REVIEW: "Southern emergency door" incident is finally settled, and this time, as a professional pre-hospital emergency staff, I would like for everyone trying to sort out the technical points in first aid must focus on.

Wen: Tony Ge

Source: "medical profession" Micro Signal

"Southern emergency door" event continue to simmer close in January, now move along with an apology and a compromise of 999 emergency of stakeholders, finally blew the final whistle, announcing the end of mutual tear. Looking back from the battle of the month as the various stakeholders in a street hooligan scuffle, there have been lost during the press heavyweight bigwigs to join, so confusing to the event. Rashomon episode after another, so that the most prepared to shoot good idea that the anti-Japanese oratorio many directors are Iranian society. Before gradually being forgotten, as a professional pre-hospital emergency staff, we need to strive to sort out which is which techniques work in emergency need of attention.

The incident is very simple, a patient at high altitude disease, abdominal symptoms appeared after landing rescue crew took measures, the problem occurs in the landing 50 minutes ride by the rear ramp and aircraft have opened the door, this time the ambulance already parked beside the aircraft, originally anxiety patients suffering watched an ambulance aircraft outside the windows close and denied medical treatment, and finally heading for the cabin door, but there have been difficulties can not be off the plane. The reason was actually cold weather airport ramp slippery, flat stretcher at this time does not fit the patient lift the plane.

Gangway ride rearward cabin door is opened, the emergency personnel boarding View and make an emergency patient transport decisions and no errors. Then who will carry on the crew and the patient has become the key emergency personnel wrangling.

Crew: emergency personnel boarding the things remaining are emergency personnel, independent of us.

Emergency personnel: what happened in the cabin, the crew should be responsible for aspects of things is the emergency personnel outside the aircraft door.

Emergency scene there is such a farce can not be said to develop or execute a disposal problem airport emergency contingency plans, of course, of which there may be a miscommunication with the ground crew, resulting in airport staff levels compared to the patient's condition assessment low response level is not high. But this can not be an acceptable reason, imagine a patient's condition to the case of an emergency need for an emergency landing of the plane, emergency medical response airports manifested a defect is indeed serious!

Aid should be the scene of wrangling with the patients who carry this move, as emergency personnel also should acquire the relevant knowledge aircraft rescue and make the appropriate preparations to cope with various difficulties.

Gangway excessive aircraft, ordinary stretcher patients have risks, emergency personnel without professional stretcher work, and in November the Beijing cold, very slippery after icing aircraft gangway, adult patient's weight is at least 100 kilos, and anxious the most comfortable patient positioning abdomen is curled up in order to alleviate symptoms of peritonitis brought pain. Such patients simply can not be completely supine with good fixed by the constraints. Responders made in handling this complex premise, hope airport and not lifting platform, to help assist the crew refused. Moreover, the current medical predicament, in case the patient on the stretcher rolled down, its consequences more serious. This is the ordinary flat stretcher spine board even stairs not suitable transport dilemma lies.

Lift the stretcher, we naturally think of film and television work in the War of Liberation which team fleet mighty frontline stretcher group. In fact it was a stretcher production is relatively simple, there is no uniform standard, the main requirements of comfort and safety. Two wood strong enough, a few strapped firmly enough to cope with the transport. Today at different medical conditions of survival and rescue, adapt stretcher emerged under difficult conditions, than the Spring Festival, or the most unique comedy actor Fan Wei Zhao Benshan teachers to tailor a completely independent intellectual property rights , on a year-long development cycle (period between two Spring Festival)!

But for the moment the emergency scene, the importance of self-evident stair stretcher:

In fact, as a professional rescue tools height staircase stretcher in the corridor for the transfer of patients in a narrow space, which is the recommended measures from the American Association of trauma care. This is a world of traffic means, it is used by many countries worldwide emergency personnel. Especially for a lot of buildings built in the last century, China does not have an elevator conditions. Reasonable fixed patient, two people can be quickly transferred from a height of an adult to a safe area, completed the first step in life rescue. But in the "Southern emergency door" unsuccessful rescue process, the flat stretcher patient transport relief workers face icy ramp helpless, so the prevailing conditions (no stairs a stretcher, two did not physically assist the crew and airport landing platform ), the patient's own ambulance seemingly helpless, in fact, is the most reasonable choice. Simply can not be tolerated is the patient self-reported "their climb down ladders, climb during the ambulance crew and rescue personnel are busy arguing who should lift the patient, no one shot support." So the rescue scene so participants, regardless of any party score is zero.

The moment, the domestic interested aid system held a variety of "XX Contest" winners behind rare achievement is training over and over again sweat. For the leader is performance, but this "XX contest" halo under the shade but the actual work is directly facing the patient's lack of standard first aid training, operations are not standardized. Therefore, this "XX contest" I am afraid that the real value is being reduced. After all, as emergency medical technicians. The main part of the daily work of emergency or to complete the work in accordance with the standards and norms, the United States trauma processes were clearly out there, you just follow the step by step to seriously do just fine!

No matter the size of the highest quality and service levels Beijing Capital Airport took place in the country, there is an on-site examination participants from the country has a huge influence on China Southern Airlines and Beijing Red Cross Emergency system emergency system, the result is the airport, China Southern Airlines, emergency party not pass, there is no place to punctuate. For the patient, the results he gets is "0.8 m of the small intestine is cut." This seemingly prevarication, in fact, still behind the allocation of emergency system and interests.