Kuroki Norihiro, Yagishita Kazuyoshi, Shimizu Keiki, Okuaki Sachiko, Doi Yuuri, Arakawa Yuki, Nakano Tomotsugu, Akama Takao
Department of Medical Service Tokyo Organizing Committee of the Olympic and Paralympic Games Tokyo Japan.
Department of Cardiology Tokyo Metropolitan Bokutoh Hospital Tokyo Japan.
Acute Med Surg. 2023 Nov 27;10(1):e905. doi: 10.1002/ams2.905. eCollection 2023 Jan-Dec.
More than 15,000 elite athletes participated in the Tokyo 2020 Olympic and Paralympic Games. Providing adequate medical services to these elite athletes was a priority. Hence, a polyclinic was established in the Athletes' Village. Visitors were triaged at the emergency department of the polyclinic to enable early treatment of critical illnesses or injuries in the emergency room (ER) and to identify patients suspected of having coronavirus disease as early as possible. No reports of emergency department activities at large sporting events in the pandemic era are available. Here, we aim to summarize the activities at the emergency department of the polyclinic.
Data were collected using an electronic medical record system, nursing records, and questionnaires administered during triage from July 13 to September 8, 2021. Polyclinic data involving accredited athletes and team members were summarized.
During the Olympic Games, 12,318 triage cases were reported, of which 75 were treated in the ER. During the Paralympic Games, 8398 triage cases were reported, of which 94 were treated in the ER. During the Olympic Games, musculoskeletal issues (26 patients) were the most common. During the Paralympic Games, ear, nose, and throat issues were the most common (21 patients). Two patients experienced cardiopulmonary arrest in the Athletes' Village and were transported to the hospital postresuscitation.
During the study period, many critically ill patients were triaged and treated at the emergency department. Our data can be used to improve medical care and infection prevention at future international sporting events.
超过15000名精英运动员参加了2020年东京奥运会和残奥会。为这些精英运动员提供充分的医疗服务是一项优先任务。因此,在奥运村设立了一家综合诊所。来访者在综合诊所的急诊科接受分诊,以便在急诊室对危重病或损伤进行早期治疗,并尽早识别疑似感染冠状病毒病的患者。目前尚无关于大流行时代大型体育赛事急诊科活动的报告。在此,我们旨在总结综合诊所急诊科的活动情况。
使用电子病历系统、护理记录以及2021年7月13日至9月8日分诊期间发放的问卷收集数据。对涉及注册运动员和团队成员的综合诊所数据进行了总结。
奥运会期间,报告了12318例分诊病例,其中75例在急诊室接受治疗。残奥会期间,报告了8398例分诊病例,其中94例在急诊室接受治疗。奥运会期间,肌肉骨骼问题(26例患者)最为常见。残奥会期间,耳鼻喉问题最为常见(21例患者)。两名患者在奥运村发生心肺骤停,复苏后被送往医院。
在研究期间,许多危重病患者在急诊科接受了分诊和治疗。我们的数据可用于改善未来国际体育赛事中的医疗护理和感染预防工作。