All of this is standing on the side of the scoring team consisting of the director, the head of the nursing, and from time to time to record the score of each link. It is with severe on-site conditions for simulation training, is a vivid reproduction of the pre-hospital emergency process. 2004, Zhongshan City, the emergency network into the city's hospitals agreed to deploy command, so that the emergency department of the Chinese hospitals not only to serve the patient's direct rescue, but also to accept the city's "120" deployment. Especially with the economic and social development, the frequent increase in transportation, with the occurrence of traffic accidents, emergencies, public **** health incidents are increasing. In order to effectively do a good job of protecting people's lives, the emergency department's first aid capacity is particularly important. In the face of such a situation and requirements, the emergency department of Chinese medicine hospital to meet the difficulties, strong practice of basic skills. In particular, the application of on-site tracheal intubation, there is a certain degree of operational difficulty, job training becomes more important.
In recent years, the department of each medical staff to carry out a variety of first aid skills training, such as: single (double) cardiopulmonary brain resuscitation, the operation of the ventilator, deep vein cannulation, closed chest drainage; and ICU *** with the first aid related topics for lectures on cardiopulmonary resuscitation, respiratory support, circulatory support and other theoretical advances; our hospital admitted to the certain difficult cases, special cases Organize medical staff to study and discuss, so that everyone can improve in learning and perfect in practice. Moreover, the department has institutionalized the above measures, so that every medical and nursing staff can maintain the state of preparedness with good theory and good practice, thus strongly guaranteeing the combat power and stability of the emergency team. This drill is a comprehensive reflection of the emergency department's ability to provide first aid.
First aid training, especially the success rate of pre-hospital first aid has been the direction of the world medical community's efforts, in the past the United States a wide range of statistics cardiac arrest success rate of 1.2-1.8%, in recent years has been rising, up to 54%, which relies on the improvement of the patient's understanding of the scene to help, and more importantly, the specialized means of transport (helicopters, ambulances) to transport the emergency room doctor quickly in place and in the past can only be used in the hospital. The miniaturization of the emergency equipment that can only be used in hospitals has been widely put into the field application, which requires more on-site first aid skills and operation instruments of the emergency doctors. Chinese medicine hospital emergency department adhere to the people-oriented, strengthen the pre-hospital treatment work, the clinical death of patients do not give up, last year the scene for cardiopulmonary resuscitation more than 30 minutes 11 cases, the longest up to 2 hours, heartbeat resuscitation success in 3 cases. Such as 10.10.2005 22:40 minutes the first city of an 80-year-old man at home suddenly died call us out, 22:50 minutes Fu help doctors in place and carry out on-site cardiopulmonary resuscitation, defibrillation, endotracheal intubation, the use of respiratory and medication first aid, 23:09 minutes the heartbeat recovered, in the respiratory support to the hospital to continue to rescue, 23:50 minutes respiration recovered and was transferred to ICU to continue treatment and recovered from the hospital. He was transferred to ICU for further treatment and was discharged from the hospital. This reflects the development of modern medicine, both Chinese medicine and Western medicine put forward higher requirements. Rapidly adapting to the requirements of emergency medicine, people-oriented, improve the effectiveness of rescue, will increasingly highlight the new image of modern Chinese medicine.
Carrying out the first aid simulation exercise to improve the effectiveness of emergency services
In order to comprehensively test and examine the standardization and timeliness of the pre-hospital first aid work of our hospital's emergency department, and to further enhance the hospital's ability to deal with the emergency response to sudden public ****health incidents, in the afternoon of March 7, our hospital invited Zhang Guoli, the director of the city's 120 Command Center, Qin Xian Pu, the deputy chief of the Medical Affairs Section of the Municipal Health Bureau, Hou Jianhui, the deputy director of the Health Bureau, the Medical Affairs Section of the County, and the director of the Municipal Health Bureau. Hou Jianhui, deputy director of the county health bureau, medical administration chief Ji Zailiang, and hospital leaders Wu Lijun, Zheng Peilu, Feng Wenhua and medical department, nursing department, emergency department and other departments responsible for the composition of the emergency first aid exercise assessment team, were arrived near the Lingshan scenic area in order to simulate the "car accident patients" and "myocardial infarction patients "The form of the emergency department medical personnel on-site first aid ability to carry out field exercises and strict examination. At the same time, 4 p.m., but also special simulation "public **** health emergencies", the hospital emergency expert team members in place in a timely manner to carry out the exercise.
The exercise mainly examined the emergency department, hospital first aid expert group, and the clinical departments and other departments of the staff of the first aid out of the speed; first aid drugs equipped, record situation; migrant CPR operation, etc.; public **** health emergency first aid emergency situation.
15:00, in the first simulation location, the city 120 command center director Zhang opened our hospital emergency department 120 emergency telephone, "here is a car accident patients, please quickly to the Lingshan scenic area of the Hongwei reservoir below the roadside to". 15:15, an ambulance flashing sirens rushed to the car, followed by the car's The first step is to make sure that you have a good understanding of the situation, and that you have a good idea of what you are doing.
15:30, the second simulation location, "in the spiritual mountain scenic purple light pavilion has a tourist suddenly fainted, please quickly come to the rescue". 15:53, the emergency vehicle quickly arrived, and put into the "treatment of the sick".
16:00, the hospital office, "a chemical plant gas leakage, please quickly to the emergency department standby", then, an urgent "emergency" notice, in the hospital of the rescue expert group members conveyed. The ear, nose and throat department director Yan Zhongde was the first to rush to the emergency department, only used more than 1 minute. The last to arrive at the hospital took 9 minutes. The average time for each expert group member to be in place was 4 minutes. (Among them, Liu Yuzhong in Hebi meeting, Wang Benzhen, Gu Baoqin cell phone is off, not in time to place)
At the same time, the emergency department nurse Zang Mingxia received the "emergency" notification, and immediately called to notify all the rest of the staff at home to all the staff to the post. The earliest took 4 minutes, the furthest away from the hospital took more than 9 minutes, all the staff were on duty within 10 minutes.
After the end of the drill, the hospital promptly organized the relevant departments involved in the drill to hold a summary meeting to summarize the feedback on the drill. Vice President Feng Literature on behalf of the assessment team summarized: 1, the emergency department "120" clinic can be in the prescribed time in a timely clinic in place; 2, "120" clinic with a full range of resuscitation items, good performance, first aid medicines are fully equipped; 3, medical staff, drivers with in place, emergency disposal procedures. 3, medical and nursing staff, drivers with in place, emergency disposal procedures are clearer, more familiar with the rescue operation steps; 4, in the event of public **** health emergencies, members of the first aid expert group and the relevant departments to receive notification, can be in place in a timely manner. In addition, the exercise also found some problems and shortcomings: 1, some medical personnel, drivers are still not coordinated; 2, CPR procedures still need to be further skilled; 3, individual members of the group of experts to close the cell phone situation, and even have to contact the situation.
Summarizing the speech, the county health bureau deputy director Hou Jianhui that: the details determine success or failure, the county hospital emergency emergency drill, from receiving emergency calls out of the car, personnel to the post situation and the scene of the rescue procedures are more in place, standardized, the details have done a better job. At the same time, the future work, through this drill, pay attention to details, strengthen the efficiency, and further do a good job in emergency emergency work, for the county people's health to provide quality, fast service.
The hospital party branch secretary, President Wu Lijun that, through the simulation of the scene and the scene "save the patient", the hospital medical staff, members of the expert group and the relevant departments to carry out an emergency first aid and disposal of public **** health emergencies of the actual exercise, strengthened awareness of first aid, exercise first aid skills, the drill Overall the drill was good and relatively successful. At the same time, President Wu emphasized on the drill appeared in the medical personnel with less coordinated, less skilled resuscitation procedures and individual expert team members in place, requiring medical personnel to strengthen the emergency first aid basic skills training, strengthen the coordination and cooperation, in the event of a public **** health emergencies, to ensure that the first aid team to pull out, to take down.
The drill, received the expected purpose, test the emergency first aid team, was unanimously recognized by the assessment team, especially the city "120" Command Center Zhang Guoli, director of the full supervision of the drill was highly evaluated, he believes that through this drill, to further test the Qixian People's Hospital medical staff's overall emergency response capabilities and on-site first aid level. Through this drill, he believed that it further tested the overall emergency response ability and on-site first aid level of medical staff of Qixian People's Hospital, strengthened the awareness of on-site first aid, and comprehensively demonstrated the emergency and first aid ability of the county hospital, the overall response speed and efficiency of departmental cooperation.