Analysisof436casesofpatientsdiedbeforeadmission[Keywords]diedbeforeadmission,ambulance,reactiontime,recovery1Clinicaldata200307/200703emergencycenterofourhospitalambulance8429,thecaseofpre-hospital436casesofdeath,accountingfor5.17%pre-hospitalfirstaid,malesand316cases(72.48%,female120cases(27.52%,age12to97(52.89yearsoldonaverage,≤20yearsold,22cases(5.05%,21to30yearsold,56cases(12.84%),31to40yearsold,82cases(18.8%,41to50yearsold,63cases(14.45%,51to60years61cases(13.99%,61to70yearsold66cases(15.14%,>=71years86cases(19.72%Alarmtimeperiodfrom00:00to08:00ofthe94cases(21.56%,from08:00to13:0088cases(20.18%,from13:00to18:00158cases(36.24%,18:00to24:00ofthe96cases(22.02%ambulancenosocomialreactiontimeof2min,ambulancetoarriveatthescenereactiontime1to88(average14.26min,firstaidradiusof0.5to65(average7.87km-siteemergencytreatmentto120(average33.79min-siteemergencytreatmentbeforeadmission,1436casesofdeathhaveECG(100%,329casesoftrachealintubation(75.46%ofthe389cases(89.22%,387cases(88.76%defibrillationexternalcardiacmassage,on-siteoxygen,theinfusion389cases(89.22%deathdiseasesincluding:medicaldiseases,284cases(65.14%,includingcardiovasculardiseasein79cases(18.12%,cerebrovasculardisease,63cases(14.45%,suddendeathin48cases(11.01%,respiratorydiseasesand50cases(11.47%),advancedcancer,22cases(5.05%,poisoningin16cases(3.67%,includingcarbonmonoxidepoisoning13cases,twocasesoforganicphosphorus,alcoholism1cases,gastrointestinaldisease,5cases(1.15%)andblooddiseasepatients(0.23%of152cases(34.86%)surgical-likeillness,includingacaraccidentin62cases(14.55%,Stabs19cases(4.36%,falls28cases(6.42%,electricalinjury,13cases(2.97%,theinjured11cases(2.52%,hangedhimselfinsevencases(1.61%,drowning10cases(2.29%andburntwocases(0.46%.2DiscussionMedicalpersonnelarrivedatthesceneassoonaspossibletorescuetheprocessingisthekeytoreducingpre-hospitaldeath,inthispaper4362casesofpre-hospitaldeathinpatients,inadditiontothefamilyrefusedtorescueanddeath,whicheverislonger,cardiopulmonaryresuscitation,ofwhich26cases(5.96%ofⅠrecoveryissuccessful,turnthehospitaltocontinuetorescue,and2.4%isslightlyhigherthantheShenzhendatareported[1-2].26patientsarrivedatthescenewithin10min,begincardiopulmonaryresuscitationweregivenendotrachealintubation,intravenousdruguse,electricshockinadditiontochatter,oxygentreatment,rescueandcontinuedonhiswaygeneticallyhospitaltreatmentandguardianship.patientsCPR,rescueresponsetimeupto120minin436casesofpatientswithpre-hospitaldeath,onlyfivecasesinmedicalstaffdoesnotarriveatthescenebywitnessesimplementationofsimplecardiopulmonaryresuscitation,especiallyduetoelectricalburns,drowning,hanging,carbonmonoxidepoisoningdeathsinthepre-hospitalpatientswerenotimplementedearlycardiopulmonaryresuscitation,andthesepatientsarerelativelyyoung,betterheartandlungfunctionEarlycardiopulmonaryresuscitationcansavepartofthelivesofpatients,butaneyewitnesstothelackoffirstaidawareness,thelossofavaluable10min.3universalaccesstotraumacareinthebroadmassesknowledge,improveself-helpandmutualaidcapacityformedicalpersonneltowinvaluabletimeofthepre-hospitalcare,reducepre-hospitalmortality[2-3].Firstaiddeathbeforeadmission,themajorityofdeathsof13:00to18:00,becausefrom13:00to18:00.Traumapatientshaveahigherprevalence,cardiovascularandcerebrovasculardiseasedeathtime18:00~24:00themajorityagedistributionofthosewhodiedofinternaldiseasesinpatientsovertheageof60themajorityofdeathsin436cases,themaletofemaleratioof2.63:1,surgicaldiseasesofthemaletofemaleratioof4.47:1.5beforethecauseofdeath,respectively,forthesurgicaltrauma,cardiovasculardisease,cerebrovasculardisease,suddendeathanddiseasesoftherespiratorysystem.improvetrafficfacilitiesassoonaspossible,standardizedmanagementsystem,strengthenthebuildingconstructionpersonnelsafetyeducation,reducesurgicaldiseasedeathinInternalMedicinefataldisease,cardiovasculardiseaseandsuddendeathstillaccountedforthetopthreecausesofdeatharepromptedTothe4familiesofenhancedcarefordiseasesoftheheart,brain,lung,timelyprevention,timelydetectionandtimelyhelpandrecommendationsmasterprimarycardiopulmonaryresuscitationtechniquestogaintime,forhealthcareworkerstorescue.[References][1]DongQuLiYuanJian,kingofthewild,,Chengdu120emergencycommandcenter393casesofpre-hospitaldeathchartanalysis[J].TheEmergencyMedicine,2001,22:279-280.[2]LiangShi,JiangHanping,JiaqingWang,Shenzhenin2002pre-hospitaldeathsthecensuses[J].ThetheChinaEmergencyMedicine,2004,13:733-736.[3]ZHENGXiao-ying,MengnewSection126casesofpre-hospitaldeathsinclinicalanalysis[J].TheEmergencyMedicine,2003,23:189-190LinkstofreepapersDownloadCenterhttp://eng.hi138.com5
