目的介绍上海“11.15”特大火灾成批伤员医院内救护模式,分析本模式在城市成批伤救护中的运用效果。方法回顾性调查承担主要救治任务的某二级甲等医院的医护人员共5名,采用查看病历、问卷调查和半结构访谈等方法,获取医院及伤员基本资料、院内救护展开模式、伤员转归及医护人员评价。结果该院共接收56例伤员,以吸入性损伤为主。医院采用的是“以急诊科为主组织院内抢救,院领导协调救护资源调配”的救护模式,以及“病房作为急诊的大后方,二三级医院联合救助”的伤员分流模式。伤员预后良好,救护人员整体评价好。结论本次医院所采取的医院内外协作救护模式值得借鉴,但还需加强应急分队和制度建设、优化流程等措施,以提高医院对于成批伤的救护能力。 Objective To introduce the hospital-based rescue model of the “11.15” large-batch fire in Shanghai and analyze the application effect of this model in the city-based batch injury rescue. Methods A total of 5 medical staff were enrolled in a class A first-class hospital which undertook the main task of treatment. The medical records of the hospital and wounded were obtained by using medical records, questionnaires and semi-structured interviews. And medical staff evaluation. Results The hospital received a total of 56 cases of casualties, mainly to inhalation injury. The hospital adopted “ambulance-based emergency rescue hospital-based hospital rescue, hospital leaders coordinate the deployment of ambulance resources,” the ambulance model, and the “ward as the rear of the emergency department, the joint rescue of 23 hospitals” casualties mode. The wounded have a good prognosis, and the overall evaluation of the ambulance staff is good. Conclusions This hospital should take reference from the internal and external cooperation and rescue modes in hospitals. However, measures such as emergency units, system construction and process optimization should be strengthened so as to improve the hospital’s ability to rescue batches of wounds.