Emergency medical response strategy for the 2025 Dingri, Tibet Earthquake_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HU Chenggong ¹ , DONG Xiaoyang ² , HU Hai ² , YAN Hui ² , JIANG Yaowen ³ , HE Qian ³ , ZOU Chang ⁴ , ZHANG Si ⁵ , DONG Wei ¹ , LIU Yan ⁵ , ZHONG Huanhuan ⁶ , DE Ji ⁷ , MIMA Duoji ⁸ , YANG Jin ⁹ , DAWA Qiongda ⁹ , JI Lü ⁹ , ZHA La ¹⁰ , JIBA Qiongda ¹⁰ ,  LIU Lunxu ¹¹ ,  CHEN Lei ¹² ,  WU Dong ¹³

1. Department of Intensive Care Medicine, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
2. Emergency Office of West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Office of West China Hospital of Sichuan University, Tibet Hospital (Tibet Autonomous Region Hospital), Lhasa, 851400, P. R. China;
4. Trauma Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
5. Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
6. Department of Radiology, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
7. Department of Radiology, Tibet Hospital of West China Hospital, Sichuan University (Tibet Autonomous Region Hospital), Lhasa, 851400, P. R. China;
8. Health Commission of the Tibet Autonomous Region, Lhasa, 850000, P. R. China;
9. People's Hospital of Shigatse City, Shigatse, 857000, Tibet Autonomous Region, P. R. China;
10. People's Hospital of Dingri County, Dingri, 858200, Tibet Autonomous Region, P. R. China;
11. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
12. Department of Neurology, Institute of High Altitude Medicine, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
13. Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, 100730, P. R. China;

Corresponding?author：

LIU Lunxu, Email: lunxu_liu@aliyun.com; CHEN Lei, Email: leilei_25@126.com; WU Dong, Email: wudong@pumch.cn

Keywords：

High-altitude; earthquake; emergency medical rescue; Shigatse of Tibet Autonomous Region

DOI：

10.7507/1007-4848.202501062

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This paper systematically summarizes the practical experience of the 2025 Dingri earthquake emergency medical rescue in Tibet. It analyzes the requirements for earthquake medical rescue under conditions of high-altitude hypoxia, low temperature, and low air pressure. The paper provides a detailed discussion on the strategic layout of earthquake medical rescue at the national level, local government level, and through social participation. It covers the construction of rescue organizational systems, technical systems, material support systems, and information systems. The importance of building rescue teams is emphasized. In high-altitude and cold conditions, rapid response, scientific decision-making, and multi-party collaboration are identified as key elements to enhance rescue efficiency. By optimizing rescue organizational structures, strengthening the development of new equipment, and promoting telemedicine technologies, the precision and effectiveness of medical rescue can be significantly improved, providing important references for future similar disaster rescues.

Citation： HU Chenggong, DONG Xiaoyang, HU Hai, YAN Hui, JIANG Yaowen, HE Qian, ZOU Chang, ZHANG Si, DONG Wei, LIU Yan, ZHONG Huanhuan, DE Ji, MIMA Duoji, YANG Jin, DAWA Qiongda, JI Lü, ZHA La, JIBA Qiongda, LIU Lunxu, CHEN Lei, WU Dong. Emergency medical response strategy for the 2025 Dingri, Tibet Earthquake. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2025, 32(4): 421-426. doi: 10.7507/1007-4848.202501062 Copy

1.	Xu T, Wang Z, Li T, et al. Tibetan plateau earthquake: Altitude challenges to medical rescue work. Emerg Med J, 2013, 30(3): 232-235.
2.	Yang XD, Gao YQ, Zhen Y. Practice and reflection on earthquake relief and medical rescue in military medical institutions. Chin Health Service Manag, 2009, 26(3): 181-182.
3.	吳天一, 李素芝, 侯世科. 玉樹地震高原醫療救援—特殊性及其對策. 中國醫藥科學, 2014, 4(9): 9-13.Wu TY, Li SZ, Hou SK. Highland medical rescue in Yushu earthquake—Particularity and countermeasures. J High Altitude Med, 2014, 4(9): 9-13.
4.	王林, 孫勝, 王云兵, 等. 某院醫療隊玉樹地震醫學救援實踐. 解放軍醫院管理雜志, 2011, 18(8): 765-766.Wang L, Sun S, Wang YB, et al. Medical rescue practice of certain medical team in Yushu earthquake. Hosp Admin J Chin PLA, 2011, 18(8): 765-766.
5.	Zafren K, Brants A, Tabner K, et al. Wilderness mass casualty incident (MCI): Rescue chain after avalanche at Everest Base Camp (EBC) in 2015. Wilderness Environ Med, 2018, 29(3): 401-410.
6.	Zhang YL. Organization and implementation of mass medical rescue after an earthquake. Mil Med Res, 2014, 1: 5.
7.	熊曉雯, 王運斗, 趙凡, 等. 淺談軍隊應急醫學救援裝備體系構建. 職業衛生與應急救援, 2017, 35(4): 390-392.Xiong XW, Wang YD, Zhao F, et al. Discussion on construction of medical rescue equipment system for military emergency. Occup Health Emerg Res, 2017, 35(4): 390-392.
8.	Guan M, Feng Z, Jiang S, et al. Tethered balloon cluster deployments and optimization for emergency communication networks. Entropy (Basel), 2024, 26(12): 1071.
9.	盧晨曦, 趙欣, 余明, 等. 背囊化緊急醫學救援小分隊建設現狀與思考. 中國急救復蘇與災害醫學雜志, 2025, 20(1): 27-31, 35.Lu CX, Zhao X, Yu M, et al. The present situation and thinking on the construction of backpackbased emergency medical detachment. Chin J Emerg Resusc Disaster Med, 2025, 20(1): 27-31, 35.
10.	胡衛建, 鄧紹平, 曾俊, 等. 中國政府醫療隊赴尼泊爾地震醫學救援的實踐與思考. 中華災害救援醫學, 2015, 3(9): 482-485.Hu WJ, Deng SP, Zeng J, et al. Practice and reflection on the medical rescue of the Chinese government medical Team in the Nepal earthquake. Chin J Disaster Med, 2015, 3(9): 482-485.
11.	蔣春華, 高鈺琪, 陳建, 等. 從玉樹地震醫學救援談高原全科醫生的培養. 基礎醫學教育, 2011, 13(3): 245-247.Jiang CH, Gao YQ, Chen J, et al. Discussion about education of high alititude medical general practitioners after Yushu earthqake medical rescue. Basic Med Educ, 2011, 13(3): 245-247.
12.	胡海, 晏會, 趙欣, 等. 中國國際應急醫療隊(四川)建設探討與分析. 中華災害救援醫學, 2018, 6(12): 4.Hu H, Yan H, Zhao X, et al. Construction of china international emergency medical team (Sichuan): Exploration and analysis. Chin J Disaster Med, 2018, 6(12): 4.
13.	胡海. 淺析國際應急醫療隊培訓框架及其對我國衛生應急隊伍培訓的啟示. 中華災害救援醫學, 2020, 8(5): 4.Hu H. Introduction on the training framework of the international emergency medical team and its enlightenment to the training of China's emergency medical team. Chin J Disaster Med, 2020, 8(5): 4.
14.	Kang P, Zhang L, Liang W, et al. Medical evacuation management and clinical characteristics of 3, 255 inpatients after the 2010 Yushu earthquake in China. J Trauma Acute Care Surg, 2012, 72(6): 1626-1633.
15.	劉軍, 張瑋晶, 王盈, 等. 2023年甘肅積石山6.2級地震災害應對與啟示. 中國減災, 2024(13): 32-35.Liu J, Zhang WJ, Wang Y, et al. Response and implications of the 6.2 magnitude earthquake in Jishishan, Gansu in 2023. Disaster Reduct China, 2024(13): 32-35.
16.	梁超, 張揮武, 張鑫, 等. 國家中醫緊急醫學救援隊保障體系建設實踐與探討—基于“9·16”瀘縣地震和“6·1”蘆山地震緊急醫學救援實證研究. 中國急救復蘇與災害醫學雜志, 2023, 18(11): 1416-1418.Liang C, Zhang HW, Zhang X, et al. Study on the construction of the national TCM emergency medical rescue team guarantee system—An empirical study of emergency medical rescue based on the "9·16" Luxian earthquake and the "6·1" Lushan earthquake. Chin J Emerg Resusc Disaster Med, 2023, 18(11): 1416-1418.
17.	毛寧, 胡海, 龍恩深, 等. 中國國際應急醫療隊帳篷醫院的暖通系統優化設計研究. 中國急救復蘇與災害醫學雜志, 2019, 14(12): 5.Mao N, Hu H, Long ES, et al. Research on optimization design of HVAC system in tent hospital of China International Emergency Medical Team. Chin J Emerg Resusc Disaster Med, 2019, 14(12): 5.
18.	Tu D, Ji L, Cao Q, et al. Incidence, mortality, and predictive factors associated with acute respiratory distress syndrome in multiple trauma patients living in high-altitude areas: A retrospective study in Shigatse. Peer J, 2024, 12: e17521.

1. Xu T, Wang Z, Li T, et al. Tibetan plateau earthquake: Altitude challenges to medical rescue work. Emerg Med J, 2013, 30(3): 232-235.
2. Yang XD, Gao YQ, Zhen Y. Practice and reflection on earthquake relief and medical rescue in military medical institutions. Chin Health Service Manag, 2009, 26(3): 181-182.
3. 吳天一, 李素芝, 侯世科. 玉樹地震高原醫療救援—特殊性及其對策. 中國醫藥科學, 2014, 4(9): 9-13.Wu TY, Li SZ, Hou SK. Highland medical rescue in Yushu earthquake—Particularity and countermeasures. J High Altitude Med, 2014, 4(9): 9-13.
4. 王林, 孫勝, 王云兵, 等. 某院醫療隊玉樹地震醫學救援實踐. 解放軍醫院管理雜志, 2011, 18(8): 765-766.Wang L, Sun S, Wang YB, et al. Medical rescue practice of certain medical team in Yushu earthquake. Hosp Admin J Chin PLA, 2011, 18(8): 765-766.
5. Zafren K, Brants A, Tabner K, et al. Wilderness mass casualty incident (MCI): Rescue chain after avalanche at Everest Base Camp (EBC) in 2015. Wilderness Environ Med, 2018, 29(3): 401-410.
6. Zhang YL. Organization and implementation of mass medical rescue after an earthquake. Mil Med Res, 2014, 1: 5.
7. 熊曉雯, 王運斗, 趙凡, 等. 淺談軍隊應急醫學救援裝備體系構建. 職業衛生與應急救援, 2017, 35(4): 390-392.Xiong XW, Wang YD, Zhao F, et al. Discussion on construction of medical rescue equipment system for military emergency. Occup Health Emerg Res, 2017, 35(4): 390-392.
8. Guan M, Feng Z, Jiang S, et al. Tethered balloon cluster deployments and optimization for emergency communication networks. Entropy (Basel), 2024, 26(12): 1071.
9. 盧晨曦, 趙欣, 余明, 等. 背囊化緊急醫學救援小分隊建設現狀與思考. 中國急救復蘇與災害醫學雜志, 2025, 20(1): 27-31, 35.Lu CX, Zhao X, Yu M, et al. The present situation and thinking on the construction of backpackbased emergency medical detachment. Chin J Emerg Resusc Disaster Med, 2025, 20(1): 27-31, 35.
10. 胡衛建, 鄧紹平, 曾俊, 等. 中國政府醫療隊赴尼泊爾地震醫學救援的實踐與思考. 中華災害救援醫學, 2015, 3(9): 482-485.Hu WJ, Deng SP, Zeng J, et al. Practice and reflection on the medical rescue of the Chinese government medical Team in the Nepal earthquake. Chin J Disaster Med, 2015, 3(9): 482-485.
11. 蔣春華, 高鈺琪, 陳建, 等. 從玉樹地震醫學救援談高原全科醫生的培養. 基礎醫學教育, 2011, 13(3): 245-247.Jiang CH, Gao YQ, Chen J, et al. Discussion about education of high alititude medical general practitioners after Yushu earthqake medical rescue. Basic Med Educ, 2011, 13(3): 245-247.
12. 胡海, 晏會, 趙欣, 等. 中國國際應急醫療隊(四川)建設探討與分析. 中華災害救援醫學, 2018, 6(12): 4.Hu H, Yan H, Zhao X, et al. Construction of china international emergency medical team (Sichuan): Exploration and analysis. Chin J Disaster Med, 2018, 6(12): 4.
13. 胡海. 淺析國際應急醫療隊培訓框架及其對我國衛生應急隊伍培訓的啟示. 中華災害救援醫學, 2020, 8(5): 4.Hu H. Introduction on the training framework of the international emergency medical team and its enlightenment to the training of China's emergency medical team. Chin J Disaster Med, 2020, 8(5): 4.
14. Kang P, Zhang L, Liang W, et al. Medical evacuation management and clinical characteristics of 3, 255 inpatients after the 2010 Yushu earthquake in China. J Trauma Acute Care Surg, 2012, 72(6): 1626-1633.
15. 劉軍, 張瑋晶, 王盈, 等. 2023年甘肅積石山6.2級地震災害應對與啟示. 中國減災, 2024(13): 32-35.Liu J, Zhang WJ, Wang Y, et al. Response and implications of the 6.2 magnitude earthquake in Jishishan, Gansu in 2023. Disaster Reduct China, 2024(13): 32-35.
16. 梁超, 張揮武, 張鑫, 等. 國家中醫緊急醫學救援隊保障體系建設實踐與探討—基于“9·16”瀘縣地震和“6·1”蘆山地震緊急醫學救援實證研究. 中國急救復蘇與災害醫學雜志, 2023, 18(11): 1416-1418.Liang C, Zhang HW, Zhang X, et al. Study on the construction of the national TCM emergency medical rescue team guarantee system—An empirical study of emergency medical rescue based on the "9·16" Luxian earthquake and the "6·1" Lushan earthquake. Chin J Emerg Resusc Disaster Med, 2023, 18(11): 1416-1418.
17. 毛寧, 胡海, 龍恩深, 等. 中國國際應急醫療隊帳篷醫院的暖通系統優化設計研究. 中國急救復蘇與災害醫學雜志, 2019, 14(12): 5.Mao N, Hu H, Long ES, et al. Research on optimization design of HVAC system in tent hospital of China International Emergency Medical Team. Chin J Emerg Resusc Disaster Med, 2019, 14(12): 5.
18. Tu D, Ji L, Cao Q, et al. Incidence, mortality, and predictive factors associated with acute respiratory distress syndrome in multiple trauma patients living in high-altitude areas: A retrospective study in Shigatse. Peer J, 2024, 12: e17521.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Emergency medical response strategy for the 2025 Dingri, Tibet Earthquake

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