Abe Tomohiro, Kanemaru Katsuhiro, Saito Katsutoshi, Ueda Taichiro, Ochiai Hidenobu
Department of Emergency and Critical Care Medicine, Faculty of Medicine, University of Miyazaki, Miyazaki, JPN.
Shock and Trauma Center, Nippon Medical School Chiba Hokusoh Hospital, Inzai, JPN.
Cureus. 2022 Jan 8;14(1):e21027. doi: 10.7759/cureus.21027. eCollection 2022 Jan.
Physician-staffed vehicles are widely operated in many countries. There is a paucity of literature regarding physician-staffed emergency vehicle accidents. On an evening in January 2016, at the request of the fire department, a physician-staffed vehicle was dispatched with two physicians, a nurse, and a driver from the base hospital to the scene of a patient with cardiopulmonary arrest. The vehicle ran with the alerting siren and warning lights. On its way, the vehicle struck a car and the mission was canceled. The patient was transported to another hospital by the ambulance staff only. No passengers were injured. One physician and a nurse examined the driver of the struck car and transported the driver to the base hospital by additional ambulance units. Because there were no manuals or guidelines, the staff responses were not systematic. After the repair of the crashed vehicle and preparation of operation manuals for two months, the physician-staffed vehicle returned to service, and it has worked without any accident since then. The physician-staffed vehicle is of benefit to critical victims and it rarely crashes. When the vehicle is involved in an accident, it results in multiple victims as well as additional emergency demands. Warning lights and sirens in the dark at a four-point crossroads might increase the risk of crashing. Information influx from the emergency scenes might distract the physicians' attention and put stress on the driver, leading to dangerous high-speed emergency driving. Educational training and manuals in each hospital and a nationwide framework regarding safety operations and accidents are needed.
配备医生的车辆在许多国家广泛运行。关于配备医生的急救车辆事故的文献很少。2016年1月的一个晚上，应消防部门的要求，一辆配备医生的车辆从基地医院派出，车上有两名医生、一名护士和一名司机，前往一名心脏骤停患者的现场。车辆鸣着警报器、亮着警示灯行驶。途中，车辆撞上了一辆汽车，任务取消。患者仅由救护车工作人员送往了另一家医院。没有乘客受伤。一名医生和一名护士检查了被撞汽车的司机，并通过额外的救护车将司机送往基地医院。由于没有手册或指南，工作人员的应对措施不系统。在对撞毁的车辆进行维修并编写操作手册两个月后，配备医生的车辆恢复服务，从那时起一直运行且未发生任何事故。配备医生的车辆对危急患者有益，且很少发生碰撞。当车辆发生事故时，会导致多名受害者以及额外的紧急需求。在黑暗的十字路口，警示灯和警报器可能会增加碰撞风险。来自紧急现场的信息涌入可能会分散医生的注意力，并给司机带来压力，导致危险的高速紧急驾驶。各医院需要进行教育培训并编写手册，以及建立一个关于安全操作和事故的全国性框架。
