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目的:探讨大型舰船航行中遇自身突发事件如何开展医学救援,以获得平战时的最佳救治效果。方法:采集大型舰船海上航行30余次综合医护救援演练资料,分类对比演练时的伤情及急救处理程序、重要环节把握,以及医护人员随机应变能力,并对烧伤、溺水后心搏骤停、复合伤导致的休克等演练救治过程进行重点分析。结果:接到救治指令后,医护人员均能第一时间到达急救现场,实施救治时有4例次由于过分强调场地狭小、患者体位等因素而延误实施救治时间;3例次对溺水患者救治使用喉罩通气错误,1例次对烧伤后休克的扩容概念不清,2例次失血性休克救治时缺少静脉切开包。结论:大型舰船航行应对自身突发事件,需要更加规范地培训及制定行之有效的救治预案。
Objective: To explore how to carry out medical rescue in the event of a large ship sailing in order to obtain the best treatment effect during peacetime wartime. Methods: The data of more than 30 comprehensive medical aid exercises for large ships and sea voyage were collected. The injuries and first aid treatment procedures, the grasping of important links and the random response ability of medical staff were compared. Multiple injuries caused by shock and other drills and salvage process focus analysis. Results: After receiving the treatment instruction, all the medical staff could reach the emergency scene as soon as possible. Four times during the treatment, the treatment time was delayed due to the over-emphasis on the small space and the position of the patient. Three cases were used to treat the drowning patients Laryngeal mask ventilation error, 1 case of shock on the concept of expansion of the concept of ambiguity, 2 cases of hemorrhagic shock when the lack of venous incision package. Conclusion: Large ships sailing to cope with their own emergencies need to be more standardized training and to develop effective treatment plan.