The Situation Investigation Of Emergency Resource Allocationand Emergency Skills For 84 Hospitals In Guangxi

Objective To investigate the emergency medical resources of hospitals and mastery of emergencency skills at different levels in Guangxi province, thus understanding the distribution of emergency resource.Methods By using questionnaires and field surveys, the emergency medical resources of different grade hospitals in Guangxi were investigated. Collected the information of emergency resource distribution and skills mastery of medical staff from 84 hospitals of various levels that locate in different regions of Guangxi.Result (1)First-aid personnel:The average number of emergency physicians were 9 (7-11)in 2 level hospitals; therein, The undergraduate course、bachelor degree、master’s and higher degrees accounted for 20.28%,77.09% and2.63% respectively; resident physician、attending physician、associate chief physician and chief physician accounted for 42.72%,49.64%,7.64% and 0.00% respectively;the emergency physician who have 3 years or above working experience hold in 96.90%. Er visits in 3.13 (2.00～5.38) people; Physicians in the emergency work number every year is 3684.62 (2355.77-5288.46).The emergency physicians were 13 (10-22)in tertiary hospitals; therein, The undergraduate course and the following、bachelor degree、master’s and higher degrees accounted for 3.03%,67.78% and29.19% respectively; resident physician attending physician associate chief physician and chief physician accounted for 30.94%,51.20%,14.99% and 2.87% respectively; the emergency physician who have 3 years or above working experience hold in 87.88%. Er visits in 5.00 (2.90-9.20) people; Physicians in the emergency work number every year is 3711.25 (2621.25-4933.18).Two level hospitals have statistically significant difference in physicians, nurses, er visits, doctor degree and title distribution(P< 0.05).(2) Emergency equipment:the number of emergency equipment have a skewness distribution at the same level hospital. In the secondary level hospitals, breathing machine and defibrillator were enough, the average of cardiopulmonary resuscitation (CPR) machine was less than one; in third level hospitals, emergency equipment were generally complete, such as breathing machine, defibrillator et, but the average of hemodialysis machine, bedside X-ray, bedside B-ultrasound, and fiber bronchoscopy was less than one. (3) First-aid skills:Secondary and third level hospitals could engage in normal first-aid technique, such as endotracheal intubation, breathing pass by machine ventilation, emergency operations and electric defibrillation.But the invasive operation like cricothyroid membrane puncture, bladder puncture colostomy, and the chest closed drainage are limited to carry out.Conclusion The emergency department of 2 or 3 level hospitals in Guangxi couldn’t meet the demand of emergency work in medical staff number、 composition of doctors、emergency equipment and skills.