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斯里兰卡的紧急医疗服务系统:过去的问题,未来的挑战。

Emergency medical service systems in Sri Lanka: problems of the past, challenges of the future.

作者信息

Wimalaratne Kelum, Lee Jeong Il, Lee Kang Hyun, Lee Hee Young, Lee Jung Hun, Kang In Hye

机构信息

Preliminary Care Unit, Base Hospital of Avissawella, Colombo, Sri Lanka.

Department of Emergency Medicine, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.

出版信息

Int J Emerg Med. 2017 Dec;10(1):10. doi: 10.1186/s12245-017-0127-x. Epub 2017 Feb 21.

Abstract

INTRODUCTION

The concept of emergency medical services (EMS) is new to Sri Lanka. This article describes the development, delivery, and future ideas for EMS in Sri Lanka. Sri Lanka also faces frequent natural hazards that justify the establishment of an EMS service.

METHODOLOGY

Data and information regarding emergency medical care in Sri Lanka were collected and reviewed from resources including websites and research papers.

RESULTS

Currently, there are no qualified emergency medical physicians in Sri Lanka. However, a specialist training program for emergency physicians was initiated in 2012. There is no formal system to train emergency medical technicians (EMTs). Sri Lankans usually use taxies or their private vehicles to get to the hospital in the case of an emergency. All of the hospitals have ambulances that they can use to transport patients between hospitals. Most hospitals have emergency treatment units. Those at larger hospitals tend to be better than those at smaller hospitals. Although there is a disaster management system, it is not focused on emergency medical needs.

DISCUSSION

Many aspects of the EMS system in Sri Lanka need improvement. To start, the emergency telephone number should cover the entire country. Training programs for EMTs should be conducted regularly. In addition, ambulances should be allocated for prehospital care. In the process of these developmental changes, public awareness programs are essential to improve the function of the EMS system.

CONCLUSION

Despite many current shortcomings, Sri Lanka is capable of developing a successful EMS system.

摘要

引言

紧急医疗服务(EMS)的概念在斯里兰卡尚属新鲜事物。本文描述了斯里兰卡紧急医疗服务的发展、提供情况及未来设想。斯里兰卡还频繁面临自然灾害,这为建立紧急医疗服务提供了正当理由。

方法

从包括网站和研究论文在内的资源中收集并审查了有关斯里兰卡紧急医疗护理的数据和信息。

结果

目前,斯里兰卡没有合格的紧急医疗医生。然而,2012年启动了针对紧急医疗医生的专科培训项目。没有培训紧急医疗技术员(EMT)的正规体系。斯里兰卡人在紧急情况下通常乘坐出租车或私家车前往医院。所有医院都有救护车,可用于在不同医院之间转运患者。大多数医院设有急诊治疗单元。大型医院的急诊治疗单元往往比小型医院的更好。尽管有灾害管理系统,但该系统并非专注于紧急医疗需求。

讨论

斯里兰卡紧急医疗服务系统的许多方面都需要改进。首先,紧急电话号码应覆盖全国。应定期开展紧急医疗技术员培训项目。此外,应分配救护车用于院前护理。在这些发展变革过程中,公众意识项目对于改善紧急医疗服务系统的功能至关重要。

结论

尽管目前存在诸多不足,但斯里兰卡有能力发展出一个成功的紧急医疗服务系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d6/5319932/e2d3c718b6f9/12245_2017_127_Fig1_HTML.jpg

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