2004台灣花卉博覽會緊急醫療救護分析

Emergency Medical Services at the 2004 Taiwan Flower Expo

目的：探討2004年在彰化舉辦的台灣花卉博覽會活動期間緊急醫療救護的需求，尋求醫療照護病患的特質，及傷病況分析。材料與方法：於2004年1月17日至3月14日共58天，花博會展覽活動期間由設於園區內醫護站之醫護人員，使用預先設計的病患處置表格，詳細記載傷病患之資料加以描述統計分析，以瞭解傷病患的病況及緊急醫療救護的需求。結果：在58天花博會期間共有1577503人次參觀，平均每天入園人數為27198人次，共有963位傷病患尋求醫療照護，以外傷最多共425人佔44.13％，其次為腹痛病人171人佔17.75％，較特殊的有蜂螫的病患19人佔1.97％，醫療使用率為千分之0.61，有41位病患需使用救護車後送，後送原因主要為撕裂傷需手術縫合佔13人（31.70％）最多，救護車轉送率為4.26％。結論：本次2004台灣花博會醫療使用率與救護車轉送率與國外許多大型活動相似，雖然大多數病情並不嚴重，但各種科別疾病都有，因此全科醫師或急診醫師並受過高級救命術訓練之醫療人員最適合挑此重任，預先規劃良好之緊急醫療救護系統方能避免延遲嚴重病患之救治。

Purpose: The purpose of the current survey was to determine the needs for emergency medical services for tourists and visitors during the 2004 Taiwan Flower Expo in Changhua and to provide reference data for similar activities in the future. Method: The survey was conducted between 17 January and 14 March 2004 by professional medical staff in the emergency aid station, which was located within the exposition. Pre-printed forms contained patient information and an accurate record of disease conditions to clarify the requirement for emergency services with descriptive statistical methods. Result: There were 1,577,503 people who visited the Taiwan Flower Expo over a 58-day period. The average number of visitors per day was 27,198 and the total number seeking medical assistance was 963. Traumatic injuries were the most frequent cause for seeking medical attention, involving 425 people (44.13%), followed by abdominal pain, involving 171 people (17.75%). Additionally, 19 people (1.97%) sustained bee bites. All together, emergency services were required by 0.61 exposition visitors per thousand. Forty-one people (4.26%) utilized an ambulance transfer service to the hospital, and the major reason for hospital transport was lacerations (13 people; 31.70%) needing surgical treatment.Conclusion: The requirement for emergency medical assistance and ambulance transfer service at the Taiwan Flower Expo in 2004 was similar in magnitude to many large entertainment events in other countries. Although most of the patient's condition were severe, the conditions were of a variety of types. Only general healthcare providers who specialize in emergency treatment and are ACLS-qualified should be recruited. A well-designed emergency medical service system is mandatory to provide services to prevent delaying or missing the severe cases.