再论急救白金十分钟

发布时间：2018-07-26 09:09

【摘要】：急救"白金十分钟"理念提出后,逐步形成了狭义和广义的概念,在专业领域和社会上受到广泛关注并被同行接受。在"白金十分钟"内存在着救护的"急救盲区",包括"救护空白时间"和"医疗空白时间"两个时段。急救时效性是应急救援决策及实践的出发点和归宿,应从时间、空间和人员三方面来把握最佳抢救时效值, 救援的决策应该指向具有最佳时效值的"白金十分钟"。人民大众是自救互救的核心力量,是填补"救护空白时间"的主力军。从"白金十分钟"时效值角度对自救互救进行新的定义认为,自救互救是一切急救的开始和基础,具有比专业救护更高的救治时效值,不仅不能被专业救治所替代,还为专业救治提供了基础,是与专业救治相统一并同等重要的一个急救阶段,是抢救、救援链上独立的一环,这个初始环节的优劣直接决定后续救治的效果。"白金十分钟"是一面时效性旗帜,它指向急救链上最薄弱且又具有最佳时效的大众自救互救,其成功实施可以最大程度挖掘救治时效潜力,新形势下新概念的自救互救应该成为国家战略。
[Abstract]:After the idea of "platinum ten minutes" was put forward, the concept of narrow sense and broad sense was gradually formed, which was widely paid attention to and accepted by peers in professional field and society. In Platinum Ten minutes, there is a blind area of first aid, which includes two periods of "emergency blank time" and "medical blank time". First aid timeliness is the starting point and destination of emergency rescue decision and practice. The best rescue time value should be grasped from three aspects of time, space and personnel, and the rescue decision should point to "platinum ten minutes" with the best time limit. The public is the core force of self-saving and mutual rescue, and the main force to fill in the blank time of rescue. According to the new definition of self-rescue and mutual rescue from the point of view of "platinum ten minutes", self-rescue and mutual rescue is the beginning and foundation of all first aid, and has a higher time value than professional rescue, and can not be replaced by professional rescue. It also provides the basis for professional medical treatment. It is an equally important and unified first aid stage with professional treatment. It is an independent link in the rescue and rescue chain. The quality of this initial link directly determines the effect of subsequent treatment. " Ten minutes of Platinum is a flag of timeliness. It points to the weakest and most effective public rescue and mutual rescue in the chain of first aid. Its successful implementation can maximize the potential of time-saving. Under the new situation, the new concept of self-rescue and mutual rescue should become a national strategy.
【作者单位】：解放军总医院第一附属医院急救部;
【分类号】：R459.7

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