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天津爆炸事件的医疗应对:经验教训

Medical Response to the Tianjin Explosions: Lessons Learned.

作者信息

Zhang Jin-Jun, Wang Tian-Bing, Fan Da, Zhang Jun, Jiang Bao-Guo

机构信息

Beijing Emergency Medical Center, Beijing, China.

Peking University People's Hospital, Beijing, China.

出版信息

Disaster Med Public Health Prep. 2018 Jun;12(3):411-414. doi: 10.1017/dmp.2017.64. Epub 2017 Dec 4.

DOI:10.1017/dmp.2017.64
PMID:29198239
Abstract

BACKGROUND

On August 12, 2015, a hazardous chemical explosion occurred in the Tianjin Port of China. The explosions resulted in 165 deaths, 8 missing people, injuries to thousands of people. We present the responses of emergency medical services and hospitals to the explosions and summarize the lessons that can be learned.

METHODS

This study was a retrospective analysis of the responses of emergency medical services and hospitals to the Tianjin explosions. Data on injuries, outcomes, and patient flow were obtained from the government and the hospitals.

RESULTS

A total of 46 ambulances and 143 prehospital care professionals were dispatched to the scene, and 198 wounded were transferred to hospitals by ambulance. More than 4000 wounded casualties surged into hospitals, and 798 wounded were admitted. Both emergency medical services and hospitals were quick and successful in the early stage of the explosions. The strategy of 4 centralizations (4Cs) for medical services management in a mass casualty event was successfully applied.

CONCLUSIONS

The risk of accidental events has increased in recent years. We should take advantage of the lessons learned from the explosions and apply these in future disasters. (Disaster Med Public Health Preparedness. 2018; 12: 411-414).

摘要

背景

2015年8月12日,中国天津港发生危险化学品爆炸事故。爆炸导致165人死亡、8人失踪,数千人受伤。我们介绍了紧急医疗服务机构和医院对此次爆炸的应对措施,并总结了可吸取的经验教训。

方法

本研究对紧急医疗服务机构和医院对天津爆炸事故的应对情况进行了回顾性分析。从政府和医院获取了有关受伤情况、治疗结果及患者流量的数据。

结果

共派出46辆救护车和143名院前急救专业人员前往现场,198名伤员通过救护车被转运至医院。4000多名伤员涌入医院,798名伤员被收治。紧急医疗服务机构和医院在爆炸初期反应迅速且行动成功。大规模伤亡事件医疗服务管理的“四集中”策略得以成功应用。

结论

近年来,意外事件的风险有所增加。我们应吸取爆炸事故的经验教训,并将其应用于未来的灾害应对中。(《灾难医学与公共卫生防范》。2018年;12: 411 - 414)

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