As a medical institution, timely and accurate rescue of emergency first aid patients is an important link to ensure the safety of emergency patients. Emergency patients often sudden onset, critical condition, early rescue is very important to save lives, therefore, with scientific and reasonable, standardized first aid channel has a very important significance. However, in reality, the ambulance will be delivered to the emergency room, the emergency room often can not timely and quickly receive the patient, resulting in ambulances for a long time to stay in the emergency room, first aid resource turnover inefficient; major hospital emergency room Facing the "front door disorder, back door sluggish" dilemma. To solve this problem, I believe that it is necessary in a short time, comprehensive coordination of all aspects of the interests of mobilizing all aspects of the power to establish a scientific branch and strict referral mechanism to improve the efficiency of emergency use of emergency resources.

Pre - hospital ambulance pressure stretcher status

The current use of medical resources, there is an uneven phenomenon, especially the three integrated hospitals, the excessive concentration of the source, resulting in emergency vehicles to reach these hospitals can not achieve a smooth transition, the first aid resource turnover significantly reduced, known as the "ambulance pressure stretcher " After the ambulance arrived at the emergency room can not be quickly transferred to patients, a long stay in the emergency room has become the impact of emergency pre-hospital emergency treatment of fatal illness. According to rough statistics, Shanghai Medical Emergency Center in 2011 pressure stretcher 9 634 times (3.4% of the total number of out of the car), 2012 pressure stretcher 19 108 times (6.1% of the total number of out of the car), 2013 Annual pressure stretcher 30 224 times (9.6% of the total number of departures). Although the department of health care and births has organized various hospitals to analyze the problem on a number of occasions, the problem has not been fundamentally alleviated by the establishment of an effective operational mechanism.

Foreign emergency pre - classification treatment

Cracking this question is not without a recipe. In the foreign general establishment of the emergency pre-classification system. For example, in France, the emergency room functional positioning is accurate, is the symptomatic treatment of patients with stable vital signs of the center, the main cause of the diagnosis of complex cases. Branch is an important part of the emergency department, nurses only after the national nursing certification and acceptance of the French Health Bureau unified training nurses qualified. When the consultation is based on the severity of the patient's condition 5: 1 waiting for less than 3min, 2 waiting for less than 20min, 3 waiting for less than 60min, 4 waiting for less than 120min, 5 waiting for less than 240min. Patients with the order of diagnosis and treatment, in strict accordance with the classification of classification, critically ill patients with priority diagnosis and treatment, there is no first to the concept of treatment should be first. Some hospitals in the clinic are equipped with a senior doctor to assist in difficult cases. Emergency patients to observe the time does not exceed 24h, after the emergency treatment were transferred to the hospital and the corresponding hospital departments. The patient unconditionally accepts the whereabouts of the physician's decision. All emergency patients bedside without family members, family members in the Hou waiting hall waiting. Patients and their families to fully trust the physician, emergency medical treatment can be undisturbed. The French Health Bureau organizes the preparation of nurses' diversion guidelines. There are regular nurses training every year. The nurses are quantified and refined. The nurses follow the guidelines to judge the severity of the disease and classify them.

In 1993, the Australian Eppendorf study established the international pre-screening scale. In 1995, Canada established the emergency pre-screening scale on the basis of research and clinical practice, and was promoted nationwide in 1997. Critically ill patients served on the hospital, the emergency pre-nurses will be for the patient's condition and possible causes, according to the priorities prior to sequencing, the use of green channel, shorten the waiting time to improve the emergency treatment rate. The purpose of the use of pre-screening scale is based on the severity of the nurses according to the severity of the patients divided into 1-5 grades, indicating that the severity of the disease, different levels of patients waiting for treatment time is different, fully reflects the emergency treatment of critically ill patients