Objective To analyze the characteristics of Firecracker injuries in Beijing 120 EMSS(emergency medical service system,EMSS). Methods Scheduling information to the Beijing Emergency Center database, based on the Beijing 2006 -2013, New Year's Eve to the fifteenth day period, 120 treatment of 175 cases of firecracker injuries wounded by age, sex, site of injury, time, etc. and analyzed retrospectively. Results Age clear firecracker injuries total of 167 cases of injured. Firecracker the injured occurred mainly in the 15 to 59 age group. 175 cases of firecracker injuries in men and 158 cases, 17 females, Male to female ratio was 9.29:1.In this group of materials, Common site is the eye and facial injuries, Accounting for 36% and 20% respectively of the total. 8 years, the highest number of cases in 2011 occurred in 2008 lowest firecracker injuries. Conclusion Through epidemiological analysis of firecracker injuries, more effective measures could be taken to reduce the incidence of firecracker injuries.

Objective Through analyzing the epidemiology characteristics of pre-hospital traffic injuries in Beijing,to provide reference for preventing and managing traffic injuries.Methods The data from Jan.to Dec.2010 from Beijing Emergency Medical Center dispatch information database were collected,and facors involving age,occurrence time,damage degree and injury site,etc.were analyzed retrospectively.Results Traffic injury mainly occurred in the 14 to 59 age group(79.5%).The 3rd and 4th season were the peak seasons in a year(64%).Most injury happened at 8:00-22:00 in a day.Brain and limb were common sites of injury.Brain trauma and multiple injuries were the most common causes of death in traffic injuries.Conclusion Through epidemiological analysis of traffic injuries,we can take more effective measures to reduce traffic injury incidence,standarize on-scene treatment,so as to improve the capability of pre-hospital care.

Objective To analyze the region and time distribution of 120 EMSS demand in Beijing to optimize pre-hospital emergency resources.Methods A retrospective analysis was performed,based on Beijing Emergency Center Scheduling Information Database,on 120 emergency demand and unmet demand in Beijing in 2010.Results The 6 main regions of Beijing demanding for 120 emergency were,from most to fewest,Chaoyang,Haidian,Fengtai,Xicheng,Dongcheng and Shijingshan.The demands were fewest at 4:00~5:00 o′clock,then increased gradually,reached the peak at 9:00~10:00 o′clock,and a slow downward trend presented,thereinto the second peak appeared in Dongcheng,Xicheng and Shijingshan at 20:00~21:00o′clock,and in Chaoyang,Haidian,Fengtai at 21:00~22:00 o′clock.The unmet demands of 6 regions were the fewest at o′clock,then increased gradually,reached the peak at 4:00~6:00 o′clock,and then went downward,reached the second peak at o′clock.The unmet demands were the most in Chaoyang,the fewest in Shijingshan.Conclusion Demands for 120 pre-hospital emergency are of region and time distribution features.Further regulation and improvement of emergency resourses allocation is conducive to raising the efficiency of pre-hospital emergency to meet better the demands of residents.

目的 对北京120急救呼叫电话部分信息进行分析,为科学合理配置急救资源提供依据.方法 以北京急救中心调度信息数据库为基础,对北京市2010年1月1日～12月31日间120急救呼叫电话量、出车量、欲派无车量等进行回顾性统计分析.结果 日急救呼叫电话时段分布:在4:00～6:00 最少,在8:00～10:00最多,以后呈缓慢下降趋势.日出车量分布趋势与急救呼叫电话量分布趋势基本一致.日欲派无车量分布:4:00～6:00最少,10:00～12:00最多,此外,交接班、就餐时段欲派无车量也相对较高.结论 北京120院前急救呼叫需求量具有时间分布特点,进一步调整和完善急救资源配置将有利于提高院前急救工作效率,减少欲派无车量.

Objective To discover features and trend of trauma related emergency call of Beijing 120 pre-hospital emergency call triage in 2010,so as to develop countermeasure for on-site trauma management.Methods Based on Beijing Emergency Medical Center dispatch information database,an analysis was made retrospectively on the characteristic of disease formation,peak time distribution and causes of injury among the Beijing 120 pre-hospital emergency call in 2010.Results Among the whole year 120 pre-hospital emergency calls which totally were 343 119,the first three diseases were trauma accounting for 19.81%(including traffic injury and other trauma),cerebrovascular disease 14.30%,and cardiovascular disease 13.07%.The whole year trauma-related emergency calls were mainly distributed between the 5th~11th month.Among the calls for help in each kind of wound,the transportation wound came in first.Conclusion The features of trauma-related emergency call of Beijing 120 pre-hospital emergency call are as follows:trauma takes the first place in 2010 Beijing 120 pre-hospital medical care disease classification and transportation wound is a leading cause of wound calls for help,which is timely distributed.Therefore we need to take more effective coping strategies to reduce the happening of trauma,and further develop the abilities and levels of pre-hospital trauma management.

院外急救人命关天,责任重于泰山,120指挥调度工作是院外急救的第一环节,呼救就是命令,时间就是生命,这一环节的质量高低对整个院外急救起着至关重要的作用,而科学合理的指挥调度工作是提高院外急救医疗质量的必要前提,是减少和避免医疗纠纷、提高突发事件紧急医疗救援能力的有效途径[1].

1 急救调度工作数字化管理的必要性 1.1 数字化管理提高了调度工作的效率调度工作是院前急救的窗口和前沿,他们的工作效率直接影响到患者的生命健康和急救中心的声誉,因此调度工作效率是评价院前急救工作的敏感指标.而数字化的管理就可以向你提供每一个调度人员的如下数据:呼叫等待时间、呼救受理间期、调度间期、等等.根据正常工作状态下所取得的数据,可以确定合理的数值,作为量化管理的标准.