長距離賽跑類大型活動緊急醫療救護

Emergency Medical Services for Long-Distance Foot/Races

胡勝川(Sheng-Chuan Hu) ； 郭健中(Chein-Chung Kuo) ； 張新(Chang Hsing) ； 顏鴻章(David Yen) ； 高偉峰(Wei-Fong Kao)

《慈濟醫學雜誌》 15卷6期 (2003/12) Pp. 383-389

https://doi.org/10.6440/TZUCMJ.200312.0383

摘要

目的：探討長距離賽跑類大型活動之傷病發生率及緊急醫療救護規劃。材料與方法：自91年1月至91年12月31日止，我們規劃並參與7項路跑及馬拉松賽等大型活動。包括台北國道馬拉松賽、陽明山春季路跑賽、愛迪達盃路跑賽、外雙溪國華人壽盃路跑賽、及舒跑盃挑戰金氏世界記錄路跑賽、陽明山國家公園路跑賽、花蓮太魯閣國際馬拉松賽等大型活動。每次活動前均做詳細的緊急醫療救護規劃，其內容包括：指揮中心的選定及人員編組、固定式醫療站及機動式急救小組的設計、裝備及藥材的準備、人力需求的評估、醫療記錄單的設計、後送醫院的選定及預做直昇機救護的規劃。當活動進行時或其前後，有發生傷病的情形時，醫療人員立刻給予緊急救護，並記錄必要資訊於預先設計好的病患醫療記錄單上。結果：估計服務參與人數為61,000人，服務病患總數為3,728人次，醫療使用率為6.1% (0.39%至14.59%)，活動中參與選手共40,108人，選手病患數共3,717人，佔所有病患之99.7%，選手醫療使用率9.3%，此次研究當中使用救護車運送者共5人，其中有3人轉送至醫療總站處理穩定後返回，轉送至醫院治療者則共有2人(0.05%)。結論：長距離賽跑類大型活動之醫療使用率平均為6.1%，必須以救護車轉送至醫院的案例非常少。我們的經驗顯示長距離賽跑類大型活 動時之緊急醫療救護規劃是必需的。本文建議一些規劃原則供各位參考。

關鍵字

大型活動 ； 緊急醫療救護 ； 急診醫學

並列摘要

Objective: To investigate the incidence of ill or injured persons utilizing emergency medical services (EMS) during long distance foot/races, as well as the planning of EMS in such types of mass gatherings. Materials nd Methods: We conducted a prospective study from January through December . We planned the EMS for and participated in 7 mass gatherings, which included marathons and foot/races. During planning we focused our attention on deploying first aid stations, and mobile rescue teams; developing an incident comment system in cluding a commander, liaison, and triage personnel; as well as evaluating the needs for manpowers, equipments and medication; designing medical records and transportation tools; and selecting the receiving hospital including helicopter rescue. Results: Participants totaled about 61,000 people, and 3,728 patients utilized our services. The medical use rate was 6.1% (range, 0.39%-14.59%). Three patients (0.05%) were transported to a hospital for further treatment. Conclusions: Medical use rates during long-distance foot/races were about 6.1% on average. Only very rarely have to be transported to the hospital during such types of mass gatherings. Our experiences suggest that the planning of EMS during long-distance foot/races is warranted.

並列關鍵字

mass gatherings ； emergency medical services (EMS) ； emergency medicine