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Pre-hospital emergency programs as an important part of the public health system in emergency medical rescue, has increasingly shown its rapid response role. Ambulance as an irreplaceable part of the professional treatment process, in the emergency process plays the role of the carrier, its quality directly affects the success or failure of first aid and patient safety. This article focuses on a few thoughts from the ambulance configuration, use of.

(1) for cities roads complex, narrow residential street characteristics in the purchase of the vehicle, should consider the following points:

1, optional dimensions too high, too wide, too long, small turning radius of the vehicle, this vehicle flexible and strong, suitable for driving on city streets.

2, should buy gasoline engine type, engine starting speed, acceleration time is short, and low noise, suitable for urban use.

3, as ambulance transport process demanding smooth, should adopt good damping performance vehicles.

4, since the car severe type of equipment, and the need to rescue more spacious space, you can buy larger vehicles can also purchase a diesel engine-type vehicles.

(2), if necessary pre-hospital care and public health work to the actual situation of emergency relief work, emergency center should be equipped with the following types of vehicles.

1, ordinary type ambulance transport: transport is responsible for convalescent patients, review and so on. The car with the stretcher, to provide patients with convenient services. According to my experience centers such task alarm about 10% of the total work, the number of ambulance with 8%.

2, ordinary type ambulance: primarily responsible for the average patient transport, on-site treatment and the way custody. Interior medical oxygen tanks should configure the pipeline unit, 12-volt, 220-volt uninterruptible power supply system, with first-aid kit (commonly used first-aid equipment and a variety of emergency medicine), ECG, oxygen bottles, and the condition of patients with car carry defibrillators, monitors, electric suction, glucose meters and other emergency equipment. Such an ambulance equipped according to disease classification and economic situation of the city the number of patients accounted for 50-60%.

3, severe type ambulance: site for critically ill patients in an emergency, the way care and transport safety. Select the engine power, good damping performance, medical spacious cabin, reasonable configuration, good overall performance larger vehicles. To be equipped with more comprehensive than ordinary ambulance emergency facilities, emergency medicine and medical equipment, is equipped with a defibrillator pacemakers, intubation device, bag-mask respirators, automatic stretcher, scoop stretcher, stretcher chair upstairs negative pressure vacuum stretchers, suction vacuum splints, cervical collars, etc., similar to a flow of ICU or ICU ward. According to the proportion of patients with severe pre-hospital and to be equipped with such an ambulance 25-40%.

4, the medical emergency command vehicles: command vehicle is a mobile command places a temporary public health emergencies, mainly for the leadership to visit the site to provide technical and research environment dispatching decision-making process. Command vehicle is divided into six functional subsystems, namely image acquisition system; display, storage and control systems; data and video transmission systems; communication command system; office management system; intelligent power distribution system.

Our center uses Sichuan Toyota Coaster medium-sized bus chassis production car with a mature, leading-edge technical performance and flexibility, quickly arrived at the scene. In the command vehicle functions on the basis of the ordinary we designed the following features:

Positive pressure antivirus cabin design: the principle of positive command module will be sealed design and modification, installation of high efficiency filtration system and the antivirus positive pressure forming system, in addition to the dust can not enter, but also insoluble gas filter transmission of the virus and toxic gases, protect the car within the command staff safety.

Car pre-hospital emergency communication network system as a command center seat for a network connection, so that the command center and seamless command vehicle, command vehicle and can be made with the command center to form a complete information, interactive data sharing.

Piggyback wireless image acquisition subsystem can enter the scene of the accident back to the center of the image.

5, medical emergency reinforcements vehicles: ambulances perform pre-hospital emergency task is often to fight alone, in case of critically ill patients can not be moved or injury, when the number of patients needed more experienced chief physician to the scene to guide and direct. Medical emergency reinforcements car with a small body, flexible, trunk larger models, chief physician himself bound by the scene.

6, emergency supplies support vehicles: to deal with unexpected emergency rescue mission site treatment, with international standards, it should be equipped with emergency supplies to protect a car. Body selected truck chassis with power supply system, site lighting and broadcasting systems, scoop stretcher and soft stretcher, first aid kits and first aid kits, spine boards and vacuum splints, reversing system, inflatable tents, rescue cutting equipment.

Ambulance carrying the sick and wounded of transport, the merits of the emergency rescue vehicle directly affects the patient's quality. Therefore, in the purchase and configure a vehicle, select a strong engine power, medical treatment cabins spacious, reasonable configuration, good overall performance medium vehicles. Emergency center ambulance configuration directly related to the treatment capacity of the emergency center and rescue capabilities of a city public health system.


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