Staffing of prehospital emergency care

China's pre-hospital medical institutions are hierarchical medical networks. Due to the different functions and tasks that medical institutions at all levels have, the staffing ratio standards are also different. The principle of staffing is to implement different methods of staffing management according to different institutions and different functions and tasks, in order to ensure that the pre-hospital emergency care functions are activated, normally operated, and the tasks are accomplished. The pre-hospital medical staffing focuses on the establishment principle of streamlining and efficiency, reasonable structure, and meeting the emergency needs.

1. Ambulance equipment

Ambulances generally have two types: ordinary and critical care type (or mobile intensive care type, MICU).

Ordinary type ambulance equipment is simple, with oxygen supply device, first aid box, antidote box, hemostatic kit, trauma kit, umbilical cord kit and other drugs and equipment.

Guardian ambulance in addition to ordinary ambulance equipment, but also with cardiac monitoring, defibrillation, pacing devices, tracheal intubation, suction, intravenous infusion, a variety of emergency drugs, some also have automatic respiratory, chest cardiac compression machine, oxygen saturation meter and automatic blood pressure meter.

2. Staffing

Ordinary ambulance by the physician or emergency medical doctor, nurse, driver each composed of one.

Critical care ambulance at least by a physician, a specialist emergency physician, a nurse, a driver, can also add a stretcher.

3. The basic requirements of pre-hospital emergency nurses

Pre-hospital emergency ambulance soil should be nursing college graduates, after 1 to 2 years of clinical specialty rotational learning, and then participate in pre-hospital emergency nursing. Emergency nurses should master the basic skills include:

① Master the basic and advanced life first aid basic theory and operational techniques.

② Master the mechanism of pre-hospital emergency drugs, the application of dosage and observation points of the exam website.

③ Master the causes, pathology, symptoms and signs of common emergencies in pre-hospital emergency patients, and be able to skillfully cooperate with doctors to complete the scene treatment.

④ Master the use of all the equipment in the ambulance, such as defibrillators, monitors, ventilators, electrocardiographs and so on.

⑤ In the execution of the rescue mission, must obey the unified order, not to leave the post, ready to solve the needs of the patient.