Ordog G J, Wasserberger J, Ordog C, Ackroyd G, Atluri S
King/Drew-UCLA Medical Center, Department of Emergency Medicine, Los Angeles 90059, USA.
Acad Emerg Med. 1995 Feb;2(2):109-13; discussion 114. doi: 10.1111/j.1553-2712.1995.tb03170.x.
To determine the occurrence of weapon carriage by major trauma patients at a university/county hospital ED.
Retrospective observational study of major trauma patients seen in the ED of a major urban trauma center in Los Angeles from 1979 to 1993. All major trauma patients were searched routinely for weapons by the security police. Cases of violence in the ED caused by these weapons were reviewed.
Over the 14-year period, 26.7% of the victims of major trauma presenting to ED were armed with lethal weapons. The occurrence of automatic weapon seizure increased significantly from an annual rate of only 0.2 in the first five years to an average of 17 over the last five years (p < 0.001). A total of 115 "incidents" of violence involving weapons in the ED were recorded during this period; 1.7% of the weapons brought to the ED led to violence and injury. There were four fatalities of armed and dangerous patients, but only six minor injuries to the staff. No other (unarmed) patient in the ED at the time of these incidents was injured.
ED major trauma patients at one urban trauma center in Los Angeles frequently carry weapons, including automatic military weapons. In addition to violence prevention measures such as weapon confiscation, plans must be made and practiced for the management of violence within the "sacrosanct" hospital doors to protect both patients and ED personnel.
确定大学/县医院急诊科中重伤患者携带武器的情况。
对1979年至1993年在洛杉矶一家大型城市创伤中心急诊科就诊的重伤患者进行回顾性观察研究。保安警察对所有重伤患者常规进行武器搜查。对这些武器在急诊科引发的暴力事件进行审查。
在这14年期间，到急诊科就诊的重伤患者中有26.7%携带致命武器。自动武器查获率从最初五年的年平均0.2显著增加到最后五年的平均17（p<0.001）。在此期间，急诊科共记录了115起涉及武器的暴力“事件”；带到急诊科的武器中有1.7%导致了暴力和伤害。有4名武装且危险的患者死亡，但工作人员仅有6人受轻伤。在这些事件发生时，急诊科的其他（未武装）患者均未受伤。
洛杉矶一家城市创伤中心的急诊科重伤患者经常携带武器，包括自动军用武器。除了没收武器等暴力预防措施外，还必须制定并演练在医院“神圣”大门内应对暴力事件的管理计划，以保护患者和急诊科工作人员。
