction rate , the second batch of medical team performed bet -ter than the first, which showed statistical significance (P <0.05).Rescue efficiency of both batches was above the reference range, which showed statistical significance (P <0.05).Conclusion Batched organization of emer-gency rescue drilling for massive critically -wounded patients in local wars can continuously improve the rescue ef -ficiency and comprehensive quality of medical staff .