Exploration on the Classification Mechanism of Emergency Pre - examination in China

China is not in this regard is not considered, but also actively carry out research and pilot. In 2011, the Ministry of Health announced the "emergency patient disease grading pilot guidelines (draft)", the proposed emergency room is divided into red, yellow, green 3 area, the patient's condition is divided into endangered patients, critically ill patients, Acute patients 4, so as to improve the accuracy of the diagnosis of emergency patients to protect the emergency medical security of patients. The severity of the condition of the emergency patient determines the priority of the patient's treatment and treatment. Emergency patients are not only classified to the patient, but also to divert the patient, so that the patient at the right time to the appropriate area to get the appropriate treatment.

Emergency pre-classification treatment is consistent with the medical institutions set the basic purpose of emergency, is the "emergency", but also meet the needs of human and social basic ethics. I see in China, ambulance to the hospital, the admissions of nurses first measure blood pressure, pulse, body temperature and other vital signs, if necessary, do ECG examination. According to the results of the examination, the patients were divided into five levels according to the disease, to each patient with signs of different severity of the label, in accordance with the "heavy priority" principle.

Exploration on the Practice of Emergency Pre - classification in China

In 2007, the Second Hospital of Shanxi Medical University began to implement the "wristbond logo" measures. Wristband dividends and blue two, used to indicate the patient's name, gender, age. Emergency critically ill patients wearing a "red wrist strap", emergency surgery patients to wear "blue wrist." Hospital staff to see the department to wear such a logo should be done: check priority, elevator priority, surgery priority, personnel to make way. "Wristbands logo" after the implementation of greatly improve the efficiency of treatment, hospital health care workers have a more urgent sense, making the emergency 'green channel' more smooth.

In March 2008, the China Hospital Association issued a rating scale for the national medical institutions. "Red wristbelt" system as an important proposal was proposed, the proposed requirements of the national medical institutions and international standards, the opening of the convenience channel.

In 2009, Shanghai Jiaotong University School of Medicine affiliated Xinhua Hospital tried to grade according to the disease, critically ill priority treatment. Emergency physician corresponding adjustment of the layout, in the rescue room "pillow latrines", ad hoc high-grade experts admissions can be on the next, graded difficult to distinguish the patient, the rest of the main focus is to deal with ordinary emergency. Blood, electrocardiogram and other doctors to the original after the inspection, to wait until the first time to do, to further shorten the treatment time.

August 2011, Shanxi Medical University, the first hospital to develop a "emergency room green channel management system." The system will be divided into three levels of emergency patients, respectively, with red, yellow and green color to distinguish. On the red, yellow mark the patient, the implementation of priority rescue, inspection and treatment.

October 1, 2013, the city of Shenzhen City, the pilot hospital emergency pre-assessment grading system, in accordance with the "pre-screening, acute priority" principle, the patients are divided into endangered, critically ill, acute and non-acute level 4. If the patient is in critical condition, it must be saved immediately; if there is no acute onset, according to the guidelines, the waiting time will be within 4 hours.