120 dispatching system runs stably after security upgrade
The number of emergency calls received per day can reach up to 90,000; citizens are urged to use non-emergency transfer vehicles to divert non-emergency and severe needs
The reporter learned from the Beijing Emergency Center that recently, 120 emergency calls have been operating at a high level, and the 120 command and dispatch and the city's pre-hospital first aid are under great pressure.
In order to better cope with the current situation of pre-hospital emergency work, the Beijing Emergency Center has strengthened the coordination of emergency resources and improved the efficiency of emergency operations through measures such as 120 command and dispatch expansion, pre-hospital emergency team personnel replenishment, and district-level overall planning and transfer of major emergency situations.
After the phone system is upgraded, the cloud scheduling function is added
According to the relevant person in charge of the Beijing Emergency Center, the Beijing Emergency Center started the upgrade and expansion of the telephone system. The trunk line of the digital telephone exchange was expanded from 240 lines to 720 lines in an emergency, and the number of telephone seats was expanded from 50 to 100. (Unanswered calls) have been reduced from more than 1,000 per 24 hours before the expansion to zero, and a new cloud scheduling function has been added to realize remote deployment and remote acceptance. There are cloud acceptance seats and cloud consultation seats, and 13 types of related epidemic knowledge bases have been added. modules to meet the counseling needs of callers.
At present, the 120 dispatching system is running stably after the security upgrade, and the number of emergency calls received can reach up to 90,000 a day, and 40,000 dispatch orders are accepted.
On December 23, there were 13,310 incoming calls in 24 hours, and all the incoming trunk calls have been answered. A total of 1,988 consultation calls were answered, 269 consultations were completed on the first medical cloud, and 1,719 consultations were completed at the diversion desk.
All districts have set up non-emergency and critical transport special classes
Due to the rapid increase in the demand for non-emergency vehicles, the run on 120 emergency resources is very serious.
To this end, the center increased the emergency dispatch rate from 53.08% on December 7 to December 23 through measures such as strengthening district-level overall planning, compacting the work responsibilities of district-level non-emergency transfer teams, and supplementing pre-hospital emergency human resources. 99.94%, the average response time dropped from 20.81 minutes to 16.60 minutes, and the ambulance team was fully loaded to ensure the city's medical emergency needs to the greatest extent.
At present, the public's recognition of non-emergency transfer vehicles is still very limited, and they still tend to use ambulances to transfer patients. Especially the elderly have a strong dependence on lifting needs, and some non-emergency transfer vehicles cannot meet the needs.
Liu Hongmei, deputy director of the Beijing Emergency Center, introduced that the Beijing Emergency Center adopts hierarchical and classified scheduling measures for the emergency needs of citizens: for urgent and severe cases, the nearest vehicle will be dispatched immediately after the emergency is accepted; It can be satisfied through various channels.
All districts are equipped with non-emergency diversion and transfer teams on a street basis, so as to greatly ease the operating pressure of ambulance vehicles.
At present, all districts have set up special non-emergency and critical care transfer teams. She appeals to citizens to contact the transfer special classes through the rescue transfer telephones in each district to solve the needs of medical vehicles and divert non-emergency and critical care needs.
With the further development of the epidemic, the demand for emergency and critically ill patients to call 120 will further increase in the future.
Faced with the pressure of pre-hospital emergency work, the Beijing Emergency Center will continue to maintain the standard configuration of the pre-hospital emergency vehicle team in accordance with the development of the epidemic situation and the development requirements of emergency work, improve the capacity, quality and efficiency of pre-hospital emergency services, and further smooth the pre-hospital emergency services. In-hospital connection, pay close attention to relevant medical institutions to improve the admission and treatment capabilities of emergency departments, fever clinics and inpatient departments, and ensure that the green channels for emergency medical treatment are always smooth.
■ visit
Beijing Tiantan Hospital
Tiantan Hospital increases critical medical reserve
The reporter recently learned from Beijing Tiantan Hospital that with the progress of the epidemic, the number of daily visits to the hospital's fever clinic has dropped significantly recently, from 500 at the peak to 250, and the emergency department is still at its peak.
Xu Bing, Director of the Emergency Department of Beijing Tiantan Hospital, said that at present, the daily turnover of the emergency department has increased by 1/4 compared with the same period in previous years. For patients seeking medical treatment, the number of severe and critically ill patients received by the emergency room is also greater.
It is understood that when patients go to the emergency department, the medical staff will first classify them into four grades based on vital signs, chief complaints, etc. For example, if the blood oxygen level is lower than 80%, it is grade 1, and if it is lower than 90%, it is grade 2.
In order to cope with the increasing number of critically ill patients, the hospital tapped the potential of each ward on the basis of the original ICU, and set up beds that can be converted to intensive care at any time in the ward. At present, the number of beds that can treat critically ill patients in the hospital has increased by one compared with before. doubled; added monitors, ventilators and other medical equipment; and carried out relevant training for medical staff to strengthen the ability to diagnose and treat severe diseases.
In addition, experts in relevant disciplines will conduct consultations and formulate personalized treatment plans for severe patients of various diseases, whether they are received by the fever clinic or the emergency department.
Wang Xiaoyan, director of the Medical Affairs Department of Beijing Tiantan Hospital, introduced that in order to alleviate the pressure of emergency and fever clinics, the hospital uniformly allocates hospital bed resources for each department, and requires that emergency patients be "received as much as possible". With many characteristics, the hospital breaks the discipline system of major internal medicine and neurology centers, allocates resources uniformly, and admits qualified emergency patients into the ward to the maximum extent.
In addition, for special populations such as strokes and pregnant women, the hospital has set up green passages.
Xuanwu Hospital Affiliated to Capital Medical University
The emergency department of Xuanwu Hospital is operating at a high level
On December 23, Xuanwu Hospital Affiliated to Capital Medical University, compared with the long line of fever clinics before, the heat has dropped a lot recently.
According to Tian Geng, Director of the Department of Infectious Diseases at Xuanwu Hospital, on weekdays, the daily number of fever clinics is 30 to 50 people. After the adjustment of the epidemic policy, it quickly reached a peak, reaching 350 people at one time, and then gradually fell back to around 200 people.
In contrast, the number of critically ill patients admitted at this stage has increased.
On the one hand, more patients with lung lesions have been discovered recently; on the other hand, the number of elderly people with underlying diseases has increased.
Due to immune aging, the elderly recover more slowly after infection. If the time is too long, it is easy to cause complications.
The challenge now is how to admit patients to hospital in a timely manner.
At present, the hospital has opened the general ward of the respiratory department, the general ward of the emergency department, and the general ward to prepare for the treatment of severe new crown patients.
Due to the large demand in the short term, there is still pressure on admission and treatment.
On the afternoon of the 23rd, when the reporter came to the emergency department of Xuanwu Hospital, the department had just added a second emergency ward to deal with the surge in the number of patients.
According to He Mingyi, deputy director of the emergency department, after the "New Ten Regulations", the daily number of emergency patients has continued to run at a high level for three weeks, with a daily number of five or six hundred people.
In previous winters, the hospital had an emergency peak period of 2-3 months, and the number was similar to the current one, but this year there has been an increase in severe and critical cases. At the age of eighty or ninety.
Among the patients with viral pneumonia, the proportion of pneumonia caused solely by the new crown is not high, and some patients are complicated with bacterial infection or the underlying disease worsens.
The hospital has expanded its capacity for critical care in the emergency department.
More than 20 ordinary beds have been converted into sub-severe beds to treat critically ill patients; a case account is set up to keep track of patients' conditions, gradually open up more wards, and focus on treating elderly and critically ill patients.
Use of cold and fever medicines drops
"The tense situation of medicines has finally passed." Zhang Lan, director of the Pharmacy Department of Xuanwu Hospital, said.
At the beginning of December, the hospital had prepared an inventory to meet the hospital's medication needs for at least 3 months, and as the epidemic situation changed, the inventory was expanded to 9 to 10 months.
However, in the first week after the "New Ten Rules", the amount of medicines released by the hospital every day was the amount used in the previous month.
With the coordination of all parties, the drug supply situation has improved.
The use of cold and fever medicines has decreased, and the inventory can basically meet the actual consumption of commonly used varieties.
On the first floor of the pharmacy, self-service medicine collection equipment has also been added to enable patients to take medicine without contact.
Zhang Lan also mentioned that some elderly people are worried about cross-infection and are unwilling to come to the hospital, and they don't know how to use the Internet. Community hospitals may not have high-risk specialized prescription drugs.
The follow-up issue worthy of attention is how to solve the problem of medication for patients with long-term chronic diseases.
(Dai Xuan, Beijing News reporter)