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How to improve the emergency ability of public health emergencies
Public health emergencies refer to major infectious diseases, mass unexplained diseases, major food and occupational poisoning and other events that seriously affect public health. Public health emergencies are directly related to public health, economic development and social security, and have increasingly become a hot issue of general concern in society. General hospitals not only complete medical care and disease prevention for people in their jurisdiction. At the same time, it is necessary to participate in emergency rescue tasks such as sudden accidents and natural disasters. For example, take part in flood fighting, earthquake and epidemic rescue of infectious diseases, and get exercise from it. To control public health emergencies well, we must formulate emergency strategies, establish emergency mechanisms and formulate and improve emergency control measures. Ensure timely, rapid, efficient and orderly response, safeguard the health of the broad masses of people and safeguard national security and stability. 1 Formulate a scientific and reasonable emergency plan. Whether it is a major infectious disease epidemic, various poisoning incidents, life accidents, natural disasters and various terrorist incidents, or other public health emergencies, there are usually a large number of wounded and sick people. In the face of emergencies, it is often beyond the rescue ability of hospitals. If the hospital is not prepared in advance or is not fully prepared, it will be at a loss. Therefore, it is extremely important for general hospitals to prepare comprehensive and targeted emergency plans and improve their emergency rescue capabilities. 1. 1 Strengthen the organization and leadership, and make clear that the responsible hospital should set up an emergency headquarters (group) to coordinate the responsibilities of all departments involved in emergency treatment, ensure a clear division of labor, implement responsibilities and clarify their respective responsibilities. Only under the highly unified command can we give full play to the strength of all parties, mobilize all resources and control the incident in time. 1.2 The plan should be scientific and reasonable. Hospitals should consult, collect and master all kinds of health information (such as infectious diseases and natural focus diseases), geological natural disasters (such as earthquakes and floods) and possible accidents in this area. According to the laws and regulations such as the Law of People's Republic of China (PRC) on the Prevention and Control of Infectious Diseases, the Measures for the Administration of Medical Rescue for Disasters and Accidents, and the Emergency Regulations for Public Health Emergencies, combined with the actual situation of the region and the unit, various emergency measures and rescue plans are formulated. The pre-plan must systematically reflect the command procedures and contents under different situations, mainly including the order of issuing orders to various units performing tasks, the requirements for preparing for operations, the number and grouping method of personnel and equipment, the division of labor and command position of commanders, etc. All kinds of support activities must be coordinated under the unified command of superiors. The plan of 1.3 should be comprehensive, focused, practical and easy to operate. Hospitals should formulate control plans for major infectious diseases, poisoning incidents, natural disasters and major accidental injuries. Diagnostic criteria, prevention and treatment measures of infectious diseases should be simple and clear, and it is easy for not only medical personnel but also non-medical personnel to know and master. Let everyone in the whole society participate in such seemingly simple measures, which is the best preventive strategy and can effectively prevent the epidemic of infectious diseases. Hospitals should formulate standards for the classification and transfer of a large number of wounded and sick people. When a large number of casualties occur due to natural disasters (such as earthquakes, volcanic eruptions, mudslides, typhoons, floods, etc.). ), accidents (such as car accidents) and terrorist attacks, patients should be classified. Patients with multiple injuries should be treated in the order of chest, abdomen, head and limbs, and the indications should be determined. Necessary preoperative preparations should be made to carry out life-saving emergency operations (such as tracheotomy, chest compression, closed thoracic drainage, thoracotomy and laparotomy to stop bleeding, etc.). ) should be actively carried out. At the same time, for natural disasters, we should also rescue the wounded, search and rescue survivors, and control the epidemic of diseases. 2. Strengthen emergency education and training to improve emergency response capability. In public health emergencies, medical personnel are often the first to know and participate in the rescue. Whether it is infectious diseases, unexplained diseases or poisoning incidents, their emergency handling ability and emergency thinking play a vital role in controlling the spread of disasters and reducing disaster losses. The quality of pre-treatment of emergencies is often related to the final result of the whole incident. Therefore, it is necessary to establish a perfect on-the-job training system and bring it into the continuing medical education plan, and regularly train the relevant knowledge and ability to deal with emergencies, so as to improve the ability of medical staff to deal with emergencies. 2. 1 the contents of first aid training include: epidemiological methods and ideas of clinical medical staff, emergency ability to deal with emergencies, knowledge of infectious diseases and common poisoning, handling of natural disasters and accidents, and psychological quality training. It is necessary to organize the study of laws and regulations such as the Law on the Prevention and Control of Infectious Diseases, the Measures for the Administration of Medical Rescue for Disasters and Accidents, and the Emergency Regulations for Public Health Emergencies. 2.2 Although various plans established by intensive drills are highly instructive, they can be implemented smoothly at the beginning only in repeated drills, and only through simulated training can the level of emergency teams be improved. The forms of drills include emergency assembly and pulling, on-site rescue of major car accidents in the city, and work on the map. Through the drill, we can not only let everyone know and master the plan, but also test whether the plan is reasonable, scientific and comprehensive, so as to further revise and improve it in time. Hospitals should carry out emergency drills to improve the comprehensive emergency handling ability of medical staff. 2.3 Strengthening the study of emergency mechanism Public health emergencies are sudden, unexpected, unpredictable, and some even unpredictable. It is necessary to carry out early warning research and monitor early warning. It is necessary to sum up the experience of hospitals in rescuing vehicles, poisoning and other accidents, and at the same time study the successful rescue experience of major accidents that have occurred at home and abroad, such as the medical security experience of the "9 1 1" incident in the United States, the major public health events such as the Gulf War and the Iraq War, and the SARS epidemic control experience this year. Drawing lessons from the experience of public health events in China, we will further revise and improve various plans and early warning indicators. Improve the comprehensiveness and systematicness of treatment. Establish a rapid response mechanism and play an important role in emergency handling.