Pre-hospital emergency medical service.
Pre-hospital emergency medical service refers to the emergency medical service of the patients with acute and serious illnesses outside the hospital, and the broad sense of pre-hospital emergency medical service refers to the emergency resuscitation of the patients by the health care personnel or the witnesses on the spot at the time of the onset of the disease, while the narrow sense of the pre-hospital emergency medical service means With communication equipment, transportation and medical basic elements of the composition of the professional emergency agencies, in the patient before arriving at the hospital to implement the scene of rescue and on the way to monitor the medical activities.
All over the country, according to the local situation to choose the mode, Beijing, Shanghai, Wuhan, Tianjin, Kunming City Emergency Medical Center is an independent mode, Chongqing Emergency Medical Center is a dependent mode, the county-level first aid station is often dependent mode, and Guangzhou City, Shenzhen City, Chengdu City Emergency Medical Center is a command mode.
Pre-hospital emergency care is crucial for patients suffering from sudden illness or accidental trauma, and even relates to the continuation of the patient's life. For ordinary people, it is likely to be the first to find the rescuer, therefore, it is also necessary to understand the concept of pre-hospital emergency care and some of the basic principles of treatment.
The steps to be taken in pre-hospital first aid are: cardiopulmonary resuscitation (CPR), hemostatic bandages, immobilization of the torso and limbs, and then transportation to the ambulance. Especially for the spinal injury and fracture of the injured, in the absence of immobilization of the case of transport, very easy to lead to secondary injuries, serious injury may lead to paraplegia or internal hemorrhage, excessive bleeding will be death.
Four modes of operation of pre-hospital emergency care:
1, independent mode, refers to the management and operation of the emergency center is completely separate and has the qualification of a legal entity, the financial independence of the accounting, from the acceptance of the emergency call to the patient delivered to the hospital by the emergency center is responsible for.
2, dependent mode, from the management system, the emergency center belongs to an independent body, but located in the hospital, part of the emergency personnel, ambulances, emergency equipment and financial expenditure on hospitals to solve the problem by the government and hospitals *** with the inputs to solve the center's operating costs.
3, dependent mode, not as an independent organization, not only located in the hospital, and emergency personnel, ambulances, emergency equipment and funding all rely on the hospital to solve, belonging to a department of the hospital.
4, command model, the emergency center is an independent legal entity, but the function is only to accept emergency calls, scheduling and commanding other hospital ambulances and personnel to the scene of the emergency.