Shandong commercial newspaper / diagram reporter Li Yu
a girl without any medical background, successfully saved by telecontrol of 120 emergency rescue center dispatcher by telephone. The dispatcher who commanded the girl to give first aid is not a professional doctor. How did the two "outsiders" do it? It turned out that there was a medical priority grading system called MPDS.
dispatcher after receiving the phone, according to MPDS instructions, instruct the alarm person for first aid
recently, Ji'nan 120 emergency center enabled MPDS medical priority classification dispatch System, the system is divided into 33 categories of people who need first aid, and the dispatcher talks in strict accordance with the procedures prescribed by the MPDS, and divides the injured people into one of the specific types, and carries out the evaluation of the disease, the first aid guidance and the classification.
in the past people encountered severe cases, in addition to dial 120 emergency phone, can only anxiously wait. MPDS requires dispatchers to send emergency ambulances quickly on the one hand, on the other hand, to provide emergency guidance for the callers by telephone, and make the caller become the first rescuer, so as to win the first aid time and improve the success rate of severe rescue, such as cardiac arrest. During the trial operation of the MPDS system, a patient without medical background in the first aid center, under the guidance of the system, remotely telecontrol a family member of a patient without any first aid knowledge and medical background to first aid a patient with a heart disease.
telephone rescue process
dispatcher: Hello, the emergency car has been sent, please do not hang up the phone, then I have a few questions to ask, will be helpful to the patient, OK? How old is the patient? Is it a male or a female? Is the patient sober? Does she breathe?
alarm person: 80 years old, female, not sober, eyes straight, breathing.
operator: is breathing completely normal?
alarm: I can't see it.
dispatcher: now start checking her breathing. Every time you breathe in, you tell me to start now, and do not stop for three consecutive times.
alarm: breathe out.
dispatcher: we need you to let her lie down and sit down and influence her breathing. She pulled her wrist and slipped her down on the floor.
alarm: isn't it cool on the floor?
dispatcher: lay the quilt, and let her lie flat on the ground.
alarm man: lie down
dispatcher: lie down, do not let her head pad anything. Do you have breathing now?
alarm: there is breathing.
dispatcher: you put one hand on her forehead, the other hand behind her neck, the hand on the back of her neck, the hand gently lifted, and the airway open.
alarm: OK, I'm doing it.
dispatcher: does she breathe properly?
alarm man: Yes, she can recognize people.
News extension
"life rescue plan" from 30 years of medical experts around the world to crystallize
telephone remote control to rescue people to rescue the golden rescue time
"I have sent an ambulance, please do not hang up the phone, I will carefully tell you what to do..." Recently, the city of Ji'nan officially opened the MPDS medical priority and classification system. Through the standardized process, it asked the 120 alarm people to question a few simple questions, quickly judged the severity of the patient's condition, then dispatched the emergency resources, and also made the emergency rescue from the 120 ambulance after arriving to 120. First aid "zero wait" reduces the golden lifesaving time in the waiting process.
33 life-saving plans, from the global emergency case summary
Chia-Liang Liu, director of the first aid center of Ji'nan, told reporters that "medical priority classification scheduling system" called "MPDS", the main body is an intelligent software, has been widely used in the United States, Britain and other 38 countries more than 3000 emergency command centers. It took dozens of medical experts around the world for 30 years to collect and summarize the treatment methods of first-aid cases worldwide, and classify the patients' complaints into 33 preplans, such as heartbeat or respiratory arrest, childbirth, and burn. When the dispatcher understands the patient's situation, it can click on the system and enter the different plans. The computer will also remind the dispatcher, ask the different questions, and make an accurate judgement on the condition, and give timely and effective medical guidance.
telephone remote control to save the first aid
as a set of software embedded in the first aid medical knowledge system in the "120" scheduling system. MPDS is a strict set of scheduling standards, strict to the dispatcher from receiving the phone, what to ask first, and what to answer to the party, the dispatcher asks again. There are strict rules for everything. The benefit of this is that if the police have no medical background, so long as they answer these questions according to the patient's illness, they can make the correct disposal according to the way of professional treatment.
"before calling 120 first aid, the police can only wait anxiously for the ambulance." Chia-Liang Liu said, after MPDS, if the patient's situation is urgent, the dispatcher will send the car to call the alarm 3 times after sending the car, ask whether it needs first aid guidance, and then according to the process, guide the alarm person to save or save each other by the easy and easy instructions, it is the first aid move forward, and let the patient have more hope of birth.
"data show that the success rate of cardiopulmonary resuscitation increased by 5% after the use of MPDS in pre hospital care abroad." Chia-Liang Liu said.
let the ambulance save the most urgent patient
the past 120 command center received the call for help. It is easy to send a car in time and after the emergency. It is easy to cause many emergency patients to get the first aid car, the vehicle can not arrive at the first time, and the patient that is discharged or home is not urgent. The sick people occupied the scarce resources in the busy time of the ambulance.
reporter saw in the command center, after the telephone access, the dispatcher will first ask the caller "the location of the incident", "call the caller phone number" and "what happened", according to the request of the MPDS, first of 3 questions, first to grade the disease from high to low, such as myocardial infarction is the highest risk level. If there are some systems that cannot be judged, the system automatically acquiescence to the highest risk level. After judging the level of emergency treatment, the emergency center will dispatch dispatch notices immediately to the nearest 120 emergency station. If the situation is not critical, MPDS will arrange according to the current use of emergency resources.
special reminder
MPDS needs citizens' understanding and cooperation
the Ji'nan first aid center has begun to try to run the MPDS system, which will encounter patients or patients' families who do not understand the situation of non coordination. Mainly in two aspects: the dispatcher asked the times police impatient and did not want to answer more; the dispatcher asked the alarm for the patient for first aid treatment, and the other party replied, "dare not, not." This is unfavourable to on-site emergency treatment for severe personnel.
MPDS is a process that requires both the dispatcher and the police to cooperate with each other. The medical instruction provided by MPDS is very easy to understand, even if no first-aid training has been received, it can be implemented step by step. Therefore, when people call 120 calls, please cooperate with the emergency center dispatcher's questions, make as many information as possible, contact telephone, age, sex, consciousness, breathing and other information as much as possible, and do not leave the patient, so that the dispatcher can quickly solve the situation of the first aid scene and send it urgently. At the same time, save the car, give the public timely, effective and feasible guidance for self rescue and mutual rescue.