目的 探讨优化核事故伤员分类处置流程的路径.方法 根据核事故医学救援任务特点规律以及核事故医学救援队编配实际,对现有流程进行重组设计.结果 将伤员由多种类型整合为4种类型,通过流程优化为:A1型伤员通过3个环节、A2型伤员通过4个环节、B1型伤员通过3个环节、B2型伤员通过2个环节;分类工作流程优化至2个环节;处置工作流程得到进一步明确.结论 伤员分类工作贯穿于救援行动的全过程,应当在最优化的流程基础上,细化明确各组室和岗位的职责分工,并在实际建设过程中加以实证和改进.%Objective To explore routes for the optimization of casualty triage flow in urgent medical support of nuclear acci -dents.Methods The present working procedures were reorganized and redesigned in accordance with the feature and pattern of the medi -cal mission , as well as the practical organization of medical support teams in case of nuclear accidents .Results Through optimized proce-dures, the casualties were integrated from multiple types to simpler types:i.e.the A1 casualty type that would go through 3 steps and A2 would go through 4 steps;B1 casualty type would go through 3 steps and B2 casualty type would go through only 2 steps.The triage work flow was optimized to 2 steps, and treatment work flow was also optimized and clarified .Conclusion Casualty triage was permeated in the whole process of medical rescue mission , for this reason, the responsibilities and divisions of work for various teams should be elaborated and clarified on the basis of optimized work procedures , and they should be demonstrated and further rectified in practical work .
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