Pre-hospital care as an important part of emergency medical assistance in the public health system has become increasingly showed its quick reaction. An ambulance as an irreplaceable component in the professional treatment process, treatment plays a carrier role, its quality directly affects the success of first aid and patient safety. Paper, using some ideas from the ambulance configuration.
(A), for the characteristics of urban road complex, neighborhood streets are narrow, in the purchase of vehicles, should focus on the following points:
1, purchase size but high, too wide, too long, small turning radius of vehicles, this model is flexible, strong, suitable for driving on city streets.
2, wish to purchase gasoline engines, engine speed, acceleration time is short, and the noise is low, suitable for city use.
3, as the ambulance transfer process requires very high stability, shock absorption performance of the vehicle should be used.
4, severe-due to vehicle equipment, rescue and more spacious space, optional large vehicles, or you can purchase diesel-engine vehicles.
(B), according to the first-aid work situation and the need for emergency relief work in public health, emergency centers should be equipped with the following types of vehicles.
1, General transport ambulance: recovery period is mainly responsible for patient transport, review, etc. In-car with stretcher, providing convenient services for patients. According to our experience, such task 10% per cent of the total workload for police, ambulances are equipped with number 8%.
2, general emergency vehicles: mainly responsible for patient transport, treatment and custody on the way. Medical module is configured for oxygen piping device in the car, 12 volt, 220 volt uninterruptible power supply systems, equipped with first aid kits (General first-aid equipment and first-aid medicines), ECG machine, oxygen cylinders, and according to the conditions onboard defibrillators, patient monitors, electric devices, blood glucose meter, such as first-aid equipment. This kind of disease in patients with ambulances under the town classification and economic situation are equipped with number becomes prohibitive.
3, severe emergency vehicles: used for scene of critically ill patients, the way custody and safe transfer. Select strong engine, good damping performance, health cabin and spacious, a reasonable, good performance of larger vehicles. Need more comprehensive than ordinary ambulances first aid facilities, first-aid medicines and medical devices, equipped with a defibrillator pacemaker, balloon face mask respirator, tracheal intubation device, automatic car stretcher, scoop stretcher, stretcher Chair upstairs, negative pressure vacuum stretcher, negative pressure vacuum splints, cervical collar, similar to a mobile intensive care unit/ICU ward. According to the pre-hospital patients with severe disease and be equipped with this type of ambulance 25-40%.
4, medical command: command vehicle is a public health emergency temporary mobile command places, mainly for on-site leadership to provide command and control decision-making environment and research. Command vehicle is divided into six functional subsystems, namely image acquisition system; display, storage, and control system data and video transmission system; communication and command systems Office management systems, intelligent power distribution system.
5, medical reinforcements: when performing a task of pre-hospital ambulance is often alone, unable to move or patients with severe injuries, is a large number of disease requires experienced physician rushed to the scene to guide and direct. Emergency medical reinforcements car body small, flexible, trunk larger models may be made by the physician himself to the scene.
6, emergency material support: in response to the emergency rescue task field for medical treatment, and international practice, 1 vehicle should be equipped with emergency material support. Body selection of truck chassis, equipped with a power supply, lighting and broadcasting systems, and soft stretcher spade stretcher, first aid kits and first aid box, spine boards and vacuum splints, reversing system, inflatable tents, relief cutting equipment.