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航空医学应急救援发展现状及其策略建议
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Abstract:
航空医学应急救援是航空与医学融合创新发展形成的新业态,具有响应速度快、机动能力强、救援范围广等特点,在突发自然灾害、事故灾难以及公共安全和卫生等事件中发挥着重要作用。它是国家构建立体化医疗救援体系的重要组成部分,提高突发事件紧急救援能力的重要手段,以及政府快速反应和及时处置突发事件、保障公共安全的客观需要。论文介绍了航空医学应急救援的发展历程,研究分析了欧美发达国家航空医学应急救援的现状与发展。参照国际经验,结合我国发展实际,阐述了制约我国航空医学应急救援发展的短板与瓶颈,并就如何加强航空医学应急救援体系和能力建设提出了发展策略建议。
Air medical emergency rescue is a newly emerging business pattern, which integrates and inno-vates with aviation and medical science, and possess such excellent performance as fast response, strong mobility and wide rescue range, and so on. It plays an important role in sudden natural dis-asters, accident disasters and public safety and health events. It is not only an important part of building a three-dimensional medical rescue system for the nation, but also an important means to improve the emergency rescue ability, and the objective need for the government to respond quickly, deal with emergencies in time and ensure public safety. The paper introduces the devel-opment process of air medical emergency rescue in the world, analyzes the current situation and development about it in developed European and American countries. And then according to the international successful experience of the foreign countries and combining the current situation in our country, this paper states deeply the shortcomings and bottlenecks of restricting the develop-ment of air medical emergency rescue in China, and holds development strategy suggestions on how to strengthen the emergency rescue system and capacity construction of air medical emergency rescue.
[1] | 马中立, 王建昌. 临床航空医学进展[M]. 北京: 人民卫生出版社, 2010: 238-242. |
[2] | Hinkelbein, J., Schwalbe, M. and Genzwuerker, H.V. (2010) Helicopter Emergency Medical Services Accident Rates in Different International Air Rescue Systems. Open Access Emergency Medicine, 2, 45-49.
https://doi.org/10.2147/OAEM.S9120 |
[3] | 刘兵, 邢春利, 彭明强. 国内航空医疗救援现状[J]. 中国急救复苏与灾害医学杂志, 2016, 11(4): 413-416. |
[4] | Thompson, J., Rehn, M. and Sollid, S.J.M. (2018) EHAC Medical Working Group Best Practice Advice on the Role of Air Rescue and Pre Hospital Critical Care at Major Incidents. Scan-dinavian of Trauma, Resuscitation and Emergency Medicine, 26, Article No. 65. https://doi.org/10.1186/s13049-018-0522-1 |
[5] | 马岳峰, 何小军, 潘胜东, 等. 我国航空医学救援的现状与发展趋势[J]. 中华急诊医学杂志, 2018, 27(8): 827-830. |
[6] | 航空医学救援医疗装备专家共识组. 航空医学救援医疗装备的专家共识[J]. 中华航空航天医学杂志, 2019, 30(3): 161-164. |
[7] | 李航. 我国航空医疗救援体系建设新思考[J]. 科技创新与应用, 2019(7): 135-136. |
[8] | 中国医药教育协会急诊专业委员会. 航空医学救援安全管理专家共识[J]. 中华急诊医学杂志, 2019, 28(8): 944-948. |
[9] | Korniienko, A. and Daňko, P. (2020) Preliminary Re-search of Air Rescue Services in the World and Improvement for the Slovak Republic. Acta Avionica Journal, 22, 6-13. https://doi.org/10.35116/aa.2020.0010 |
[10] | 李子好, 王浩文, 王婷婷, 等. 我国航空医疗救援的现状、研究进展及发展趋势[J]. 中国医院建筑与装备, 2022, 23(12): 23-26. |
[11] | 林旭阳. 直升机紧急医疗救援现状与发展[J]. 中国科技信息, 2022(4): 113-115. |
[12] | David, G. and David, J.R. (2016) Ernsting’s Aviation and Space Medicine 5E. CRC Press, Boca Raton, 659-669. |
[13] | 中华预防医学会医院感染控制分会, 航空医学救援感染防控专家共识组, 等. 航空医学救援感染防控专家共识[J]. 中国急救复苏与灾害医学杂志, 2021, 16(8): 837-844. |
[14] | 潘静涵, 苏迅. 国内外空运救护的发展现状及研究进展[J]. 解放军护理杂志, 2012, 29(7): 47-49. |
[15] | Reynolds, K. and Bor-nales, R.B. (2021) Historic Firsts: Aeromedical Evacuation and the Transportation Isolation System. Air Medical Journal, 40, 76-78. https://doi.org/10.1016/j.amj.2020.11.005 |
[16] | Thomas, D.P. (1994) The Royal Flying Doctor Service of Australia: Its Foundation and Early Development. Air Medical Journal, 161, 637. https://doi.org/10.5694/j.1326-5377.1994.tb127656.x |
[17] | Gardiner, F.W., Coleman, M., Teoh, N., et al. (2019) Aeromedical Retrievals of People for Mental Health Care and Low Level of Clinical Support in Rural and Remote Aus-tralia. Air Medical Journal, 39, 343-350.
https://doi.org/10.1016/j.amj.2020.06.010 |
[18] | Beninati, W., Polk, J.D. and Fallon, W.F. (2019) Civilian Air Med-ical Transport. In: Hurd, W.W. and Beninati, W., Eds., Aeromedical Evacuation, Springer, Berlin, 41-58. https://doi.org/10.1007/978-3-030-15903-0_4 |
[19] | Flarity, K.M., Averett-Brauer, T.A. and Hatzfeld, J.J. (2019) Aeromedical Evacuation: A Historical Perspective. In: Hurd, W.W. and Beninati, W., Eds., Aeromedical Evacuation, Springer, Berlin, 5-20.
https://doi.org/10.1007/978-3-030-15903-0_2 |
[20] | Schwarzkopf, K. and Schwarzkopf, C. (2022) The First Ger-man Helicopter Medical Evacuation Mission in World War 2. Air Medical Journal, 41, 257-258. https://doi.org/10.1016/j.amj.2021.09.006 |
[21] | Dery, M., Hustuit, J., Boschert, G., et al. (2007) Results and Rec-ommendations from the Helicopter EMS Pilot Safety Survey 2005. Air Medical Journal, 26, 38-44. https://doi.org/10.1016/j.amj.2006.08.002 |
[22] | Maddry, J.K., Arana, A.A., Savell, S.C., et al. (2017) Critical Care Air Transport Team Evacuation of Medical Patients without Traumatic Injury. Military Medicine, 182, 1874-1880. https://doi.org/10.7205/MILMED-D-17-00091 |
[23] | Han, Y., Samoukovic, G., Farias, E., et al. (2019) Safety and Flight Considerations for Mechanical Circulatory Support Devices during Air Medical Transport and Evacuation: A Sys-tematic Narrative Review of the Literature. Air Medical Journal, 38, 106-114. https://doi.org/10.1016/j.amj.2018.11.009 |
[24] | Martin, T. (2020) Fixed Wing Patient Air Transport during the Covid-19 Pandemic. Air Medical Journal, 39, 149-153.
https://doi.org/10.1016/j.amj.2020.04.001 |
[25] | 章敏, 李成柱, 张秋娣, 等. 保险支持海南自由贸易港航空医疗救援的思考[J]. 海南金融, 2021(4): 79-87. |
[26] | Karki, S. and Sprinkle, D.J. (2021) Helicopter Emergency Medical Services during Coronavirus Disease 2019 in Nepal. Air Medical Journal, 40, 287-288. https://doi.org/10.1016/j.amj.2021.04.005 |
[27] | 唐华民. 创伤救治“黄金1 h”——美国创伤系统介绍[J]. 创伤外科杂志, 2017, 17(8): 638-640. |
[28] | Clark, D.E. and Cowley, R.A. (2017) The “Golden Hour”, the “Momentary Pause”, and the “Third Space”. American Journal of Surgery, 83, 1401-1406. https://doi.org/10.1177/000313481708301226 |
[29] | Sivanandan, A. and Abhilash, K.P.P. (2020) Early Manage-ment of Trauma: The Golden Hour. Current Medical Issues, 18, 36-39. https://doi.org/10.4103/cmi.cmi_61_19 |
[30] | Hu, W., Freudenberg, V., Gong, H., et al. (2020) The “Golden Hour” and Field Triage Pattern for Road Trauma Patients. Journal of Safety Research, 75, 57-66. https://doi.org/10.1016/j.jsr.2020.08.001 |
[31] | Thomas, S.H., Brown, K.M., Oliver, Z.J., et al. (2014) An Evi-dence-Based Guideline for the Air Medical Transportation of Prehospital Trauma Patients. Prehospital Emergency Care, 18, 35-44.
https://doi.org/10.3109/10903127.2013.844872 |
[32] | 贺安华. 国际航空医疗救援的主要模式与启示[J]. 中国民用航空, 2016(4): 37-39. |
[33] | 张亚丽. 美国空中医疗救援的发展与现状[J]. 中国应急救援, 2015(3): 52-54. |
[34] | Rodrigues, B.C., Lemos, M.M., Gon?alves, M.R., et al. (2022) Air Medical Transportation Provided by Norte Novo Regional Urgency Mobile Service: What Is the Current Scenario? Air Medical Journal, 41, 190-195.
https://doi.org/10.1016/j.amj.2021.12.001 |
[35] | 袁家乐, 周开园, 任杰, 等. 直升机医疗救援现状与展望[J]. 中国急救复苏与灾害医学杂志, 2017, 12(2): 164-167. |
[36] | Garibaldi, B.T., Conger, N.G., Withers, M.R., et al. (2019) Aeromedical Evacuation of Patients with Contagious Infections. In: Hurd, W.W. and Beninati, W., Eds., Aeromedical Evacuation, Springer, Berlin, 147-159.
https://doi.org/10.1007/978-3-030-15903-0_20 |
[37] | Ting, J. (2020) Hospital in the Air: Royal Flying Doctor Ser-vice Retrievals and Challenges before, during and after, Australia’s COVID-19 Lockdown in 2020. Internal Medicine Journal, 50, 1449-1451.
https://doi.org/10.1111/imj.15109 |
[38] | Spoelder, J., Tacken, M.C.T., van Geffen, G.-J., et al. (2021) Helicopter Transport of Critical Care COVID-19 Patients in the Netherlands: Protection against COVID-19 Exposure—A Challenge to Critical Care Retrieval Personnel in a Novel Operation. Scandinavian Journal of Trauma, Resuscitation and Emer-gency Medicine, 29, Article No. 41.
https://doi.org/10.1186/s13049-021-00845-x |
[39] | Braude, D., Lauria, M., O’Donnell, M., et al. (2022) Safety of Air Medical Transport of Patients with COVID-19 by Personnel Using Routine Personal Protective Equipment. Air Medical Journal, 41, 25-26.
https://doi.org/10.1016/j.amj.2021.08.020 |
[40] | Herstein, J.J., Figi, C.E., Le, A.B., et al. (2023) An Updated Re-view of Literature for Air Medical Evacuation High-Level Containment Transport During the Coronavirus Disease 2019 Pandemic. Air Medical Journal, 42, 201-209.
https://doi.org/10.1016/j.amj.2022.12.007 |