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題名 | 長距離賽跑類大型活動緊急醫療救護=Emergency Medical Services for Long-Distance Foot/Races |
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作者 | 胡勝川; 郭健中; 張新; 顏鴻章; 高偉峰; | 書刊名 | 慈濟醫學 |
卷期 | 15:6 2003.12[民92.12] |
頁次 | 頁383-389 |
分類號 | 419.53 |
關鍵詞 | 大型活動; 緊急醫療救護; 急診醫學; Mass gatherings; Emergency medical services; EMS; Emergency medicine; |
語文 | 中文(Chinese) |
中文摘要 | 目的:探討長距離賽跑類大型活動之傷病發生率及緊急醫療救護規劃。材料與方法:自91年1月至91年12月31日止,我們規劃並參與7項路跑及馬拉松賽等大型活動。包括:臺北國道馬拉松賽、陽明山春季路跑賽、愛迪達盃路跑賽、外雙溪國華人壽盃路跑賽、及舒跑盃挑戰金氏世界記錄路跑賽、陽明山國家公園路跑賽、花蓮太魯閣國際馬拉松賽等大型活動。每次活動前均做詳細的緊急醫療救護規劃,其內容包括:指軍中心的選定及人員編組、固定式醫療站及機動式急救小組的設計、裝備及藥材的準備、人力需求的評估、醫療記錄單的設計、後送醫院的選定及預做直昇機救護的規劃。當活動進行時或其前後,有發生傷病的情形時,醫療人員立刻給予緊急救護,並記錄必要資訊於預先設計好的病患醫療記錄單上。結果:估計服務參與人數為61,000人,服務病患總數為3,728人次,醫療使用率為6.1%,活動中參與選手共40,108人,選手病患數共3,717,佔所有病患之99.7%,選手醫療使用率9.3%,此次研究當中使用救護車運送者共5人,其中有3人轉送至醫療總站處理穩定後返回,轉送至醫院治療者則共有2人。結論:長距離賽跑類大型活動之醫療使用率平均為6.1%,必須以救護轉送至醫院的案例非常少。我們的經驗顯示長距離賽跑類大型活動時之緊急醫療救護規劃是必需的。本文建議一些規劃原則供各位參考。 |
英文摘要 | Objective: To investigate the incidence of ill or injured persons utilizing emergency medical services (EMS) during long distance foot/races, as well as the planning of EMS in such types of mass gatherings. Materials and Methods: we conducted a prospective study from January through December 2002. We planned the EMS for the participated in 7 mass gathering, which included marathons and foot/races. During planning we focused our attention on deploying first aid stations, and mobile rescue teams; developing an incident comment system including a commander, liaison, and triage personnel; as well as evaluating the needs for manpowers, equipments and medication: designing medical records and transportation tools; and selecting the receiving hospital including helicopter rescue. Results: Participants totaled about 61,000 people, and 3,728 patinets utilized our services. The medical use rate was 6.1%. three patients were transported to a hospital for further treatment. Conclusion: Medical use rates during long-distance foot/races were about 6.1% on average. Only very rarely have to be transported to the hospital during such types of mass gatherings. Our experiences suggest that the planning of EMS during long-distance foot/races is warranted. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。