社会经济的发展对院前急救提出了更高的要求。近年来,我国大城市院前急救已有明显改善,而省属地、市等级小城市院前急救却面临许多问题亟待解决。1 目前省属地、市、州级小城市院前急救现状1.1 大部分省属地、市、州院前急救开通了“120”电话,但却附设在地、市、州级医院内,依托该院,主要的日常院前急救由急诊科承担。1.2 由于各地、市、州级综合医院,以及更基层的不同层次医 The socio-economic development put forward higher requirements for pre-hospital emergency care. In recent years, prehospital first aid has been significantly improved in the big cities in our country, while the prehospital first aid in provincial cities and municipalities is facing many problems to be solved urgently. 1 present provincial, municipal and state-level city before the emergency status quo 1.1 Most provinces, municipalities and prefectures emergency opened “120 ” phone, but it is attached to the city, state hospital , Relying on the hospital, the main daily pre-hospital emergency room by the emergency department. 1.2 As a result of local, municipal and state-level general hospitals, as well as more grassroots levels of medical treatment