由于种种原因，很多急救资源被滥用、占用、甚至无效使用 For a variety of reasons,A lot of emergency resources be abused/occupancy/Even invalid use

平均每天挽救1500条生命 On an average day save 1500 lives

　　这些白衣天使的工作环境并不理想，车流涌动的马路、人流川息的车站，都是他们挽救生命的地方。对于一名急救医生来说，除了具备全面的医疗知识和敏锐的反应速度，也许要社会、患者以及患者家属的理解。在很多抢救中，他们也遭遇了重重阻力，除了生命通道被占用，他们还会面临哪些困难？记者跟随着急救医生，体验了一下他们的辛苦。

These angels work environment is not ideal,The surge of traffic/Sichuan people carry station,Are they save lives place.For an emergency physicians,Apart from being a comprehensive medical knowledge and quick response speed,It may be social/Patients and families with understanding.In many of the rescue,They also had many resistance,In addition to life channel occupied,They will also what difficulties?Reporters followed the emergency doctor,Experience about their hard work.

问题 problems

急救资源被滥用 Emergency resources be abused

　　12月7日凌晨5时30分，急救办公室的电话响了起来。急救司机杨光一个箭步走到电话旁，王医生也同时站了起来。从放下电话、跑下楼、跳上车，到出发，不到1分钟。上车后，王医生拿出手机，报警人的住址、电话、病情等信息已经通过短信发来。王医生迅速拨打报警人电话取得联系。“打来电话的是位男士，说他爱人憋气。”王医生简单告诉记者。可是，到了现场才知道，原来是夫妻俩吵架，女方说被气着了。虽然看着这位女士没什么事儿，但王医生还是为她做了检查。然后就是一番苦口婆心地劝解。“这种事儿常有，那怎么办，就得劝啊。”

On December 7,, at 5 30 points,Emergency office phone rang.First aid driver Yang guang an arrows step went to the phone,Doctor wang also stood up.Put down the phone from/Ran downstairs/Jump in the car and,To starting,Less than a minute.To get on the,Doctor wang out of mobile phone,Alarm people address/telephone/The illness has passed from the information such as SMS.Doctor wang quickly dial the alarm people contact telephone."The call is a man,Said he love labored breathing."Doctor wang simple told reporters.but,To the scene just know,It is a couple quarrel,The woman said was a gas.While looking at the woman didn't want anything,But doctor wang or for her to do the inspection.Then is a well-meaning appealed to land."It is,what,Have advised ah."

　　999急救司机刘春山告诉记者，他曾遇到一位20多岁的女士，深夜报警，说心脏不舒服，可是他们赶到后才知道，原来她独自一人在家看恐怖片，被吓着了，“医生也得给她做检查，然后还不能马上就走，陪了她半天呢。多耽误时间呀！”刘师傅说，他还遇到过因为宠物狗去世而伤心过度的，还有的人报警时就明着说，他没什么大事儿，可是小区太偏僻，打不着出租车，所以要叫救护车。

999 emergency driver LiuChunShan told reporters,He had met a woman more than twenty years,Night alarm,Said the heart uncomfortable,But after they got to know,It turns out she was alone at home to watch horror movies,Was scared,"The doctor have to give her check,And then can't get going,With her? Half a day.Many lose time ah!"Liu's teacher said,He also met because the pet dog died of too sad,Still others alarm when he MingZhaoShui,He's nothing big business,But the plot is too remote,Play no taxi,So to call an ambulance.

　　据医生们回忆，10年前，他们出的现场大部分都是需要急救的，而现在，这一比例已降至20%左右。“没办法，目前我国还没有急救制度方面的立法，什么情况必须出车，什么情况可以不出车，都没有法律依据。按现在的规定，只要有人拨打急救电话了，我们就得去现场，导致了急救资源被滥用。”

According to the doctors memories,Ten years ago,Out of the field mostly need first aid,And now,The rate has fallen to 20%."Can't,At present our country has not first aid legislation system,What a must,What circumstance can not go,All have no legal basis.According to the provisions of the now,As long as someone call the emergency number,We'll have to go to the site,Led to the emergency resource abuse."

急救资源被占用 Emergency resources occupied

　　押床是每位急救医生都经历过的事儿，而且这种情况几乎每天都在发生。所谓押床是指救护车将患者送到医院后，医院暂时没有多余床位或担架将患者收治入院，从而导致患者滞留在救护车内配备的担架车上。在一些大的三甲医院，押床现象尤为普遍。一旦出现押床，救护车和急救医生就像没了子弹的士兵一样，没法儿回到一线救援。

And the bed is every emergency doctors are experienced business,And this almost happen every day.The so-called and bed is to point to the ambulance will be patient to hospital,Hospital temporarily have no spare beds or litter will patients admitted to hospital and treated,Resulting in patients with stranded in the ambulance on the DanJiaChe within.In some big 3 armour hospital,And the bed are particularly common phenomenon.Once appear, and bed,The ambulance and emergency doctors like no bullets as soldiers,Couldn't return to a line rescue.

　　朱医生说，有时候一张床要被占用七八个小时，他遇到最长时间的一次，被占用了48小时。还有些时候，有些病人是手上、脚上等病情，根本不需要占用担架床，可是病人会觉得，他先占着就得紧着他用，说什么都不腾出来。遇到这种情况，朱医生就得跟病人讲道理，说尽好话。可是，还是会有人继续霸占。有一次，一位40多岁的男士冲他甩出来一张100元纸币，还恶狠狠地说“你这担架床不就是1小时10块钱吗？给你100块钱，够吗！”朱医生说，遇到这些恶意押床的人他都非常气愤，可是又不能跟患者吵架。

And the doctor said,Sometimes a bed to be tied up seven hours,He met a longest,Occupied the forty-eight hours.Still have some time,Some patients are hand/Feet superior condition,Don't need take stretcher,But the patient will feel,He first takes have to press on with he,Say what all don't have to.Encounter this kind of situation,And the doctor will speak the truth with the patient,Utter good.but,Or someone will continue to take.once,A forties man blunt he left out a 100 - yuan note,Bad said"You this stretcher is not 1 hour 10 dollars?Give you 100 dollars,Enough?!"And the doctor said,Meet these malicious and bed man he is very angry,But can't quarrel with patients.

数字 digital

平均一天出车一千多次 An average of one thousand times a day

　　目前，北京已有240个急救站点，630余辆各类急救车，2000余名院前急救医生、护士。近年来，京城人口不断增加，特别是老年人口数量上升，日常急救呼叫量也逐年增长，年均增长15%，出车次年均增加11%。2011年，全市急救呼叫总量为65万余人次，日均呼叫1788人次，出动救护车总数为56万余车次。

At present,Beijing has 240 emergency sites,More than 630 vehicles of all kinds of emergency ambulance,More than 2000 MingYuan emergency doctor before/The nurse.In recent years,City population increase,Especially a growing number of elderly population,Daily emergency call quantity also increased year by year,The average annual growth of 15%,A time with an average annual increase of 11%.In 2011,,The total amount of emergency call for more than 650000 people,Daily call 1788 people,Out an ambulance for a total of more than 560000 train.

急救资源被无效使用 Emergency resources are invalid use

　　急救车送病人去医院，一般按就近原则，但是主要还得听取病人家属的意见。而病人家属一般都要求送到三甲医院，可是三甲医院的病人太多，一般都是超负荷状态。刘师傅告诉记者，他曾到酒仙桥附近接过一位癌症患者，患者病情很重，但是比较稳定。医生建议送到离家最近的华信医院，但是病人家属执意要求送到协和医院。医生通过绿色通道查看了协和医院的床位情况，发现协和医院没有床位，无法收治入院。可是病人家属不相信，刘师傅只好开车去了协和医院。到了协和后发现，大门口堵住了，车都开不进去，这时病人家属才相信了，他们又要求去中日友好医院，但那里也没有床位。最后，病人家属终于同意去华信医院。原本三四公里、几分钟就能到华信医院，结果折腾了30多公里，花了2个多小时。(于海波)

An ambulance drove the patient to the hospital,According to the general principle of nearby,But the main still have to listen to the opinions of the patient's family.The patient's family and general requirements to the hospital,But 3 armour hospital patients too much,Are generally overload condition.Liu's teacher told reporters,He had to get received near a cancer patients,With a very heavy,But relatively stable.The doctor advised to the nearest hospital huaxin,But the patient's family persistence to union medical college hospital.The doctor through the green channel looked at the union medical college hospital bed situation,Found no union medical college hospital beds,Cannot be admitted to hospital and treated.But the patient's family don't believe,Liu's teacher had to drive to the union medical college hospital.After the union found,Blocked the gate,The car is open in,At this time of the patient's family didn't believe,And they asked to china-japan friendship hospital,But there is no beds.finally,The patient's family finally agreed to huaxin hospital.Had three or four kilometers/A few minutes to huaxin hospital,The results about 30 kilometers,Spent more than two hours.(YuHaiBo)