On the day of the day, a fire broke out in the open-air room of the emergency building at the large hospital front desk. Hundreds of patients and related medical staff were frightened and injured and even died. The hospital was supposed to be a public place for the treatment of the disease. However, due to the various hidden dangers within the hospital, and the fact that hospital patients are less capable of self-protection or escape, the hospitals where they were saved were turned into medical personnel and patients. The life-threatening place. Even if new hospital assessments have strictly stipulated that all hospitals should formulate an emergency disaster response plan, only a few hospital personnel actually have the opportunity for actual disaster drills. In addition, the selection of drill sites is often chosen to avoid affecting the implementation of medical services. Outpatient or general ward hold. As a result, accidents that are often neglected in disaster prevention drills, intensive care units, or open rooms are turned into a dead end in emergency disaster response exercises. This incident revealed that future hospitals are dealing with disaster contingency plans, and the implementation of actual drills is not implemented. As a result, medical personnel and patients are exposed to dangerous environments. In addition, this incident also highlights the lack of hospital safety awareness. At present, many hospitals are rapidly expanding their campuses in order to make the best use of space. As a result, space security planning at the expense of safety is used. In this incident, although firefighters arrived in real time, they were confined to the close proximity of various buildings in the hospital, and the use of space planning did not attach importance to safety. As a result, large fire fighting vehicles entered the rescue difficulties, resulting in the formation of “far water cannot save near fireâ€. The dilemma. In addition, this incident has also led to the development of large-scale hospitals in recent years. In the event of an emergency disaster, the moving of hundreds of beds or even thousands of beds of medical institutions, the removal of complicated personnel, equipment and equipment beds, and proper placement at the first point in time all increase the difficulty of dealing with disasters. In order to ensure the safety of patients' lives, the medical reform will have the following three appeals. First, the new system of hospital assessment should be avoided as a formal review, and it should be thoroughly explored whether the assessed hospitals have sufficient ability to respond to different sites in the hospital. Whether or not the hospital has 24- hour medical staff with practical disaster drill experience to assist the family members of the patient in evacuation and evacuation; secondly, to enable the medical personnel to work at ease and not be threatened by unexpected accidents, the Executive Yuan shall integrate the competent labor and health authorities and actively Promote the "Safety and Health Rules for Healthcare Services" to ensure the safety of medical personnel; Third, because the hospital has the speciality of taking care of the disabled and the mobility-impaired patients, the relevant government units should be more secure than hospital buildings in general building safety. As well as fire safety standards, it is also necessary to actively supervise the spatial planning and use of hospitals to prevent the recurrence of similar incidents. Note: The incident referred to as follows: December 18, 2008, National Taiwan University Hospital operating room fire broke out, leading to a surgery had to be suspended in patients with esophageal cancer died, the patient's physician surgeon also choked injury. Coincidentally (China's same accident) When the Escape Challenges Morality -- Review on the Fire Fighting in the Event of "Medical Running" Author: Mr. Ma Ting light (slightly deletion of this article) This article refers to the event: August 24, 2011, Baoshan District, Shanghai Baosteel Hospital operating room burst fire, who was amputation of the patient under general anesthesia, was killed; Last night I saw the tragedy of the patient's sacrifice at the Shanghai hospital. At that time, I wanted to write a science blog about hospital firefighting. I could point out the special factors of hospital escape, and deeply understand the institutional understanding of the causes of casualties in Shanghai hospitals. We firefighters need to stand up and point out the misunderstandings and lack of fire in this area. 1. The dilemma of morality When the public opinion categorizes this incident as a "medical run" event, it is natural to compare the "Fan Run" incident. The latter's potential implication is that the teacher's fate, the earthquake should die; the ambiguity of the former is that the doctor should die and the patient's price is high. Both involve a crisis moment and the question of who should escape. The collective-oriented understanding is that the teacher should die and let students escape. The people-oriented understanding is that everyone should escape and allow someone to make mistakes. The people of our country are a generation deeply immersed in the collective culture. From the "heroes of the grassland heroes" to the "little heroes of the fire field" are all sacrifices and collectives, so this is a collective-oriented concept of escape. Individual sacrifice in exchange for group security. However, the group may not have a reasonable understanding. Everyone helps others, causing a high rate of casualties in the fire scene and a high percentage of heroes on the fire. Because everyone is concerned about saving people instead of escaping, our country’s sacrifices have not been able to make up for it. Because too many sacrifices are made, people are busy saving people and they have misdirected Qing Qing’s life. I really don't know how to ease this embarrassment of escape. So I have been attacking the collective-based hypocrisy, because this morality sounds nice and sounds comfortable, but the consequences are high casualties in the fire and a large crisis. Not people-oriented. How do you know if the victims of the fire field are saving or escaping? The people of my country are "terrific," because they are all based on myths and imaginations to look at the problem of escape. They have misunderstandings and do not know themselves. This is a consequence of the lack of popular science. 2. Hospital escape has special In the field of firefighting, the escape design of the hospital is the same as the escape design of the prison. It is for a group of people with “ Mobility-impaired †(restricted mobility). Therefore, they cannot be dealt with in accordance with the principle of extinguishing after the first escape as they normally would. . In this regard , the general strategy adopted is the “ Defend-in-place †escape strategy, which requires special firefighting designs. The escape design of the Shanghai Hospital is no different from the escape design in the general situation. Therefore, this accident in the Shanghai Hospital was caused by inadequate understanding of fire prevention and backward means of escape, highlighting the fact that after the economic development of our country, the level of fire management was severely lagging behind. Insufficient price. Start with the alarm. Looking at the hospital scene in the American drama, the alarm is neither an alarm nor a notice that people understand, but " Dr. Red, " which is the result of a survey of several psychologists in the 1970s . After comparing the stimuli of several claims to the patients, they found that the “Red Doctor†had the most peaceful influence on the patients. That is, the patients had the lowest possibility of panic, so they gained popularity. In association with Liaoyuan Hospital's fire, many patients have jumped at the expense of the building. You may understand that the disturbances and stimuli caused to the patient by improper alarming are far more than normal people because their ability to move is limited and their desire for survival is not reduced. So the reaction is dramatic. Secondly, the design of US hospitals is complex and there are a lot of fire doors. This is a passive fire prevention measure to stop the spread of fire and prevent smoke from harming. It is absolutely not allowed in the United States to think of Liaoyuan Hospital’s rapid escalation of China Unicom’s ward corridors. The first principle of ward design is isolation and zoning to prevent the spread of germs and smoke. With more doors, they need to be switched on and on frequently, so the courtesy of the doctor is cultivated. The large (human) anger, through a few fire doors, was eliminated, let alone smoke. Third, doctors and nurses in the United States often conduct fire escape exercises and therefore know how to deal with emergencies. Their high income, part of which is responsibility, is alarm, self-rescue, and transfer. The latter usually occurs rarely, because the design of the ward has led to the development of the fire, so you can wait on the spot. I said that self-rescue, many people think that it is to escape, in fact, is to take reasonable self-rescue measures, including closing doors and windows, telephone alarms, protective measures, organizational escape, etc., can be seen as part of self-help action. The people of my country have taken self-rescue as their escape. This is the lack of understanding and popular science. Fourth, the United States, hospital design, full account of mobility, lift long deep beds, which is to facilitate the activities of beds; and other space elevator is extremely large, and the seal, it is to escape the Area of Refuge (Refuge Area ), is also an isolation link to prevent the spread of smoke along the liftway. Laozi cloud is "useless." If you go to a US hospital and find such a "useless" space, its functions are related to fire safety regulations. It is "useless" to ensure safety. Fifth, hospitals have high fees, miscellaneous people, etc., and are rejected by high fees. With a child, insurance companies usually pay only for three days of hospitalization. If the hospital does not have so many "idle people", then the management of the flow of people is rather simple and convenient. From the hospital on the "Godfather" movies, the US hospital and now a mainland hospital design almost 50 years, and now are very different, this is the Life Safety Code "life safety requirements" to be enriched and popularization of the results, but also The result of the advancement of fire safety standards and social development levels. 3. The fire field strategy is stress In general, there are three barriers to fire and casualties that can prevent: passive fire resistance design, active fire control measures and external rescue measures. When the three links have not played their original role, casualties have occurred. From the hospital's performance in the report, there are at least the following issues. 1. No emergency lighting, operating room blackout, no emergency lights; 2. There is no quarantine measure and the smoke spreads everywhere; 3. The lack of training for medical staff does not know that fire extinguishers are used to control the fire source; 4. The lack of spray equipment, there is no early control of the fire; (Note: The provisions of the regulations can not be installed) 5. Lack of alarm equipment, patient escape is done manually; 6. The patient was on the bed with 30 minutes of oxygen, and within 30 minutes, there was no rescue; 7. The fire is not great, but the rescue work is quite delayed. 8. The hospital has no plans to transfer patients and there is no preparation for emergency management. There is a saying that the group-based approach is moral and people-oriented means to escape. The teacher should die and die, and only the collective can't escape. An ordinary fire is confusing because of the controversy of escape. Open the moral mystery and solve the misunderstanding of fire. It is actually very simple to escape. The writer is: Chief Executive of Taiwan Medical Reform Foundation Indoor Lighting is an important part of indoor environment design, and indoor lighting design is conducive to people's activities and safe life. Indoor Lighting Indoor Lighting,Led Tube,Led Panel Light,Indoor Light Guangzhou ZG Scaffolding.co.Ltd , https://www.zgscaffolding.com
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