ISSN 2097-6046（网络）
ISSN 2096-7446（印刷）
CN 10-1655/R
主管：中国科学技术协会
主办：中华护理学会
中华急危重症护理杂志

中华急危重症护理杂志 >

2023 , Vol. 4 >Issue 3: 281 - 285

DOI: https://doi.org/10.3761/j.issn.2096-7446.2023.03.018

综述

三级联动管理模式下医联体内院前急救培训研究现状及展望

  • 杨桂云 ,
  • 张秀华 ,
  • 蔡辉 ,
  • 韩琳 ,
  • 刘金萍
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  • 830011 乌鲁木齐市 新疆医科大学护理学院（杨桂云）; 新疆医科大学附属肿瘤医院院办（张秀华）; 甘肃省人民医院院办（蔡辉,韩琳）,护理部（刘金萍）
杨桂云：女,本科（硕士在读）,主管护师,E-mail：1090370642@qq.com

收稿日期: 2022-08-15

  网络出版日期: 2023-03-07

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Current situation and prospect of pre-hospital first aid training within medical union under three-level linkage management mode

  • YANG Guiyun ,
  • ZHANG Xiuhua ,
  • CAI Hui ,
  • HAN Lin ,
  • LIU Jinping
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Received date: 2022-08-15

  Online published: 2023-03-07

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摘要

院前急救是指在医院之外的环境中对各种危及生命的急症、创伤、中毒、灾害事故等伤病者进行现场救护、转运及途中救护的统称,即从患者发病或受伤开始到医院就医之前这一阶段的救护。该文综述了院前急救培训现状,提出综合医院、医联体、高速公路从业人员三级联动培训方式,为高速公路从业人员提供全面、便捷的院前急救培训。

关键词： 急救医疗服务; 综合医院—医联体—高速公路服务区; 三级联动; 急救模式; 急救培训

本文引用格式

杨桂云 , 张秀华 , 蔡辉 , 韩琳 , 刘金萍 . 三级联动管理模式下医联体内院前急救培训研究现状及展望[J]. 中华急危重症护理杂志, 2023 , 4(3) : 281 -285 . DOI: 10.3761/j.issn.2096-7446.2023.03.018

Abstract

Pre-hospital emergency care refers to the field rescue,transportation and on-way rescue for all kinds of life-threatening emergencies,trauma,poisoning,disasters and accidents in the environment outside the hospital,that is,the rescue from the onset or injury of the patient to the hospital for medical treatment. This article reviews the current status of pre-hospital first aid training,and proposes a three-level linkage training mode for employees from general hospitals,medical alliances and expressways to provide comprehensive and convenient pre-hospital first aid training for highway workers.

Key words： Emergency Medical Services; General Hospital-Medical Union-Expressway Service Area; Three Level Linkage; Emergency Mode; First Aid Training

参考文献

[1] Wang DD.The evolution of safety-adjusted transportation efficiency for the road system in China[J]. Accid Anal Prev,2021,160:106300.
[2] 万明,吴倩,严利鑫,等. 道路交通安全研究的现状与热点分析[J]. 交通信息与安全,2022,40(2):11-21,37.
Wan M,Wu Q,Yan LX,et al.A review of current situation and hot spots of road safety research[J]. J Transp Inf Saf,2022,40(2):11-21,37.
[3] 马莉,郝江,丁亚琴,等. 制定批量车祸伤员早期急救程序提高未来作战保障能力[J]. 西南国防医药,2011,21(6):669-670.
Ma L,Hao J,Ding YQ,et al.To formulate early first aid procedures for the injured in mass traffic accidents to improve the ability of future combat support[J]. Med J Natl Defending Forces Southwest China,2011,21(6):669-670.
[4] 凌云霞,郭建梅,商艳霞,等. 高速公路交通伤院前急救模式现状及对急救知识培训的启示[J]. 护理管理杂志,2014,14(4):252-253.
Ling YX,Guo JM,Shang YX,et al.Status of pre-hospital emergency mode of highway traffic injuries and its enlightenment on training of first aid knowledge[J]. J Nurs Adm,2014,14(4):252-253.
[5] Chokotho L,Mulwafu W,Singini I,et al.First responders and prehospital care for road traffic injuries in Malawi[J]. Prehosp Disaster Med,2017,32(1):14-19.
[6] Sasson C,Rogers MAM,Dahl J,et al.Predictors of survival from out-of-hospital cardiac arrest:a systematic review and meta-analysis[J]. Circ Cardiovasc Qual Outcomes,2010,3(1):63-81.
[7] 孙新华. 加强120急救中心院前急救医疗服务体系的管理研究[J]. 世界最新医学信息文摘,2019,19(96):288,290.
Sun XH. Strengthen the management of pre-hospital emergency medical service system in 120 emergency center[J]. World Latest Med Inf,2019,19(96):288,290.
[8] 郭攀峰,王建国. 院前急救知识与急救技能培训现状及展望[J]. 蚌埠医学院学报,2017,42(3):418-420.
Guo PF,Wang JG.Current situation and prospect of pre-hospital first aid knowledge and skills training[J]. J Bengbu Med Coll,2017,42(3):418-420.
[9] 张波,桂莉. 急危重症护理学[M]. 北京:人民卫生出版社,2017:12.
Zhang B,Gui L.Emergency and critical care nursing[M]. Beijing:People's Medical Publishing House,2017:12.
[10] Pozner CN,Zane R,Nelson SJ,et al.International EMS systems:the United States:past,present,and future[J]. Resuscitation,2004,60(3):239-244.
[11] 刘静,郝艳华,吴群红,等. 院前急救模式与急救人员岗位培训国内外比较分析[J]. 中国卫生资源,2013,16(1):30-32.
Liu J,Hao YH,Wu QH,et al.Comparative analysis of pre-hospital first aid mode and first aid personnel training at home and abroad[J]. Chin J Health Resour,2013,16(1):30-32.
[12] 陈飞,钟竑. 欧美创伤急救体系的发展与现状[J]. 创伤外科杂志,2014,16(2):170-172.
Chen F,Zhong H.Development and present status of trauma care system in Europe and North America[J]. J Trauma Surg,2014,16(2):170-172.
[13] 李梦涵,李恒,付航,等. 国外院前公众急救模式对比及借鉴[J]. 重庆医学,2021,50(4):704-707.
Li MH,Li H,Fu H,et al.Comparison and reference of foreign pre-hospital public emergency modes[J]. Chongqing Med,2021,50(4):704-707.
[14] 杨宇宸,张华,王慧,等. 国外OHCA第一响应人调度系统发展现状及启示[J]. 中国急救复苏与灾害医学杂志,2022,17(1):126-129.
Yang YC,Zhang H,Wang H,et al.Development status and enlightenment of ohca first responder scheduling system in foreign countries[J]. China J Emerg Resusc Disaster Med,2022,17(1):126-129.
[15] 王小刚,陈志,赵晔,等. 院前创伤急救及心肺复苏技能培训效果分析[J]. 中国临床医生杂志,2021,49(8):1006-1008.
Wang XG,Chen Z,Zhao Y,et al.Effect analysis of pre-hospital trauma first aid and cardiopulmonary resuscitation skills training[J]. Chin J Clin,2021,49(8):1006-1008.
[16] 刘晖,王韧,高丁,等. 院前医疗急救转运工作中标准化体系建设探索[J]. 中华医院管理杂志,2020,36(10):876-880.
Liu H,Wang R,Gao D,et al.Study on the development of the standardi-zed system of pre-hospital rescue and transfer[J]. Chin J Hosp Adm,2020,36(10):876-880.
[17] 李爽. 院外心搏骤停数据库构建及基于MCLP的急救资源优化配置与策略研究[D]. 上海:中国人民解放军海军军医大学,2019.
Li S.The construction of out-of-hospital cardiac arrest database and the research on optimal allocation and strategy of emergency resources based on MCLP[D]. Shanghai:Navy Medical University,2019.
[18] 刘鑫. 国外好撒玛利亚人法及对我国的立法启示[J]. 法学杂志,2017,38(9):44-53.
Liu X.The good Samaritan law in foreign countries and its legislative inspiration to China[J]. Law Sci Mag,2017,38(9):44-53.
[19] 李菲娅,姚秋艳,宋春秀,等. 院前急救知识、培训现状调查研究:以邢台市为例[J]. 世界最新医学信息文摘(连续型电子期刊),2020,20(23):164-165.
Li FY,Yao QY,Song CX,et al.Investigation and research on knowledge and training status of pre-hospital first aid-taking Xingtai city as an example[J]. World Latest Med Inf,2020, 20(23):164-165.
[20] 郑永先,张珊,王加充. 海南省非医学类大学生院前急救教育现状及需求调查分析[J]. 海南医学,2022,33(6):799-801.
Zheng YX,Zhang S,Wang JC.Investigation and analysis on the present situation and demand of pre-hospital first aid education for non-medical college students in Hainan Province[J]. Hainan Med J,2022,33(6):799-801.
[21] 周旭,黄玲玲,唐凤,等. 养老护理员院前急救能力现状调查[J]. 医学信息,2021,34(5):154-157.
Zhou X,Huang LL,Tang F,et al.Survey on the status quo of the prehospital first aid ability of nursing staff[J]. J Med Inf,2021,34(5):154-157.
[22] 王宗华,杨漾. 非医学专业大学生急救知信行现状的调查研究[J]. 西南国防医药,2020,30(2):176-178.
Wang ZH,Yang Y.Investigation on knowledge,attitude and practice among non-medical college students[J]. Med J Natl Defending Forces Southwest China,2020,30(2):176-178.
[23] 王霞,李聪,吴茜,等. 长沙市在校大学生心肺复苏知信行现状调查与分析[J]. 全科护理,2020,18(19):2436-2440.
Wang X,Li C,Wu Q,et al.Investigation and analysis of knowledge,attitude and practice of cardiopulmonary resuscitation among college students in Changsha[J]. Chin Gen Pract Nurs,2020,18(19):2436-2440.
[24] 周怡宏,沈明泓. 幼儿意外事故急救处理现状及对策研究[J]. 齐齐哈尔师范高等专科学校学报,2022(2):81-83.
Zhou YH,Shen MH.Build a "three-dimensional cooperation mode" to strengthen the emergency treatment of children's accidents[J]. J Qiqihar Teach Coll,2022(2):81-83.
[25] 张欣欣,韩国杰,柴宇霞,等. 地铁员工急救认知及培训需求现状调查[J]. 全科护理,2021,19(11):1564-1567,1572.
Zhang XX,Han GJ,Chai YX,et al.The investigation of the cognition and training needs of first aid among metro staff[J]. Chin Gen Pract Nurs,2021,19(11):1564-1567,1572.
[26] 骆建文,吴国新,邓纯,等. 佛山市南海区群众院前急救知识、态度与行为的现状调查[J]. 中国当代医药,2020,27(10):174-176,181.
Luo JW,Wu GX,Deng C,et al.Investigation on current situation of pre-hospital first aid knowledge,attitude and behaviors of the masses in Nanhai District of Foshan City[J]. China Mod Med,2020,27(10):174-176,181.
[27] 彭琦,董建新,李晓军,等. 院前急救培训模式的构建与评价[J]. 中国卫生产业,2017,14(16):27-29.
Peng Q,Dong JX,Li XJ,et al.Construction and evaluation of pre-hospital emergency training model[J]. China Heal Ind,2017,14(16):27-29.
[28] 熊勇超,张晓华,赵建忠. 国内外公众红十字应急救护培训课程体系对比研究[J]. 中国公共卫生管理,2021,37(4):554-556,559.
Xiong YC,Zhang XH,Zhao JZ.Comparative study on the public first aid training curriculum system of Red Cross at home and abroad[J]. Chin J Public Heal Manag,2021,37(4):554-556,559.
[29] Gee TH.Establishment of a communitywide EMS first-responder program[J]. J Healthc Manag,2007,52(3):206-210.
[30] 徐芳,徐忠勇,王飞. 中国院前急救采用法国模式的可行性分析[J]. 中国全科医学,2010,13(32):3656-3658.
Xu F,Xu ZY,Wang F.Feasibility of using France's prehospital emergency pattern in China[J]. Chin Gen Pract,2010,13(32):3656-3658.
[31] 何美娟,许玲玲,马明丹,等. 国内外院前急救的现状[J]. 护理管理杂志,2016,16(1):24-26.
He MJ,Xu LL,Ma MD,et al.Status of pre-hospital emergency medical service in China and abroad[J]. J Nurs Adm,2016,16(1):24-26.
[32] 陈垣丞. 院前急救知识与急救技能培训现状及展望[J]. 中西医结合心血管病电子杂志,2018,6(28):33.
Chen YC.Current situation and prospect of pre-hospital first aid knowledge and skills training[J]. Cardiovasc Dis J Integr Tradit Chin West Med,2018,6(28):33.
[33] 李如涛. 院前急救人力资源规范化管理及继续教育机制[J]. 中国继续医学教育,2022,14(1):171-174.
Li RT.Standardized management and continuing education mechanism of pre hospital emergency human resources[J]. China Continuing Med Educ,2022,14(1):171-174.
[34] 刘广涛,胡建,蒋磊,等. 5G技术在城市院前急救的应用[J]. 中国农村卫生,2022,14(2):64-66.
Liu GT,Hu J,Jiang L,et al.Application of 5G technology in urban pre-hospital emergency care[J]. China Rural Heal,2022,14(2):64-66.
[35] Charlton NP,Pellegrino JL,Kule A,et al.2019 American heart association and American red cross focused update for first aid:presyncope:an update to the American Heart Association and American red cross guidelines for first aid[J]. Circulation,2019,140(24):e931-e938.
[36] 许臻晔,蒋婕,韩意,等. 基于院前急救心肺复苏执行现况对院前急救人员构架建设及专业培训的探讨[J]. 中华灾害救援医学,2021,9(1):728-732.
Xu ZY,Jiang J,Han Y,et al.Discussion on the construction of pre-hospital emergency personnel framework and professional training based on the current situation of pre-hospital emergency cardiopulmonary resuscitation(CPR)[J]. Chin J Disaster Med,2021,9(1):728-732.
[37] 袁颖,耿力. 院前急救调度员培训现状及启示[J]. 护理学杂志,2017,32(10):96-99.
Yuan Y,Geng L.Review of training for emergency medical dispatcher and its enlightenment[J]. J Nurs Sci,2017,32(10):96-99.
[38] 覃燕,杨尚霖,邓钟燕,等. 胸部损伤急救思维虚拟仿真训练平台的构建与应用[J]. 中国医学教育技术,2021,35(5):583-587.
Qin Y,Yang SL,Deng ZY,et al.Construction and application of virtual simulative training platform of chest injury first-aid thinking[J]. China Med Educ Technol,2021,35(5):583-587.
[39] 赵位东. 医联体背景下医疗资源配置优化研究:以重庆市南岸区为例[D]. 重庆:重庆师范大学,2021.
Zhao WD.Research on optimization of medical resources allocation in the context of medical association:a case study of Nan'an district,Chongqing[D]. Chongqing:Chongqing Normal University,2021.
[40] 李园园,丁韵,范小明,等. 南疆医联体内护士脑卒中院前急救的同质化培训及效果评价[J]. 中华急危重症护理杂志,2021,2(4):304-308.
Li YY,Ding Y,Fan XM,et al.Homogenous training of pre-hospital stroke first aid for nurses in southern Xinjiang medical alliance and effect evaluation[J]. Chin J Emerg Crit Care Nurs,2021,2(4):304-308.
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