Li Guo-Qiang, Hou Shi-Ke, Yu Xin, Meng Xiang-Tao, Liu Liang-Liang, Yan Peng-Bo, Tian Meng-Na, Chen Shao-Lei, Han Hui-Juan
Institute of Disaster and Emergency Rescue Medicine, Pingjin Hospital, Logistics College of The Chinese People's Armed Police Forces, Tianjin 300162, China.
Chin J Traumatol. 2015;18(6):314-9. doi: 10.1016/j.cjtee.2015.11.012.
The 8.12 Tianjin Port Explosion in 2015 caused heavy casualties. Pingjin Hospital, an affiliated college hospital in Tianjin, China participated in the rescue activities. This study aims to analyze the emergency medical response to this event and share experience with trauma physicians to optimize the use of medical resource and reduce mortality of critical patients.
As a trauma centre at the accident city, our hospital treated 298 patients. We retrospectively analyzed the data of emergency medical response, including injury triage, injury type, ICU patient flow, and medical resource use.
There were totally 165 deaths, 8 missing, and 797 non-fatal injuries in this explosion. Our hospital treated 298 casualties in two surges of medical demand. The first one appeared at 1 h after explosion when 147 wounded were received and the second one at 4 h when 31 seriously injured patients were received, among whom 29 were transferred from Tianjin Emergency Center which was responsible for the scene injury triage. After reexamination and triage, only 11 cases were defined as critical ill patients. The over-triage rate reached as high as 62.07%. Seventeen patients underwent surgery and 17 patients were admitted to the intensive care unit.
The present pre-hospital system is incomplete and may induce two surges of medical demand. The first one has a much larger number of casualties than predicted but the injury level is mild; while the second one has less wounded but almost all of them are critical patients. The over-triage rate is high. The hospital emergency response can be improved by an effective re-triage and implementation of a hospital-wide damage control.
2015年天津港8·12爆炸事件造成了重大人员伤亡。中国天津的一所附属医院——平津医院参与了救援行动。本研究旨在分析对该事件的紧急医疗应对情况，并与创伤科医生分享经验，以优化医疗资源利用，降低危重症患者死亡率。
作为事故发生城市的创伤中心，我院共收治298例患者。我们回顾性分析了紧急医疗应对的数据，包括伤情分类、损伤类型、重症监护病房患者流量及医疗资源使用情况。
此次爆炸共造成165人死亡、8人失踪、797人非致命伤。我院在两波医疗需求高峰中收治了298名伤员。第一波出现在爆炸后1小时，接收了147名伤员；第二波出现在4小时，接收了31名重伤患者，其中29名是从负责现场伤情分类的天津市急救中心转运而来。经过复查和分诊，仅11例被确定为危重症患者。过度分诊率高达62.07%。17例患者接受了手术，17例患者被收入重症监护病房。
当前的院前系统不完善，可能引发两波医疗需求高峰。第一波伤亡人数比预期多得多，但损伤程度较轻；而第二波伤员较少，但几乎都是危重症患者。过度分诊率较高。通过有效的再次分诊和实施全院范围的损害控制，可以改善医院的应急反应。
