Objective To discuss the injury triage and process during large scale transportation of the wounded during earthquake by understanding injury severity and detecting vital signs of the woun-ded needing long distance transportation in Wenchuan earthquake. Methods Second medical rescue team of Beijing Health Administration finished transportation of 197 patients including 106 males and 91 females at age range of 6-81 years (average 37.5 years). During whole transportation process, we carried out 2 examinations, 4 checkouts and 1 scoring twice per patient and strengthened close collaboration a-mong different sub-transportation teams. Results Of 197 patients, 194 were smoothly transported ex-cept for three who returned to original hospital due to unstable situation on the way of transportation. Of successfully transported patients, 13 stated complaints including pain of affected extremity in seven pa-tients with fractures, chest distress and short breath in two with crush syndrome, aggravated chest pain in two with crush injury of the chest as well as dizziness and sicchasia in two during the course of transporta-tion. In the meantime, monitoring of vital signs and symptomatic treatment were done in all 13 patients who stated complaints. Conclusions Sufficient preparation, strict medical examination, sound medi-cal collaboration, understanding of injury condition, necessary monitoring and treatment, active communi-cation with patients and detailed relay are preconditions to guarantee successful transportation during large scale transportation of the wounded caused by earthquake.%目的 通过对四川汶川大地震中需要长途转运伤员病情的了解和生命体征的检测,探讨地震期间大规模伤员转运的伤检与流程特点. 方法 北京市卫生局赴四川抗震救灾救护转运队第二分队共接收转运伤员197例,其中男106例,女91例;年龄6～81岁,平均37.5岁.在整个转运过程中,行2次"两查四对一评分";并在转运途中保持各医疗小组间的密切合作. 结果 197例伤员中,194例安全转运,3例伤员在接收时因病情不稳定送回原医院继续治疗.转运的194例伤员中,181例病情平稳,未诉不适,7例骨折伤员在搬运及车辆行进中诉患肢疼痛,2例挤压综合征伤员诉胸闷、气短,2例胸部挤压伤的伤员因路途颠簸而加重胸部疼痛,另外2例伤员诉头晕,恶心.所有不适伤员均给予生命体征监测及对症治疗. 结论 在地震期间大规模转运伤员时,充分的准备、严格的伤检及良好的医护配合,是完成安全转运的保证.转运途中,各医疗小组间密切合作,对伤员伤情的详细了解,必要的监护及治疗,充分的医患交流及认真详尽的后期交接足伤员成功转运的关键.
展开▼
