Study On Clinical Emergency Response Of Taizhou Medical Rescue System Attacked By Typhoon

[Research Background]Taizhou City,located on the eastern coast of Zhejiang Province,was almost attacked by typhoon every year.Typhoons caused serious natural disaster, which has become a vital public health problem. Particularly in 2004,Taizhou was directly hit by Typhoon Rananim, which blasted the city of Wenling on the coast of Zhejiang at 8 pm. August 12. Rananim was ranked as the strongest typhoon in the country since 1956 by China Meteorology Agency. It has been proved statistically that No. 0414 Typhoon Rananim had caused widespread damage. In the city of Taizhou were there 1098 people were injuried and hospitalized, and 40.89 per cent of them were migrant workers; 164 people were killed, 24 missed, and 21.74 per cent of them were migrant workers/.Many medical emergency problems arose under attack by typhoon.The electronic power system and water supply system were broken before typhoon landed about 3 to5 hours ahead.Wireless signals were very faint and even faded for a time, which made it very difficult for the injuried to ask for first-aid by mobile phones.Each hospital in the city was crowded with emergency patients because of rapid injury by typhoon in a short time. Most hospitals had limited capability to treat the emergency cases and inadequate space for the in-patients. Medical rescue networks were built up so intricately that medical treatment was in disorder due to inexperience in commandment and coordination. In the operation of medical relief many hospitals were faced with the problem of how to distribute the medical resources properly. The medical staffs tended to make arbitrary and improper decisions based on historical data or through experiences.The emergency mode in the city is an affiliated agency,for example, i.e. the emergency centers are affiliated to the People's Hospital of Jiaojiang District, the City of Taizhou. So the emergency medical market is in disorder. In order to To attract more patients and maximize their profit, many hospitals in the city established their own medical emergency center, and subsequently many emergency calls can be accessible via "120", "96120", and so on. While giving medical relief, instead of applying the general principle of proximity, many hospitals stick to the principle that who answers the emergency call is responsible for the patient. Such unhealthy competitions waste the medical resources,decrease the treatment efficiency, and thereby hospitals leave unfavorable impression on the common people. Therefore, it is urgent that a medical emergency relief system be established and improve response to emergency. Taizhou Central Hospital learns from the medical relief experience in Typhoon Rananim as well as the previous natural disasters relief experiences. Based on the regional conditions in the area of Taizhou, the Hospital redistributes medical resources to satisfy the needs of patients and avoid unnecessary waste.The municipal government of Taizhou attaches high importance to this project. In March, 2004 was set up Taizhou Municipal Medical Emergency Commandment Center, based on the construction experiences of provincial and other municipal medical emergency centers. Late as it was founded, the Center was developing very rapidly. It has primarily established an emergency medical rescue network system with regional characteristics.Since the operation of the new medical rescue system in Taizhou, we have done research into the emergency services by comparing the data of the year 2004 with that of 2002. The former group is named treated Group while the latter control Group. We have not done research into the emergency response time, emergency treatment in different departments triage sick fatality rate, disability rate resulting from typhoon injury between the two groups. Based on research into the first-hand clinical records in emergency, this paper attempts to analyze how the policy and the new medical rescue system have affected and improved the emergency services in typhoon injury, the victims' complete cure rate, successful rescue rate and the patients' level of satisfaction. The subject of research and evaluation is to analyze how the policy and the municipal new medical rescue system of Taizhou have affected and improved the clinical emergency response time, complete cure rate of the injuried, successful rescue rate in typhoon injury and the patients' level of satisfaction with Taizhou Municipal Medical Emergency Commandment Center.[Research Objectives]The subject of research and evaluation is to analyze how the policy and the municipal new medical rescue system of Taizhou have affected and improved the clinical emergency response time, complete cure rate of the injuried, successful rescue rate in typhoon injury and the patients' level of satisfaction with Taizhou Municipal Medical Emergency Commandment Center.[Research Methods]The object of study is the municipal new medical rescue system of Taizhou. The paper is based on research into comparison between the old medical rescue system in 2002, 2004 and the new system in 2005, 2006. We make a retrospective analysis of the general circumstance of typhoon injury, occupations, clinical emergency response time, emergency treatment in different departments triage, survival condition, disability and the patients' level of satisfaction with the new system. We sort the emergency cases into two groups: control Group and treated Group and then conduct an on-site inspection, concerning wireless communication, data processing, emergency medical network, the different medical rescue systems adopted in Taizhou Central Hospital, medical facilities, medical human reasources, changes in the medical personnel training, etc. After thorough research we enter all information into the computer and create a database, make a statistic analysis with t test Chi-quare test by SPSS 15.0 for Windows Software.In the end we offer suggestions on the new medical rescue system with regional characteristics after we carry out an in-depth analysis of the results taking the current medical market in Taizhou into full consideration.[Research Results] Between Comparison Group and Experimental Group the distribution of age and sex has the same result as the same type of research at home. And the nonnative laborers account for the largest part of occupations. There is statistical significance in the nonnative laborers' distribution between Comparison Group and Experimental Group ( P>0.05). clinical emergency response time of Experimental Group after typhoon injury is obviously shortened;mortality rate is reduced (P<0.01) and the disparity is statistically significant. There is no statistical difference in disability between Comparison Group and Experimental Group. To strengthen examination links in emergency and apply the software to different examinations triage can shorten examining time in different departments and improve the accuracy of different examination (P<0.01). The crucial factors in improving emergency medical service and efficiency consist in the training of medical staffs and the reposition of medical personnel. To provide sufficient massive emergency medical resources is so important that it can ensure the vital function of medical relief in typhoon injury. A greater coordination between different departments, collecting the feedback of information can help to fufill the goal of quick and efficient medical relief. All these methods can also help to raise the patients' s level of satisfaction: to build qualified medical team, speed up medical process and to establish and efficient "120" computer-assisted network.[Conclusion and Suggestion]The limiting factors in constructing the medical rescue system are involved in the nonstandard running of the medical rescue network and government failure to take the social great relief into consideration when planning. It is very urgent that we speed up making regulations on medical rescue, improve medical rescue network, shorten an action radices of medical rescue. To fulfill the social great rescue we should strengthen to build rescue chains from the first witness—rescue institute outside hospitals—emergency medical rescue in hospitals. Since "split into different specialties", cannot meet the demand for modern medical rescue we should speed up establishing emergency medical rescue as an academic discipline and set up the injury---medical rescue unified system with regional characteristics. We should gibe attention to the management of original medical information and gather the pace of digital development in medical institutes. These measures are helpful to statistical data and scientific study to enhance the medical rescue quality. While establishing the medical rescue system we should take regional as well as national situation into full consideration. Meanwhile, we should seek the cooperation between hospitals and outside, among the medical rescue regions, and increase international medical cooperation.