120 pre-hospital emergency, the front of the variables too much, too much.
Some time ago, Shanghai, an emergency doctor "borrow not borrow" defibrillator events, it is lamentable, saddened: March 30, Shanghai, a 120 ambulance out of the mission, encountered a nearby asthma patients onset of medical staff refused to lend defibrillator to the helper, after the patient by the rescue invalid death of a hot debate. March 31, Shanghai Pudong New District Health Commission released the investigation of the incident, said the doctor in question at that time, although there is an emergency rescue mission in the body, but the disposal of improper, has been made to deal with the suspension of duty. In addition, the Shanghai Pudong New District Health Committee of the patient's death y saddened, the emergency doctor due to inexperience, improper disposal failed to lend a car defibrillator in time to save the patient y sorry.
Later, the family members of the old man who died of asthma in Shanghai spoke out through a media platform, describing the incident in detail at the same time, saying, "We should focus on exploring how medical resources are allocated under the epidemic."
The price paid by the doctors involved is heavy and not painful!
Because we are 120 emergency team members, more empathy.
This reminds us of a real case around us.
A night out of 120, Dr. Li and Nurse Huang out of the car, to a nearby county hospital to pick up a patient with a fractured upper arm.
Because it is in the county hospital to pick up the patient, this fracture patient has done the preliminary treatment, the upper arm fracture part of the splint, and with a bandage hanging in the chest.
This is a good trip to do the job, the patient is awake, the upper arm fracture, other parts are fine, can walk up to the car, the injured with an ambulance to pull back to the hospital on the line.
The matter is also quite smooth, and soon arrived at the county hospital, received a fracture patient, the ambulance back to the hospital.
Just into the city, the ambulance is speeding before the sudden break out of a person, eager to ambulance waving!
It turned out that there is a seriously injured car accident victims lying on the side of the road, dying, hit-and-run car!
What to do?
Dr. Lee is new, did not go through the matter, scared and surprised. The nurse is quite sophisticated. But also froze there, not knowing what to do.
Before, which has encountered this kind of thing ah?
However, the stopper is not to say, do not listen to the car has a patient, just eager to ask the medical staff to save, because, the injured coma, fast dying?
The medical staff get off to see, the injured suffered a traffic accident trauma, bloody, coma state, serious craniocerebral injury!
Can not see death to save ah, besides, you just do not want to save, blocking the car will not stop, because, this is a human life!
No time to think, immediately on the shovel stretcher, stretcher car! Ambulance sirens blaring, carrying the critically injured, in the car, medical on the injured oxygen, bleeding, bandage ...... ambulance to the injured transferred to the nearest central hospital.
Out of the scene of the medical staff heart clear, the chances of survival of this injured is very slim.
I don't want to do so much, save lives and help the injured, fulfill the duties of the doctor is, fortunately, the first to receive the female injured less serious, but in the ambulance to see the scene, is also very scared!
As the situation was urgent, the medical staff transferred the seriously injured to the central hospital, only to worry about the hospital general duty to make a phone call, the next morning meeting, only to the section director of the head nurse to report on the experience of this section of the rescue.
At that time, the scene, you do not save also have to save, save also have to save!
To this day, this nighttime experience is still frightening.
A realistic proposition, 120 emergency on the way, the road met non-120 emergency mission, how to do?
In the above case, the medical staff on the way to the clinic, encountered a critical patient, in order to protect the safety of the former on the basis of the later referral of the critically injured, not to dishonor the mission, to maintain the stability of the community, the patient's safety.
Back to the main topic.
120 emergency on the way, road meet non-120 emergency mission, how to do?
There are ready-made work systems, regulations to follow.
The author of the urban "120 emergency station management system" has clear instructions: first aid on the way to the rescue object is not allowed to change without authorization, if the new rescue object condition is really critical, it should be promptly reported to the emergency command center, agreed to change only after. In case of damage to the ambulance or traffic accidents can not be exercised, should be promptly reported to the emergency command center, requesting another ambulance.
This is a city's "ambulance non-dispatch treatment demand disposal guidelines", very useful.
1, the non-dispatched treatment demand interception in the destination, should first assess the urgency and severity of the original mission, should first ensure that the original emergency treatment out of the mission.
2, in the return trip occurs non-dispatch treatment demand intercept, should ensure that the ambulance patient safety.
3, in the same degree of urgency and severity, should prioritize the disposal of the original out of the car task.
4, when the occurrence of non-dispatch treatment demand leads to the ambulance can not leave the scene, should be reported to the command center in a timely manner, to obtain scheduling support.
5. Changes to the dispatch task should be obtained from the command center scheduling instructions.
There is also a corresponding flow chart to guide the first aid team members to better guarantee the completion of the emergency mission.