Research On Medical Rescue Teams Building For The Sudden Disaster

In recent years, China’s sudden disasters occurred frequently, especially floods and droughts, the event of disasters often bring to the masses grave disaster, causing huge economic losses and serious threat to the health of the masses of the people and affect social stability and harmony. Special geological conditions in some areas, but also often earthquakes, subsidence and other geological disasters. These disasters often trigger such as an epidemic, landslides and other secondary disasters. The same time, the city is still a wide range of social disaster prone land, such as fire, violent conflict. These are serious constraints to the sustained and healthy development of China’s social, economic, Hubei Province, is no exception. Public health events caused by sudden disasters health emergency management how to strengthen and improve the efficiency of the medical treatment of the medical rescue team, minimizing sudden disasters health hazards to the people has become a serious challenge facing governments around the world.Hubei Province is one of the provinces along the river of the middle and lower reaches of the Yangtze River in China, often suffer from floods, earthquakes, landslides, droughts and other natural disasters, as well as attacks of associated plague, landslides and other secondary disasters, tremendous harm to the city, these disasters generally The main natural disasters and their secondary disasters, man-made disasters and natural disasters and man-made hybrid. In recent years, Hubei is in the history disaster bulk phase ", such as in2010, caused by heavy rain floods the province’s17cities and prefectures, provincial governing city, forest areas affected to varying degrees, affected population of991million people, the death tolls 74people missing435.78million emergency transfer of the masses, the direct economic loss of11.73billion yuan. Other kinds of size disasters endless, constantly damaged urban civilization, the urban ecological environment is deteriorating, and block the development of the city. At present, research on sudden disasters of Hubei city has attracted the attention of scholars about.Hubei Province is the burst of the largest types of disaster events, higher frequency and heavier losses occurred one of the provinces, since the SARS outbreak occurred in2003, the government accelerated the province’s health emergency response capacity building and has achieved remarkable success, especially2008Wenchuan earthquake and the2009H1N1flu and efficient response, shows the great progress of the Hubei health emergency. Nevertheless, the current unusually severe sudden disaster events to deal with the situation any alerts you staff can not be taken lightly, Hubei Province, unexpected disasters, particularly natural disaster monitoring and response need to further strengthen and improve the level of emergency management to cope with various disasters in Hubei Province Health continuously improve the treatment capacity of the medical rescue team, which is an important issue that should not be overlooked in the Hubei provincial government and the health sector at all levels.In this paper, the literature review, data analysis, surveys and other methods, combined with medical support learning, knowledge of emergency management, public health, disaster medicine and other disciplines, our response to the sudden disaster medical rescue team to analyze the situation, and to learn from the United States Emergency medical rescue team building experience of Hubei diagnosed China’s lack of emergency medical rescue team building, and then make recommendations for improvement.Hubei Province from2008to2010emergency medical rescue teams progress and human resource configuration analysis, the following conclusions can be drawn:1. Medical rescue team building in macro levelIn recent years, Hubei Province, emergency medical rescue teams to give material support, financial support, the development and issuance of the relevant rules and regulations and actively preparing for the construction of emergency medical rescue teams and set up a team of competent bodies, but there are some difficulties to urgent resolved:①teams in charge of institutions setting up and staffing is still a wide gap.76.5%of the province’s municipal,88.9%of the county-level health administrative departments not set health emergency management agencies to manage the medical rescue team.4.5%of the county-level health administrative departments not explicitly specify a specific department to undertake emergency work. Health emergency management department has been set, the more staff seconded. Reflect a wide gap between agencies and staffing and actual demand.②emergency response capabilities and team self-protection seriously inadequate. The number of the survey at all levels of the health emergency team, but the equipment lack the majority list ranks only; equipped team on-site disposal of equipment, weak self-protection capabilities, and a large gap between the requirements from the health emergency response teams and equipment reference directory;94.1percent of the municipal health administrative departments,90.1%of the county-level health administrative departments uniforms CDCs uniforms proportion:municipal88.2percent,80.5percent at the county level.93.5%of the municipal and85.7%of the county health administrative department of health emergency vehicle-specific (office). The last two years around the conducted Influenza A HIN1influenza and avian flu prevention and control training and drills, but mostly for the control of infectious diseases, than a single content, lack of medical rescue comprehensive, systematic and comprehensive exercise. More than80%of the players units do not have to buy a personal accident insurance in accordance with the law.③shortage of funds.41.2%of the municipal and60.6%of the county health administrative departments daily work funds,76.5%of the municipal health administrative departments,65.7%of the county-level health administrative departments lack health emergency reserve.45.7%disease control machine without the day-to-day funding for emergency work. Therefore, the health emergency deal of preparatory work can not be carried out.④material reserves prepared to lack. The province has41.2%of the municipal emergency physical reserves,39.4%of the county-level health administrative departments. Medical institutions bear the medical rescue mission, nearly40%of the emergency unit of physical reserves of less than$50,000or no reserve. Disease control, medical institutions reserve multi-oriented institutions make their own arrangements, the reserve is also a one-time financial compensation mechanism is not perfect, such a short period of time required to handle emergencies several times, you may face the problem of emergency material supply can not keep up.2. Medical rescue teams of Human resource allocation levelThe configuration of the province’s emergency medical rescue workers exist mainly in the following aspects:(1) low education levels. Contradiction with the characteristics of the occupational knowledge-intensive, due to the lack of knowledge of the public health importance of human development over a long period of time, the formal institutions of this, very few college graduates into the emergency medical rescue teams, especially at the county level emergency medical and rescue teams, The low level of qualifications of professionals in the proportion of college degree is high.②title structure is irrational:provincial, municipal and county (district) in turn decreased the proportion of senior professional titles of the three emergency medical rescue personnel, senior titles, mostly concentrated in the provincial and municipal emergency medical relief agency, in a sudden disaster events first-line service for the vast majority of the rural population of the county (district) level emergency medical and rescue personnel in the proportion of high titles less than10%. The③professional source structure owes reasonable:surgical medical and nursing Medical professional sources, the lack of a large health concept of modern public management thinking and a high level of modern management skills, high-quality emergency medical and rescue teams.④lack of a standardized mechanism for continuing education and training:the health emergency officers, although some participated in various professional and technical education and training, but did not participate in a variety of emergency medical rescue training personnel accounted for66.4%, resulting in a fairly large number of emergency medical obsolete knowledge of rescue workers, poor information, the concept of aging, professional skills can not meet the actual requirements to deal with unexpected disaster events.In short, a case study of Hubei our country to deal with unexpected disaster events medical and rescue teams to the status quo found in the team in charge of setting, staffing, emergency response capabilities, the team is self-protection, working to ensure funding for material reserves to prepare as well as teams of academic levels, titles structure, sources of professional structure, continuing education and training mechanisms are deficient. Based on this proposed improvement strategies, including:sound and comprehensive institutional mechanisms; strengthen emergency planning system; strengthen health emergency personnel training; increase health emergency funding; meet the protection needs of the health emergency supplies to improve the health emergency material reserve policy; strengthen primary health emergency response capacity building; fully integrated resource; improve the level of information construction; actively preparing for the construction of the medical rescue center, improve laboratory testing network.Finally, we hope that all kinds of unexpected disaster event never to leave us, but for now, or can not be done in a number of large-scale disasters or passive, sometimes even weakness. The only thing we can do is that when the disaster occurred, the first time the group sent to the efficiency of the medical rescue team, to take positive and effective measures to be addressed; advanced treatment methods and strict on-site operation to rescue more people life; we usually understand and master the medical knowledge to prevent and protect their own safety; the rescue injured patients with the most advanced equipment and instruments. As long as we are well prepared to peace with such disasters, in order to really minimize the damage of the disaster has brought us.