"China southern event" questioned first aid system

The 2015-12-01

Source: health

- our reporter wang Dan chief reporter yan 龑 /

On November 22, the net friend "a somewhat ideal reporters" entitled "China southern CZ6101 - between life and death, a journalist have words want to say to you" blog posts, described himself not long ago when taking China southern CZ6101 flight experience.

From sudden abdominal pain, on the plane to 9 50 points when the plane landed at the capital international airport doors were slow to open, and then to process the tortuous, in 15 hours, the surname as a net friend in the hospital of the capital airport, the Red Cross emergency center in Beijing, arrived in Beijing university people's hospital, was eventually diagnosed with internal hernias, removed the 0.8 meters of the small intestine.

Although Mr Zhang is now remove the discharge, the parties but the whole event in the continuous fermentation. As of November 30, the long weibo reading has more than 5 million times, was forwarded more than 10000 times, comment number over 30000.

Heal the wounded and rescue the dying and system

Event, one of the widely criticized the plot is that Mr Zhang on China southern flights, paroxysmal abdominal pain. Although the crew contact for an ambulance, but after the plane landed, has opened the door. Aircraft landing 50 minutes before the doors opened, airlines and ambulance paramedics who is to lift off the plane, Mr Zhang, zhang himself half squat and climb down the staircase, climbed to an ambulance stretcher.

In emergency medicine branch of Chinese medical association, director of the committee, director of the Peking union medical college hospital emergency department Yu Xuezhong view, single on this link, at least three problems in exposed the emergency system.

First of all, the crew while in the first time contact for an ambulance, and an ambulance also for orders in time in the field, but the unit is responsible for personnel has not other departments to communicate with the airport, such as opening up the green channel, contact the winding stair, ensure that the plane after landing can quickly open the door, etc.

Second, the efficiency of pre-hospital emergency problems. According to the parties, the "999" "120" the ambulance in, unable to enter the airport and able to enter the airport in the airport for an ambulance and unable to enter the city, it's influence to the patient's treatment.

Third, the patients who to carry? Yu Xuezhong said in public places and public transportation, such as high-speed rail, highway, aviation, etc., "who will carry the" should not become a simple social responsibility and moral judgment, and should have the guarantee on the system.

Yu Xuezhong, said the incident exposed the problem of the emergency system construction, including the multi-sectoral cooperation, professional capacity building, the medical staff first aid training, emergency plan and rehearse, system mechanism building, etc.

Pre-hospital first aid should be "ability" to the nearest

According to Mr. Zhang's records, it is because of the airport ambulance unable to enter the city, so he was sent to a hospital in Beijing capital international airport, then the system checks to judge the disease is severe, he has also been suggested to Beijing chaoyang hospital or Peking union medical college hospital. However, "999" the ambulance staff to hang on the grounds, not to be sent to the Red Cross emergency center in Beijing. Mr Zhang in Beijing "999" emergency center "of the indemnification" name, complain to the Beijing municipal health and family planning commission.

Exactly where the treatment, Mr. Zhang is the focus of this link the parties to the dispute.

The measures for the administration of the pre-hospital emergency medical treatment is specified, choose referral hospital first-aid center (station), should be in accordance with the nearby, is urgent, the principle of willingness to meet the professional requirements, both patients.

Yu Xuezhong explained that when patients have dangerous life, nearby principle should be preferred.

Beijing tongren hospital general surgery doctor Liu Jing told reporters, according to Mr Zhang's report, he abdominal pain progression on the plane, no sense of defecation, then the symptom such as dry mouth, sweating, preliminary judgment, like small intestine hernia strangulation intestinal obstruction. And patients describe there has been a half coma and unconsciousness, shows that there are signs of infection, toxic shock, therefore, first sent to the hospital from the nearest airport is understandable. "Intestinal obstruction if strangulation affect blood supply, will appear soon bowel necrosis, prognosis, early surgery. Even without at hospitals, patients with similar symptoms on the plane, may eventually need to be part of necrotic bowel resection. If further delay condition, patients may be caused by infection, toxic shock other viscera function failure, leading to life-threatening." Liu Jing admits, intestinal obstruction surgery is a more basic surgery, not 3 armour hospital to solve it.

"China southern event" is refers to "alleged interest transfer", said the media analysis, hospital operating costs are high, cause lack of will to make ends meet, and emergency platform holds a large number of source, natural "their first flow field". "999" emergency call platform in a collection of first aid and medical institutions, for their hospital patients can be difficult to rule out the possibility of, so should will be cutting platform and has a hospital.

The response: need to perfect emergency system

"China southern event" happens, all parties have to respond.

November 26, Mr. Zhang revealed to the media, the relevant person in charge of the capital airport hospital has ascend a door apology, and recognize their own emergency personnel is not professional, they will review the relevant issues, and coordinate with airlines, hope to be able to compensate for the patient or compensation. Capital airport hospital a head on condition of anonymity, the hospital is actively emergency first aid procedures.

On Nov. 29, the national health and family planning commission by CCTV for the first time in response to said, through this matter, further check the weak link in the emergency work, strengthen management, improve the level. At the same time, strengthen the communication with the traffic administrative department of the aviation and related coordination, organization and completes the first aid.

Beijing in charge of health and family planning commission said that the incident surface reaction with the issues of emergency services, but behind the issues of emergency system construction. Beijing will focus on research and analyze the deep-seated problems of emergency system construction, and timely. On November 30, on the evening of 22, Beijing released "999" relevant information about the "China southern event", said the transfer of the patients, check and disposal is appropriate, also conforms to the diagnosis and treatment norms. If the patient has objection to the disposal process, should be resolved through legal proceedings in accordance with the law.

According to introducing, the pre-hospital emergency medical treatment network made up of "120" and "999", respectively, by the Beijing emergency center and the Beijing Red Cross emergency center each command scheduling, this phenomenon is unique to Beijing. Due to belong to two different systems, lack of unified planning, has long been widely reviled. It is understood that at present Beijing pre-hospital ambulances 878 vehicles, including "120" network, 549, "999" network, 329. In terms of amount of the car, "120" 900 trains a day or so, "999" 800 trains a day or so. In the aspect of emergency site set up, by the end of 2014, there are 120 sites, "120" "999" has 130 sites.

In Beijing "120" and "999" before the two compound first aid system, experts said, in "Beijing pre-hospital emergency medical services ordinance (draft) during the drafting and examining the draft, there have been different views, a think status quo is beneficial to fully competition, a kind of thought that only can we make full use of resources, is also the future emergency services open to the public after unification service standard and unified supervision and management of the premise, there is a kind of opinion, unified command scheduling is necessary, but needs to coordinate the interests of all aspects, may need a process.

After several rounds of coordination, the draft law stipulated in article 17, the Beijing municipal construction unified pre-hospital first-aid command scheduling platform. This means that the public car call will allow access to the same system, unified dispatch by platform ambulance, sending vehicles could be "999", or "120".