省域高速公路交通应急救援联动机制探讨

在系统分析省域高速公路应急救援组织体系存在问题的基础上,通过广泛调研和系统研究,结合我国国情,提出省域高速公路交通应急救援的组织指挥体系、可靠联动模式、运行机制、联动保障、技术路线等方案与措施。建立了基于领导机构、办事机构、工作机构、专家组4个层次的救援组织指挥体系,构建了高速公路交通应急救援的协调管理的基本机制,设计了对应协调管理基本机制的联动处置流程,并提出建设先进的高速公路交通应急救援调度信息中心的具体内容,为建立高效、稳健的高速公路交通应急救援组织体系与联动机制提供科学依据。该方案与措施有助于统一协调指挥多个救援部门之间的工作,实现救援部门之间的信息共享,确保交通应急救援调度和协调管理工作的顺利实施。     

城市燃气管道事故应急抢修方案的决策分析

通过对近年来的城市燃气管道事故抢险统计数据的分析与研究,管道事故抢险方案的选择存在着很大的主观性和片面性.为了克服应急抢修方案的种种局限,笔者应用模糊综合评判方法建立了城市燃气管道事故应急抢修方案评价选择模型;考虑可靠性、抢修时间、事故损失、抢险费用、社会影响及政治影响等6类影响因素来评判抢修方案的优劣,可以科学合理地选择最佳的管道事故应急抢修方案,达到经济合理、快速可靠的目的;实例验证,评判模型对城市燃气管道事故抢险具有重要的现实意义和参考价值.     

Using data linkage to assess the impact of motorized recreational vehicle-related injuries in Ohio

Problem

Motorized recreational vehicle (MRV)-related injuries can result in severe medical and financial consequences. The objective of this study was to describe the epidemiology, and clinical and financial impact of MRV-related injuries in Ohio.

Method

Probabilistically linked statewide Emergency Medical Services (EMS) and hospital (inpatient and emergency department) data for 2003 and 2004 were examined. Record pairs with a MRV-related E-code (E821-E823, E825) were included in this study.

Results

There were 2,893 patients with MRV-related injuries, who had linked EMS and hospital records, resulting in more than $15 million in hospital charges and 1,921 inpatient days of hospitalization. The male-to-female ratio was nearly 4:1, and 19% were younger than 16. Almost 82% of cases were not wearing a helmet; there was a trend of decreasing helmet use with increasing age. Mean (SE) inpatient hospital charges and length of stay (LOS) were $22,218 ($1,290) and 3.8 (0.2) days, respectively. The mean (SE) Injury Severity Score (ISS) for inpatients was 9.2 (0.4). Individuals injured on a street/highway were 3.20 times more likely to sustain an ISS ≥ 16 (95% CI: 1.03, 9.88; p = 0.044) and 3.05 times more likely to sustain a traumatic brain injury (TBI) (95% CI: 1.17, 7.94; p = 0.024) than those who were injured at a place designated for sport or recreation. Children aged 12 to 15 and young adults aged 16 to 25 were 2.47 and 2.14 times more likely, respectively, to sustain a TBI than adults aged 36 or older (aged 12 to 15: 95% CI: 1.13, 5.38; p = 0.024; aged 16 to 25: 95% CI: 1.26, 3.64; p = 0.005). Higher ISS was associated with both higher total charges (p < 0.001) and longer LOS (p < 0.001).

Discussion

This study demonstrates that MRV-related injuries are an important public health problem in Ohio, with a substantial clinical and financial impact.

Impact on Industry

Enactment and enforcement of statewide MRV safety legislation and training of MRV users offer valuable opportunities to prevent these costly injuries.     

基于临水区域化工园区的整体安全研究

针对临水区域化工园区的生产特点及在整体安全方面存在的普遍问题,提出在临水区域化工园区内要进行合理布局,做到功能分区明确;同时需建立园区安全生产管理、监测预警及应急处置系统,主要是由固定危险源和移动危险源动态安全管理子系统、安全生产监测预警系统、突发事故应急处置平台等所组成;坚持安全监控信息化与标准化,对化工园区的整体安全性的提高将发挥巨大的作用,为建设"平安园区"打下坚实的基础。     

工业园区氯碱项目环境风险预测评价——以新疆某城市工业园区氯碱项目为例

对工业园区引入的化工项目进行环境风险评价,是园区规划的重点工作之一。对氯碱生产项目潜在的环境风险环节进行识别和风险类型的确定,对发生泄漏性事故进行环境风险评价,预测了事故发生对环境的影响程度及范围。对事故发生后的风险提出防范和应急减缓措施,并对项目提出规划建议。     

Enhancing community-based disaster preparedness with information technology

A critical component of community-based disaster preparedness (CBDP) is a local resource database of suppliers providing physical, information and human resources for use in disaster response. Maintenance of such a database can become a collaborative responsibility among community-based non-governmental organisations (NGOs) and public and private community organisations. In addition to mobilising resources, this process raises awareness within the community and aids in assessing local knowledge and resources. This paper presents the results of a pilot study on implementing a community-based resource database through collaboration with local American Red Cross chapters and public and private community organisations. The design of the resource database is described. The resource database is accessible via the internet and offline using laptops and handheld Personal Digital Assistants. The study concludes that CBDP is strengthened through a combination of appropriate information technology and collaborative relationships between NGOs and community-based organisations.     

The 2004 Madrid train bombings: an analysis of pre-hospital management

The terrorist train bombings in Madrid, Spain, on 11 March 2004 triggered a swift and massive medical response. This paper analyses the pre-hospital response to the attacks to gain insight into current trends in disaster management among Madrid's Emergency Medical Services (EMSs). To this end, the existing emergency planning framework is described, the basic structures of the different EMSs are presented, and the attacks are briefly depicted before consideration is given to pre-hospital management. Finally, an explanation of the main underlying misconceptions in emergency planning and management in Madrid is provided to aid understanding of the origins of some of the problems detected during the response. These are attributable mainly to inappropriate planning rather than to mistakes in field-level decision-making. By contrast, many of the successes are attributable to individual initiatives by frontline medics who compensated for the lack of clear command by senior managers by making adaptive and flexible decisions.     

基于现代信息技术的城市灾害应急管理系统

城市灾害应急管理系统是一项复杂的大系统工程。本文着重从应急管理过程中的应急资源调配、应急预案制定等方面阐述了现代信息技术在城市灾害应急管理中的应用与优势。认为应急管理信息系统的建立目的不是为了预测和估算,而应是当灾害发生时,对已造成的灾情局面做出快速的辅助决策支持。基于此,利用SuperMapObject5.0,Visual Basic6.0,SQL Server2000等现代信息技术软件,以辅助决策、资源快速查询以及生命线管网易损处调查为目的,本文建立了一个局部地区灾害应急管理信息系统。系统的数据库建立更突出了为应急管理服务所需的基础信息、空间数据、应急预案和应急资源等信息划分方式;结合已有的震害预测理论和方法,开发了供水系统和交通系统的震害预测模块,事先为灾害应急决策提供可能的震害信息。系统的开发过程进一步证明了GIS在城市灾害应急管理中有着直观显示、容易操作、辅助准确决策等优势。     

内乡-镇平4.7级地震及震后应急

内乡 -镇平 4 7级地震 ,是河南省解放以来唯一一次造成人员伤亡的地震事件。本文对这次地震的震害及烈度进行了考察评定 ,总结了有关部门的震后应急措施 ,讨论了从这次地震中应吸取的经验教训。     

公共场所火灾伤员转运护理应急资源评估

为保障伤员生命与健康,提升火灾伤员救治率,该文研究公共场所火灾伤员转运护理应急资源评估方法.以火灾伤员转运护理应急资源需求分析为基础,从应急人员、应急设备、应急环境信息与应急管理四个方面出发,共选取15个评估指标,构建公共场所火灾伤员转运护理应急资源评估指标体系,根据各指标采集相关数据并对数据实施量纲标准化处理.构建基...