Beijing Emergency Medical Center

Beijing, China

Beijing Emergency Medical Center

Beijing, China
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An S.,Peking University | Wang T.,Peking University | Zhang P.,Peking University | Yin X.,Peking University | And 3 more authors.
Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences | Year: 2014

RESULTS: The annual rate of RTIs was 120.0 per 100 000 people in Beijing, and the mortality rate was about 4.97 per 100 000 people. Male victims were more than female victims (11 737 persons vs. 7 618 persons).The mean age was (72.92 ± 5.67) years. Overall, RTIs in all the age groups happened in October commonly, and were inclined to daytime, especially at noon. But different age groups had their special hour distribution features of RTIs. Traffic collisions occurred most frequently in pedestrians and cyclists (7 588,38.81%;3 790,19.39%). Majorities of victims presented with head injuries and lower-limb injuries(8 343,42.68%; 6 828,34.93%). These collisions included car striking accidents (11 490, 58.77%). And most of the older adults were classified as medium in severity (11 718, 59.94%).CONCLUSION: The prevention and treatment of RTIs, should focus on targeted prevention solutions and standardized pre-hospital rescue, according to specific population, time interval and vehicle usage.OBJECTIVE: To evaluate the current condition of urban road traffic injuries (RTIs) according to Beijing Emergency Medical Center (BEMC) from Jan. 1, 2004 to Dec. 31, 2010, analyze the social characteristics and explore the possible methods for prevention and improvement.METHODS: Using data from the Beijing Emergency Medical Center, we collected 19 550 victims who were involved in RTIs in Beijing from Jan. 1, 2004 to Dec. 31, 2010. The personal information, time of the injury event, road user type and striking vehicle type, as well as the site and severity of injury, were analyzed using Excel 2007 and SPSS 17.0 software with ANOVA of variance and Chi-squared tests.


PubMed | Peking University and Beijing Emergency Medical Center
Type: Journal Article | Journal: Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences | Year: 2014

To evaluate the current condition of urban road traffic injuries (RTIs) according to Beijing Emergency Medical Center (BEMC) from Jan. 1, 2004 to Dec. 31, 2010, analyze the social characteristics and explore the possible methods for prevention and improvement.Using data from the Beijing Emergency Medical Center, we collected 19 550 victims who were involved in RTIs in Beijing from Jan. 1, 2004 to Dec. 31, 2010. The personal information, time of the injury event, road user type and striking vehicle type, as well as the site and severity of injury, were analyzed using Excel 2007 and SPSS 17.0 software with ANOVA of variance and Chi-squared tests.The annual rate of RTIs was 120.0 per 100 000 people in Beijing, and the mortality rate was about 4.97 per 100 000 people. Male victims were more than female victims (11 737 persons vs. 7 618 persons).The mean age was (72.92 5.67) years. Overall, RTIs in all the age groups happened in October commonly, and were inclined to daytime, especially at noon. But different age groups had their special hour distribution features of RTIs. Traffic collisions occurred most frequently in pedestrians and cyclists (7 588,38.81%;3 790,19.39%). Majorities of victims presented with head injuries and lower-limb injuries(8 343,42.68%; 6 828,34.93%). These collisions included car striking accidents (11 490, 58.77%). And most of the older adults were classified as medium in severity (11 718, 59.94%).The prevention and treatment of RTIs, should focus on targeted prevention solutions and standardized pre-hospital rescue, according to specific population, time interval and vehicle usage.


Shao F.,Capital Medical University | Li C.S.,Capital Medical University | Liang L.R.,Capital Medical University | Li D.,Beijing Emergency Medical Center | Ma S.K.,Red Cross
Resuscitation | Year: 2014

Aim: The purpose of this study was to assess the outcome of out-of-hospital cardiac arrests (OHCAs) in Beijing, China. Methods: In this prospective study, data were collected according to the Utstein style on all cases of OHCA that occurred between January and December 2012 in urban areas covered by Beijing Emergency Medical Services (EMS). The cases were followed-up for 1 year. Results: Out of the 9897 OHCAs recorded, cardiopulmonary resuscitation (CPR) was initiated in 2421 patients (24.4%). Among the CPR-receivers (. n=. 2421), 1804 patients (74.5%) had collapsed at home, while 375 patients (15.5%) at a public place. The average time interval from call to EMS arrival at the collapse location was 16. min (range, 4-43. min). Of the 1693 OHCA cases with cardiac aetiology, 1246 cases (73.6%) were witnessed, and basic CPR was performed by bystanders before arrival of the EMS personnel in 193 patients (11.4%). Of the OHCAs with cardiac aetiology, 1054 patients (62.3%) had asystole, 131 patients (7.7%) had shockable rhythms, restoration of spontaneous circulation was achieved in 85 patients (5.0%), 71 patients (4.2%) were admitted to the hospital alive, and of the 22 patients (1.3%) who were discharged alive, 17 patients (1%) had good neurological outcomes. At 1 year post-OHCA, 17 patients were alive. Conclusion: In the urban areas of Beijing with EMS services, survival rate after OHCA was unsatisfactory. Improvements are required in every link of the 'chain of survival'. © 2014 Elsevier Ireland Ltd.


Chen S.,Capital Medical University | Sun H.,Capital Medical University | Sun H.,Beijing Municipal Key Laboratory of Clinical Epidemiology | Lei Y.,Beijing Emergency Medical Center | And 7 more authors.
PLoS ONE | Year: 2013

Background and purpose:Early and accurate diagnosis of stroke by emergency medical service (EMS) paramedics is critical for reducing pre-hospital delays. The Los Angeles pre-hospital stroke screen (LAPSS) has been widely used as a validated screening tool for early identifying stroke patients by EMS paramedics. However, validation of LAPSS has never been performed in Chinese stroke population. This study is aimed to verify the LAPSS for early identifying stroke patients in a Chinese urban EMS.Methods:76 paramedics of five urban first aid stations attached to Beijing 120 EMS were involved. The paramedics were trained by professionals to quickly screen patients based on LAPSS. Potential "target stroke" individuals who met the base LAPSS screen criteria were identified. Sensitivity and specificity analyses of the LAPSS were calculated.Results:From June 10, 2009 to June 10, 2010, paramedics transported a total of 50,220 patients. 1550 patients who met the baseline screen criteria were identified as the potential "target stroke" population. 1130 patients had the completed LAPSS information datasheet and 997 patients were clinically diagnosed with stroke. The average time of completing the LAPSS was 4.3±3.0 minutes (median, 5 minutes). The sensitivity and specificity of the LAPSS in this study was 78.44% and 90.22%, respectively. After adjusting for age factor by excluding patients of >45 years old, the sensitivity was significantly increased to 82.95% with specificity unchanged.Conclusion:The paramedics of Beijing 120 EMS could efficiently use LAPSS as a screening tool for early identifying stroke patients. While the sensitivity of LAPSS in Chinese urban patient population was lower than those reported in previous LAPSS validation studies, the specificity was consistent with these studies. After excluded the item of "Age>45 years", the sensitivity was improved. © 2013 Chen et al.


Zhang J.-J.,Beijing Emergency Medical Center | Cui M.-M.,Beijing Emergency Medical Center | Fan D.,Beijing Emergency Medical Center | Zhang D.-S.,Beijing Observatory | And 3 more authors.
Environmental Science and Pollution Research | Year: 2015

Haze is an atmospheric phenomenon in which dry particulate pollutants obscure the sky. Haze has been associated with chronic diseases, but its relationship with acute diseases is less clear. We aimed to determine the association between haze and acute cardiovascular, cerebrovascular, and respiratory diseases, in order to determine the influence of haze on human health. We compared the number of cases of acute cardiovascular, cerebrovascular, and respiratory diseases in Beijing Emergency Center between 2006 and 2013, with haze data from Beijing Observatory. The relationship between the number of hazy days and the number of cases of the above types of diseases was analyzed using univariate analyses. Both the number of cases and the number of hazy days showed a rising trend. The average number of cases per day for all three diseases was higher on hazy days than on non-hazy days. There was a positive correlation between the number of hazy days and the number of cases, and this correlation showed a hysteretic quality. Haze has an influence on acute cardiovascular (CVDs), cerebrovascular (CBDs), and respiratory system (RSDs) diseases. Haze seems to have an additive effect, since the associations between haze and number of cases were stronger in the following month than in the preceding month. The increasing trend in the number of hazy days might worsen the problem of haze-related diseases. © 2014, Springer-Verlag Berlin Heidelberg.


Xu T.,Peking Union Medical College | Wang Z.,Beijing Emergency Medical Center | Li T.,Peking Union Medical College | Pei V.,University of Maryland, Baltimore | And 4 more authors.
Emergency Medicine Journal | Year: 2013

Background: Rescue efforts for earthquakes in remote plateau regions require large numbers of professional personnel to be transported from various lowland regions for relief work. Unacclimatised rescuers to high-altitude regions commonly suffer acute mountain sickness (AMS), which makes relief efforts inefficient and potentially dangerous. Methods: In this study, the AMS symptoms of 78 unacclimatised rescue workers for the Yushu earthquake from Beijing were recorded using the Lake Louise AMS self-report questionnaire. Heart rate and blood oxygen were recorded at rest before departure, during rest and during activity. Results: After ascending, resting heart rate increased from mean 75.87 bpm to 87.45 bpm and resting SpO2 decreased from an average of 98.51% to 90.35% (both p<0.001). The mean Lake Louise AMS Score for participants was 3.1 (95% CI 2.6 to 3.6). 29 members (37.2%) met the diagnosis criteria for AMS. 16 members (20.5%) were evacuated early due to acute AMS (AMS score ≥5). Rhodiola was offered on a voluntary basis as a prophylactic measure but shown to be ineffective. Conclusion: Given the ineffectiveness of prophylactic measures and the urgency of such disaster situations, it is unrealistic to mobilise rescue teams from lowland regions for immediate relief efforts. A local disaster plan specific to plateau earthquakes needs to be developed with local personnel for timely and efficient relief. Copyright © 2013 BMJ Publishing Group Ltd and the College of Emergency Medicine.


Cui M.,Beijing Emergency Medical Center | Fan D.,Beijing Emergency Medical Center | Zhang J.,Beijing Emergency Medical Center
Chinese Journal of Emergency Medicine | Year: 2015

Objective: To explore how to improve the capability of emergency rescue to cope with the explosion of hazardous chemicals through analyzing the rescue process of Tianjin port "8 • 12" explosion hazard. Methods: The process of explosion emergency rescue on the hazardous chemicals warehouse of Ruihai company in Tianjin Port on the evening of August 12, 2015, were analyzed, summarize the experience and lessons. Results: There were some shortcomings on field assessment, safety zoning, EMSS, treatment in hospital, personal protection equipment and public knowledge on hazardous chemicals explosion in Tianjin port 8.12 explosion hazard, we should learn from the lessons, to provide reference for the future similar rescue. Conclusions: The ability of emergency rescue team to deal with the major hazardous chemicals explosion should further improve, to protect the safety of society and health of common people.


PubMed | Beijing Emergency Medical Center
Type: Journal Article | Journal: Emergency medicine journal : EMJ | Year: 2010

To assess the response time and the details of the operating procedure of the Beijing 120 Emergency Medical Service (EMS).Between June and December 2005, 51918 EMS cases recorded in the Dispatch Center of the Beijing Emergency Medical Center were analysed.The median response time of the 51918 cases was 16.5min; the cumulative proportions were 2.28%, 9.64% and 18.04% for less than 5min, 8min and 10min of response time respectively, whereas the proportion was 19.20% for more than 30min of response time.On the basis of this analysis, the response time of the Beijing 120 EMS system was found to be longer than that indicated by the national standards.


PubMed | Red Cross, Capital Medical University and Beijing Emergency Medical Center
Type: Evaluation Studies | Journal: Resuscitation | Year: 2014

The purpose of this study was to assess the outcome of out-of-hospital cardiac arrests (OHCAs) in Beijing, China.In this prospective study, data were collected according to the Utstein style on all cases of OHCA that occurred between January and December 2012 in urban areas covered by Beijing Emergency Medical Services (EMS). The cases were followed-up for 1 year.Out of the 9897 OHCAs recorded, cardiopulmonary resuscitation (CPR) was initiated in 2421 patients (24.4%). Among the CPR-receivers (n=2421), 1804 patients (74.5%) had collapsed at home, while 375 patients (15.5%) at a public place. The average time interval from call to EMS arrival at the collapse location was 16 min (range, 4-43 min). Of the 1693 OHCA cases with cardiac aetiology, 1246 cases (73.6%) were witnessed, and basic CPR was performed by bystanders before arrival of the EMS personnel in 193 patients (11.4%). Of the OHCAs with cardiac aetiology, 1054 patients (62.3%) had asystole, 131 patients (7.7%) had shockable rhythms, restoration of spontaneous circulation was achieved in 85 patients (5.0%), 71 patients (4.2%) were admitted to the hospital alive, and of the 22 patients (1.3%) who were discharged alive, 17 patients (1%) had good neurological outcomes. At 1 year post-OHCA, 17 patients were alive.In the urban areas of Beijing with EMS services, survival rate after OHCA was unsatisfactory. Improvements are required in every link of the chain of survival.


PubMed | Beijing Emergency Medical Center
Type: Journal Article | Journal: Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue | Year: 2010

To analyze 802 emergency cases transported from venues of the Beijing 2008 Olympic Games, in order to study the characteristics of critically ill patients and injured in mass gatherings for the purpose of improving medical care and transportation.Using the standard medical encounter form system (MEFS) formulated by International Olympic Committee (IOC), the data of patients treated in various venues of Beijing 2008 Olympic Games (2008-07-27 T 09:00/2008-08-27 T 23:00) were analyzed.Eight hundred and two patients had been transported from 227 medical stations of different venues, including 471 male, 331 female, with a mean age of 42.67 years. According to MEFS, 802 patients were divided into 12 types of diseases, i.e. injury (39.03%), digestive disorder (21.82%), cardiovascular disorder (7.36%), respiratory disorder (6.48%), nervous-sensory disorder (6.23%), skin diseases (4.49%), eye disorder (4.24%), ear-nose-throat disorders (3.74%), heat related illness (3.37%), genito-urinary disorder (1.87%), dental disorder (1.37%), psychiatric disorder (0). Patients as grouped according to occupation: workforce (34.04%), non-registered (33.29%), others (13.59%), athletes (12.72%), VIP (3.74%), media (2.62%).During a mass gathering the plan for medical support should be formulated with the medical treatment of commonly occurred diseases and high-risk individuals in order to establish an efficient medical emergency transport system.

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