頁籤選單縮合
題 名 | 救護車緊急醫療救護在都市及鄉鎮院區之比較=A Comparison of Ambulance Service between an Urban and a Suburban Hospital in Taipei |
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作 者 | 蔡維謀; 張國頌; 李肇碩; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 1:2 1999.08[民88.08] |
頁 次 | 頁165-173 |
分類號 | 412.79 |
關鍵詞 | 救護車; 救護技術員; 緊急醫療救護; Ambulance; EMT; Emergency medical service; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究針對北部某醫學中心在北市中山區及北縣淡水地區兩院區由救護車送達急診之病人加以比較及分析,並檢視救護車之出勤記錄情況,北市中山區及北縣淡水地區因轄區大小不同,救護車反應時間北縣淡水地區較長,從出勤至到院時間也較費時,兩院區由119送達之病患結構也不一樣。北市院區內外兩科病人數差不多,但北縣院區則外科較多,在檢傷分類第1、2級病人比率方面,兩院區大概相若。但此類病人在北市院區20分鐘內78.16%多可由救護車送達,在北縣院區則多達54.92%需時20分鐘以上才可送達,故在北縣淡水地區加強到院前之緊急救護尤為重要。北市中山區救護員在填寫救護出勤表較為完整,而北縣淡水地區救護紀錄則應多加改進。北縣大部份區域除應增加派遣中心外,並應充實救護員編制以達到每部救護車至少有兩位救護員出勤之最低要求。 |
英文摘要 | We analyze the patients sent by the ambulance to two branch hospitals of a medical center, one located in Chung-shan district of Taipei city and the other in Tam-shui district of the Taipei county, within a period of 91 days. We also reviewed all the ambulance duty records completed by the Emergency medical technicians (EMTs). Taipei city and Taipei county are different in the size of district of responsibility and manpower. We found that ambulance in Tam-shui district took more time to reach the scene and longer time needed to bring the patinets to ER. Paitents with trauma or traffic accident have a larger percentage in Tam-shui district. Patinet triage as Grade I and II were more or less the same in these two districts, 78.16% of these seriously illed or injured patient in Chung-shan district can arrive ER within 20 minutes, whereas in Tam-shui district 54.92% took more than 20 minutes to reach the hospital. Therefore EMTs in Tam-shui district need to be well-traiined in the field of emergency management. The completion of ambulance duty record in Chung-shan district EMTs was better when compared with Tam-shui district EMTs. We suggest that increase in dispatch centers and filling up of the EMT vacancy was necessary in most of the districts in Taipei county. |
本系統中英文摘要資訊取自各篇刊載內容。