Glushak C, Delbridge T R, Garrison H G
University of Chicago, IL, USA.
Prehosp Emerg Care. 1997 Apr-Jun;1(2):100-3. doi: 10.1080/10903129708958797.
Policies regarding ambulance diversion are critical to ensuring that EMS providers are aware of appropriate patient destinations, even before patients enter the system. Field EMS personnel should never be requested to prolong transport time intervals to search for an available hospital at the potential expense of patients' conditions and the immediate availability of out-of-hospital emergency care for the community. The responsibility for providing efficient emergency care to the community rests with all those who contribute to EMS structures and processes. All EMS system participants, including hospitals, EMS providers, local and regional lead agencies, and medical oversight authorities, must work together to create comprehensive ambulance diversion policies that satisfactorily meet each other's needs, while maintaining the highest regard for the needs of EMS patients and the entire community.
关于救护车分流的政策对于确保紧急医疗服务(EMS)提供者在患者进入系统之前就知晓合适的患者接收地点至关重要。现场EMS人员绝不应该被要求延长转运时间间隔去寻找有空余床位的医院,以免可能损害患者病情以及社区院外急救的即时可得性。为社区提供高效急救护理的责任落在所有参与EMS架构和流程的人员身上。所有EMS系统参与者,包括医院、EMS提供者、地方和区域牵头机构以及医疗监管当局,必须共同努力制定全面的救护车分流政策,在充分满足彼此需求的同时,始终高度重视EMS患者和整个社区的需求。