- 期刊
台南緊急救護網救護車空跑之分析
Study of Emergency Ambulance Non-Transport in Tainan City
摘要
為了瞭解119救護車出勤的效率，我們調查了1993年10月至1994年9月台南市119勤務中心派遣的救護車出勤的狀況，在一年8587例報案中，空跑有3,255例，佔37.9%。造成空跑的原因依序為：拒送1,292例(佔空跑之39.7%)，自送699例(21.5%)，現場未發現(18.4%)，不需要救護車運送152例(15.7%)，任務取消(2.8%)及謊報(2%)。其中警察電話接案(110)、創傷病人、以及大夜班接案者容易造成空跑。第一線從事救護的大部份消防隊員(61.3%)認為，為了提高救護效率，救護聯絡中心的聯絡及派遣功能，並由護理人員及有救護醫療經驗的消防人員擔任派遣；訂定緊急救護的出勤的原則與權責；110的接案警察也應該接受基本的醫療訓練，並且有一定的接案詢問及標準作業程序；加強報案電話系統的定位功能；落實民眾宣導教育；此外，醫療管制是緊急救護工作成功與否的重要因素，醫療衛生界應積極參與此項工作。
並列摘要
An analysis of 8,587 emergency ambulance calls in the Tainan city form October 1993 to September 1994 indicated that 37.9 per cent end up as non-transports. Reasons for non-transport included: patient refusal (1292 calls, 39.7%), patient transported by other tools (699, 21.5%), no victim at the scene (598, 18.4%), medical treatment unnecessary (512, 15.7%), mission canceled (90, 2.8%), and false alarms (64, 2.0%). Non-transport calls were most commonly associated with calls received by the police (110), trauma situations, and during the night shift. To reduce the non-transport rate and increase the efficiency of the dispatch center, most (61.3%) fireman (EMT-1 in Tainan) feel that dispatcher with a nursing background would be beneficial. Based on these results, we recommended the following to facilitate the emergency medical system and avoid the waste of resources: a comprehensive dispatch center consisting of dispatchers with professional or nursing background and extensive written protocols based on medically a acceptable policies; police (110) dispatcher should receive basic medical training and operate based on standard protocol; newer systems that can trace a call to its address automatically; improvement of the public education; and proper medical control to ensure a high quality of prehospital care.