In the rescue that follows a major natural disaster, blood donation is a unique, necessary method to assist the injured. To achieve effective assurance of the blood supply for medical rescue in an orderly fashion, the current procedure must be adjusted by using scientific prediction, analysis, and adaptation. After the process of ensuring the blood supply for medical rescue during the Wenchuan Earthquake, the Ministry of Health of China, with great efforts, continues to investigate and reflect upon the application of the above principals during actual practice. Objectively, these efforts will lead to better results and establish a standard supplying blood during a disaster rescue.
Objective To analyze retrospectively the overall situation of medical rescue in the Third People’s Hospital of Chengdu after the Wenchuan earthquake, so as to provide references for the emergency preparedness for the disaster of earthquake. Methods The analysis was based on the data provided by the Department of Information, the Medical Record Library, the Department of Emergency, the Department of Orthopaedics and other related departments of the Hospital up to 8 a.m. of July 12. The software of Microsoft EXCEL was used for data input, and SPSS 11.5 was used for statistical analysis. Results Up to July 12, 563 cases from the disaster area had been treated in the hospital, of whom 249 were admitted into the outpatient department and 314 into the inpatient department, including 287 men and 276 women, with a median age of 42 years (28, 57) in the outpatient department and a median age of 46 years (33, 65) in the inpatient department. The inpatients’ age was older than the outpatients’s (P=0.003). Most outpatients were sent to the hospital within the first 3 days after the quake (73.50%), while less than half of the inpatients were sent to the hospital during this period of time. The wounded were mainly from Dujiangyan, Aba Prefecture and Pengzhou, which was correlated with the transportation distance, the casualty and the condition of the local hospitals. The wounded were mainly admitted into the Departments of Orthopaedics (69.3%), Neurosurgery (15.6%) and General Surgery (3.7%). The total cost in the Department of Orthopaedics was the highest, followed by the Intensive Care Unit (ICU) and the Department of Neurosurgery. However, the median cost in the ICU was the highest, followed by the Department of Neurosurgery and the Department of Nephrology. Only 9 out of the 563 patients died, including 5 outpatients and 4 inpatients, of whom 8 deaths were due to craniocerebral injury and 1 died of crush syndrome. Conclusion Based on the data, it is of vital importance to develop an emergent plan for the medical rescue after an earthquake disaster, and to strengthen the reserve of medical supplies, personnel training, scientific field triage as well as the construction of information platforms.
Objective To analyze clinical characteristics and treatment experience of 143 tibetan victims of China Yushu earthquake, so as to provide reference for emergency preparation for earthquake disasters. Methods A retrospective study from April 16th to April 22th, 2010 was designed. A total of 143 injured Tibetans (74 men, 69 women) of the magnitude 7.1 Yushu earthquake were included in this study. Data from victims was collected retrospectively as follows: age, gender, cause of injury, place and time of rescue, chief complaint, primary diagnosis, onsite treatment, transfer, psychological crisis intervention and so on. Results The 143 tibetan victims contained 67 fracture cases (4 open fracture, 63 closed fracture), 5 joint dislocation cases and 3 neural injury cases. 62 victims with fracture were treated by Tibetan-Chinese therapy combined with external fixation, 5 victims were operated with emergency surgery, 6 victims refused to the surgical debridement and suture, and no dead case reported. All patients were given 3 to 11 psychological intervention treatments. As to the aspect of the wounded transferring, 48 cases among 54 supposed evacuating victims were transferred to Xinin hospitals, and the other six refused to be transferred and kept staying in the original place for treatment. Conclusion The clinical characteristics of the tibetan victims are outstanding. The medical rescue for disaster in ethnic region should be appropriate for features of disaster areas.Both the individualized remedy and early psychological intervention are regarded as the important measures for improving the general level of earthquake medical rescue in ethnic regions.
After Wenchuan earthquake, the West China Second University Hospital immediately started the preparation of emergency pharmaceutical administration. The pharmaceutical department effectively controlled the provision, purchasing, utilization and donation of medications through a double-track operation system. In this way, the medication supply was ensured for both the patients suffering from the disaster and routine patients, which guaranteed the rationality in medication and promoted the utilization of the donated drugs so that more than 80 000 drug cost was saved for the hospital.
This paper compares emergency medical rescue experience of West China Hospital of Sichuan University in the latest three earthquakes occurred in western Sichuan, and mainly introduces the experience in organization and coordination, rescue speed, treatment of the injured, and rescue characteristics in Jiuzhaigou earthquake, which can provide reference for future earthquake emergency medical rescue.
To retrospectively summarize the medical rescue organization and strategy of West China Hospital medical team during the Wenchuan earthquake so as to provide reference for rescue practice in the future. We emphasize that the key point to improve the efficiency of rescue is scientifically assigning and util izing medical resource according to the demand at the actual locale of the earthquake and the characters of various stages of the earthquake .
Objective To analyze data for 1950 injured patients in the People’s Hospital of Deyang City following the Wenchuan earthquake, to provide relavent evidence to inform future decision-making in relation to establishing and improving frontline hospitals in disaster areas. Methods The basic situation of the wounded inpatients and the total situation of medical rescue were analyzed with data provided by the Department of Information at the hospital from May 12th to July 12th 2008. Microsoft EXCEL was used for data input and SPSS 11.0 was used for statistical analysis. Results By July 12th, a total of 1950 injured patients and 1378 inpatients had been treated in the hospital. Most inpatients were treated during the first week after the earthquake (about 65.6%), with the number of the inpatients reaching a peak of 703 on the first day, May 12th. The majority of the wounded inpatients were from the Mianzhu, Shifang and Jingyang districts of Deyang city. The diagnosis on admission included fracture (45.9%), craniocerebral injury (20.9%) and thoracoabdominal injury (14.7%). There were 48 deaths including 30 pre-hospital deaths, 10 emergency deaths and 8 inpatient deaths. There were 441 patients who were transported and transferred to the 2nd and 3rd hospitals from the People’s Hospital of Deyang City, which was the first hospital to organize the large-scale transporting of patients in the whole province. There were 1378 inpatients from the disaster area and 726 healthcare workers were sent to the disaster area to provide medical rescue. Psychological treatment was provided to more than 5000 inpatients, inhabitants, healthcare workers and army members. Conclusion The People’s Hospital of Deyang City successfully has accomplished a difficult task as the hospital nearest to the disaster area and played an important role during emergency medical rescue.
Objective To retrospectively analyze medical rescue during Min-Zhang earthquake. Methods Medical rescue data reported from cities and counties in Gansu province were summarized in the earthquake relief and medical rescue headquarter of Gansu province. They were input into a database using Excel software. Descriptive analysis was conducted using SPSS 17.0. Results After the earthquake, Gansu Heath System quickly responded to the situations and started the contingency plan for earthquake, while patches of medical rescue teams were sent to the stricken areas. As of 14 days after the earthquake, 4 377 victims were treated in medical institutions of each levels. Hospital infection was comprehensively in control and psychological intervention was conducted among the target population. Conclusion The emergency response of Gansu Heath System was quick, effective, and well organized. Facing extraordinary disaster, Gansu province smoothly accomplished the tasks of earthquake relief and medical rescue at the initial stage.
During the medical rescue after Wenchuan earthquake, based on the design and implementation of the management process of blood purification equipment, we gave the top priority to those patients with post-disaster crush syndrome to ensure their hemodialytic treatment. Through strict management of blood purification technology, the outcomes of these patients have been fundamentally improved and the incidence of complications was substantially reduced. Safe and effective hemodialytic treatment have been administered to 77 patients with crush syndrome (813 case-times).
Baoxing airborne medical team of West China Hospital participated in the medical rescue in 2013 “4?20”Lushan earthquake. The medical team excellently fulfilled their rescue task for 1 week in the earthquake-struck areas where there was power and communication failure and lack of water and food supply. We found some experiences and problems in airbornemedical team assembly and member selection, which may provide quotable experiences for future disaster assistance and rescue teams.