Preparation for Pre-Hospital Transference after Earthquake_Chinese Journal of Evidence-Based Medicine

Authors：

JIANG Zhen ¹ , YAO Rong ¹ , WANG Ling ¹ , ZHANG Zhi ¹ , LIAO Zhonghua ¹ , LI Dajiang ² , ZHANG Weidong ² , ZENG Zhi ³ ,  CAO Yu ¹

1. Emergency Department, West China Hospital, Sichuan University, Chengdu 610041, China;2. Department of Medical Affairs, West China Hospital, Sichuan University, Chengdu 610041, China;3. Department of Internal Medicine, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

CAO Yu, Email: dr.yu.cao@gmail.com

Keywords：

Wenchuan earthquake; First-aid; Pre-hospital transference; Rescue material

DOI：

10.7507/1672-2531.20080166

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Objective　 To investigate the transferring methods of earthquake casualties accepted by the Department of Emergency, discuss the requirement for rescue materials in pre-hospital transference and provide information for transferring casualties after disasters in future.
Methods　 Traumatic types and conditions of the wounded admitted by the Department of Emergency of West China Hospital within 3 weeks after Wenchuan earthquake,were collected. The characteristics of the wounded transferred by ambulances and helicopters were analyzed.
Results　 Of the 2 338 wounded, ambulances transferred the most accounting for 60.56%, helicopter transferred 13.47%, and the other transport modes took up 25.96%. As for the macrotraumas, ambulances transferred more than helicopter and other transport mode did (P lt;0.05), while there was no statistical significance between helicopters and other transport modes(P gt;0.05).
Conclusion　 After the disaster, a field first-aid command system should be immediately established, casualties should be triaged concisely, an appropriate transference mode should be decided according to the degree of injuries and sufficient rescue materials should be provided based on different transference modes.

Citation： JIANG Zhen,YAO Rong,WANG Ling,ZHANG Zhi,LIAO Zhonghua,LI Dajiang,ZHANG Weidong,ZENG Zhi,CAO Yu. Preparation for Pre-Hospital Transference after Earthquake. Chinese Journal of Evidence-Based Medicine, 2008, 08(9): 734-737. doi: 10.7507/1672-2531.20080166 Copy

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9.	Schultz CH. Conscious sedation in the emergency department. West J Med, 1993, 159: 600-601.
10.	Chen KT, Chen WJ, Malilay J, et al. The Public Health Response to the Chi-Chi Earthquake in Taiwan, 1999. Public Health Rep, 2003, 118(6): 493-499.
11.	黄丽婷, 阎成美, 宋斌. 战伤空运后送救护特点. 解放军护理杂志, 2008, 25: 72-73.
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13.	徐相瑞, 马晓鸥, 徐功志, 等. 直升机飞行中舱内医疗急救的实施. 中华急诊医学杂志, 2002, 11: 208.

1. Super G, Groth S, Hook R, et al. START: simple triage and rapid treatment plan. Newport Beach, Calif.: Hoag Memorial Presbyterian Hospital, 1994.
2. Aufder Heide E, ed. Disaster response: principles of preparation and coordination. St. Louis: C.V. Mosby, 1989.
3. Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med, 1996, 334: 438-444.
4. Benson M, Koenig KL, Schultz CH. Disaster triage: START, then SAVE: a new method of dynamic triage for victims of a catastrophic earthquake. Prehosp Disaster Med (in press).
5. Chan YF, Alagappan K, Gandhi A, et al. Disaster management following the Chi-Chi Earthquake in Taiwan. Prehosp Disast Med, 2006, 21(3): 196–202.
6. Schultz CH, DiLorenzo RA, Koenig KL, et al. Disaster medical direction:a medical earthquake response curriculum. Ann Emerg Med, 1991, 20: 470-471. abstract.
7. Black JJM, Ward ME, Lockey DJ. Appropriate use of helicopters to transport trauma patients from incident scene to hospital in the United Kingdom: an algorithm. Emerg Med J, 2004, 21: 355-361.
8. Warren J, Fromm RE Jr, Orr RA, et al. Guidelines for the inter- and intrahospital transport of critically ill patients. Crit Care Med, 2004 Jan, 32(1): 256-262.
9. Schultz CH. Conscious sedation in the emergency department. West J Med, 1993, 159: 600-601.
10. Chen KT, Chen WJ, Malilay J, et al. The Public Health Response to the Chi-Chi Earthquake in Taiwan, 1999. Public Health Rep, 2003, 118(6): 493-499.
11. 黄丽婷, 阎成美, 宋斌. 战伤空运后送救护特点. 解放军护理杂志, 2008, 25: 72-73.
12. Kianoush BK, Christopher JF. The support of severe respiratory failure beyond the hospital and during transportation. Current Opinion in Critical Care, 2006, 12: 43-49.
13. 徐相瑞, 马晓鸥, 徐功志, 等. 直升机飞行中舱内医疗急救的实施. 中华急诊医学杂志, 2002, 11: 208.

Chinese Journal of Evidence-Based Medicine

Preparation for Pre-Hospital Transference after Earthquake

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