目的：探讨在新冠疫情防控背景下，武陵山区创伤中心护士长为主导的多学科团队应急救治模式在多个危重创伤伤员应急救治中的应用，以优化批量伤员急救流程，提高应急救治能力和水平。方法：迅速启动医院接诊成批伤员应急预案，伤员根据病情分为危重伤、重伤、轻伤三级，并进入相应的诊疗区域。根据1名极危重伤员3名护士长配合抢救，危重伤员与护士长比为1:2，普通伤员与护士长比为1:1的配比对17名车祸伤伤员实施紧急救治。结果：17名伤员于67分钟内院内急诊抢救完毕，除2名极危重伤员急诊抢救无效死亡，其余15名伤员均精准有效救治并转诊病房进一步治疗，相关人员对救治流程实施结果满意。结论：护士长为主导的多学科团队应急救治模式能在最短时间内抢救多个危重创伤伤员，高效分流成批伤员，大大缩短急诊滞留时间，确保救治流程的畅通，提高成批伤员救治成功率。
Objective: To explore the application
of the multidisciplinary team emergency treatment modeled by the head nurse of
the Wuling Mountain Trauma Center in the emergency treatment of multiple
critically traumatic patients under the background of the prevention and
control of the new crown epidemic, so as to optimize the emergency treatment
process of the batch of wounded patients and improve the emergency treatment
ability and level. Method: The emergency plan for receiving a batch of wounded
in the hospital was quickly activated. The wounded were classified into three
levels of critical injury, severe injury, and minor injury according to their
condition, and entered the corresponding
diagnosis and treatment area. According to the rescue of a critically ill wounded
and 3 head nurses, the ratio of critically ill wounded to head nurses was 1:2,
and the ratio of ordinary wounded to head nurses was 1:1 to implement emergency
treatment for 17 injured in traffic accidents. Results: The emergency treatment
of 17 wounded patients was completed within 67 minutes. Except for 2 critically
ill wounded who died in the emergency department, the remaining 15 wounded were
treated accurately and effectively and transferred to the ward for further
treatment. The relevant personnel were satisfied with the results of the
treatment process. Conclusion: The multidisciplinary team emergency treatment
modeled by the head nurse can rescue multiple critically traumatic wounded
patients in the shortest time, efficiently triage the wounded in batches,
greatly shorten the emergency room stay time, ensure the smooth flow of
treatment, and increase the success rate of batches of wounded patients.
