“全市急救资源不联网，病人找床只能凭运气。”昨日，协和医院急诊科主治医师于莺发出的一条微博，截至19时已转发9300余次。对此，市卫生局应急办负责人表示，本市已在逐步推进院前急救资源联网。而120急救中心也通过本报呼吁，病情危急时不要只认准大医院，时间就是生命，很多二级医院同样有丰富的急救经验，家属千万别因执意指定医院而耽误了宝贵的救援时间。

"The city emergency resources not networking,Patients to bed can only luck."yesterday,Union medical college hospital emergency department attending doctor in warbler issued a micro bo,At 19, has forward more than 9300 times.this,The municipal bureau of health emergency do person in charge said,The city has set up a file in the gradually advance the pre-hospital care resources networking.And the 120 emergency center also through our newspaper called for,Condition when the chips are down don't just look big hospitals,Time is life,A lot of secondary hospital also have rich experience of first aid,Family members don't determined by the designated hospital and delay the precious relief time.

急救：协和抢救床永远不够用 emergency:Concorde salvage bed with never enough

　　“昨晚抢救室最后一张床进了个年轻患者，一进门就开始复苏。正忙着，护士叫我出去，120又送来个意识不清的患者，我们没床没设备，提出让他们转送别家，120告诉我，到这里已是第五家，都没床。看着家属欲哭无泪的脸，心理防线顿时倒塌！全市急救资源不联网，病人找床只能凭运气，神奇的医疗啊！”昨日中午，协和急诊科医生于莺的一条微博激起众多网友的共鸣。“救人的事，不能与时俱进吗？信息化就这么难吗？”有网友留言。

"Intensive care last night last a bed into a young patients,A door began to recovery.Are busy,The nurse told me out,120 and sent a unconsciousness of the patients,We have no bed didn't equipment,Let them put forward another,120 tell me,Here is the fifth house,Didn't bed.Look at the face of families too deep for tears,Psychological defence suddenly collapsed!The city emergency resources not networking,Patients to bed can only luck,The magic medical ah!"At noon yesterday,The emergency department in the doctor a micro bo aroused many users to resonance."Save things,Can't keep pace with The Times?Informatization is it so hard?"Have net friend message.

　　记者了解到，协和急诊科共有11张抢救床，但昨日已加到了31张，却还是有本市和外地的急救车源源不断地送来病人。“最紧张时急救床和车都没有了，病人连躺的地方都没有，但就算在楼道里，甚至在地上，我们也会全力急救。”协和医院急诊科主任于学忠说。

The reporter understands,The emergency department were 11 zhang salvage bed,But yesterday is added to 31,But still have this city and out-of-town ambulance constantly send the patient."The most nervous emergency bed and car all have no,The patient lay even there is no place,But even in the corridor,Even in the ground,We will also to first aid."Union medical college hospital emergency department director YuXueZhong said.

现状：120送诊多次转院屡见不鲜 status:120 to send a hospital many times common diagnosis

　　120急救中心副主任范达告诉记者，病人需要多次转院的情况已困扰急救人员很久了。目前120送诊“就近就急就能力”，但也要尊重家属的意愿。通常碰到的情况是，家属强烈要求去某一家医院，比如心脏问题认准了安贞和阜外医院，骨科病就去积水潭医院，而送去之后这些医院急诊科却因没有床位没办法接诊。虽然120没有准确统计，但类似情况近几年可谓司空见惯。“这时急救人员也很无奈。”范达坦言。

120 emergency center, deputy director of the fan of told reporters,The patient to a hospital many times to the situation which has been around for emergency workers for a long time.At present 120 send diagnostics"Nearby is nasty ability",But also to respect the wishes of the family.Often encounter the situation is,Family members urge to go to a hospital,Such as heart problems learning and fortune recourse international anzhen hospital,Orthopaedic disease went to ji shui tan hospital,And sent to the hospital emergency departments after however because no beds can't accepts.Although 120 no accurate statistics,But similar situation is common in recent years."Then first aid workers also very helpless."Fan said to.

　　据了解，目前全市还没有统一的急救资源联网平台，哪家医院有床位、有几张床位，无法第一时间反馈到急救中心。实际操作中只能通过120后台调度中心与各家医院联系协调。

It is understood,At present the city also has no unified emergency resources networking platform,Which hospital have beds/There are a few beds,Can't the first time feedback to the emergency center.In practical operation can only through the 120 background dispatching center and various hospitals relation coordination.

建言：统筹安排 合理转诊 ":Comprehensive arrangement reasonable referral

　　针对以上问题，业内医生和相关官员也提出了建议。一些医生建议全市急救资源统一管理，例如三级医院急诊科接诊能力要能统筹实时汇总。于莺认为，除了急救资源需要联网外，就近转到下级医院也是必要的。她举例说，肿瘤晚期患者在协和急诊留观，各病房不收，最后只好转到下级医院。“我坚持认为肿瘤晚期患者在确定大医院已无不可替代的治疗方案时，应该转到离家近的下级医院，医疗资源有限的情况下如何统筹合理安排？谁都想占据最好资源，但现实就是那么无奈。”

In view of the above question,The doctor and relevant officials also puts forward some Suggestions.Some doctors suggest the city emergency resources unified management,For example tertiary hospital emergency department accepts ability to be able to plan as a whole real-time summary.In warbler think,In addition to emergency resources need outside the network,Nearby turn to lower the hospital is also necessary.She, for example,The tumor patients with late in the emergency staying,Each ward don't accept,Only the last better to lower the hospital."I insisted that the tumor patients with late in the determination of the large hospital has no irreplaceable treatment options,Should turn to leave home close lower hospital,Medical resources co., LTD., how to plan as a whole under the condition of reasonable arrangement?Who want to occupy the best resources,But the reality is so helpless."

　　针对信息联网问题，市卫生局应急办负责人表示，本市正逐步推进院前急救资源联网，不过目前还没有具体实施方案。由于本市既有市属医院，也有部队医院和央属医院，统筹起来情况较为复杂。

According to the information networking problem,The municipal bureau of health emergency do person in charge said,The city is gradually advance the pre-hospital care resources networking,But there is no concrete implementation scheme.Because both the city municipal hospital,Also have forces central hospital and is the hospital,To plan as a whole up the circumstance is more complicated.

呼吁：紧急关头别只认大医院 Called for:Emergency don't only know big hospitals

　　对此问题，于学忠呼吁，患者及家属不要盲目迷信大医院。“一方面，我们要不断提高各级医疗机构的抢救水平；另一方面，病人及家属也不要一味认准大医院。诊疗水平再高，资源和服务能力也是有限的。”

This problem,YuXueZhong called for,The patient and family to don't blind superstitious big hospitals."On the one hand,We will constantly improve the medical institutions at all levels of the rescue level;On the other hand,Patients and their family members also don't always look big hospitals.The level of diagnosis and treatment of high again,Resources and service ability is also limited."

　　120急救中心副主任范达则进一步解释说，目前120急救车并不是只送诊三甲医院，只要有急诊科的医院，包括二级医院和一部分基层医院都可接诊。在很多抢救过程中，由于病情危急甚至有生命危险，“就近就急”就成为应该首要考虑的因素，“这一点也需要家属和患者的配合与理解。”

120 emergency center, deputy director of the fan reach is further explained,Of the 120 ambulance and not only send diagnostic 3 armour hospital,As long as there is emergency department of the hospital,Including secondary hospitals and part of the basic-level hospitals can accepts.In many rescue process,Due to illness critical even have dangerous life,"Came near to the nasty"Will become should first consider the factors,"It also needs to family and patient cooperation and understanding."

　　晨报记者 徐晶晶

The morning paper reporter XuJingJing