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Medical Support for International Sports Events 国际体育赛事的医疗支持 - an experience of the 2002 FIFA World Cup Games in Korea 2002 年韩国世界杯的经验. Joon Pil Cho, MD, PhD Department of Emergency Medicine Ajou University School of Medicine, Suwon, Korea 韩国 AJOU 大学医学院急救医学部 jpcho@ajou.ac.kr. Contents 内容.
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Medical Support for International Sports Events国际体育赛事的医疗支持- an experience of the 2002 FIFA World Cup Games in Korea2002年韩国世界杯的经验 Joon Pil Cho, MD, PhD Department of Emergency Medicine Ajou University School of Medicine, Suwon, Korea 韩国AJOU大学医学院急救医学部 jpcho@ajou.ac.kr
Contents内容 • Experience of 2002 FIFA World Cup Games in Korea 韩国2002年世界杯的经验 • Issues of Medical Planning for International Sports Events国际赛事医疗计划问题 • Mass Casualty Preparation应对大众意外伤亡的准备工作
2002 FIFA World Cup In Korea韩国2002年世界杯 • Type of events: Football games 赛事类别:足球 • Venues: 10, Teams: 16, Matches: 32 赛场:10个,参赛队16个,比赛场次:32场 • Duration of events: one month 赛事时间:一个月 • Size of crowds观众规模 • Each stadium: 45-65 thousands 每个体育场馆:45000-65000 • Total expected spectators: 160 millions plus 预计观众总数:1亿6千万 • Local medical facilities: • 当地医疗机构: • Designated hospital within 30 minutes在30分钟内到达的指定医院 • Affiliated hospitals附属医院 • Wide regional emergency medical center广泛的地区性医疗急救中心
Spectators and Patients 观众和病人 N=977,028 (7 Stadium, 23games) 7个体育馆,23场赛事
Patients 病人 • Total number of Pts : 1,305 pts (23games) 病人总数:1,305人次(23场赛事) • Number of pts / games : 56.7 pts病人数/场:56.7人次 • Number of pts / 1,000 spectators : 1.34 pts 病人数/1,000名观众:56.7人次 • man 725(55.6%) : woman 580(54.5%) 男725(55.6%) : 女580(54.5%) • average age : 30.8 (1~78)平均年龄: 30.8 (1~78) • foreigner : 81(6.2%); 外国人: 81(6.2%)
The patients病人 N=1,305 1200 1000
Causes of visit就医原因 etc 5.6% 79 pts GI Problems 25.7% 336 pts injury 19.3% 251 pts CardioVascular Problems 0.7%, 9pts 13.4% 175 pts OB-Gyn Problems 2.1%, 28 pts 33.2% 433 pts Headache Respiratory Problems N=1,305
Severity严重性 Hospital Transportation 来自医院的数据:中、重症患者(0.74/场, 0.017/1,000 观众)一人由于从体育馆跌落造成头部损伤而死亡。 moderate, severe (0.74/game, 0.017/1,000 spectators) (one mortality due to head injury due to fall at stadium) moderate 1.1% 14 pts severe 0.2% 3 pts mild 98.7% 1,288 pts N=1,305
Summary小结 • Patients 病人: • 56.7 / game场, 1.34 / 1,000 spectator观众 • Severity严重程度:mild 轻为主 (98.7%)
2008 Beijing Olympic Games 2008北京奥林匹克大赛
Information for Medical Planning医疗计划所需要的信息 • Type of events赛事类型 • Duration of the events赛事持续时间 • Structure of the venue比赛地点的建筑结构 • Size of crowds人群的规模 • Local medical facilities当地医疗设施
Type of Event赛事类型 • A total of 28 sports will feature on the program for the Beijing Games. 北京奥运会总计将有28种运动列入计划 • These 28 sports are made up of 302 events, comprising 165 men’s events, 127 women’s events and 10 mixed events.这28种运动由302场赛事组成,包括165个男子比赛项目,127个女子比赛项目和10个混合比赛项目
Duration of Events赛事持续时间 • Opening date:8 August 2008开始日期:2008年8月8日 • Closing date:24 August 2008结束日期:2008年8月24日
The Venue比赛地点 • Host City : Beijing 举办城市:北京 • Co-host city合办城市 • Qingdao青岛: Sailing水上航行项目 • Hong Kong 香港: Equestrian骑马项目 • Tianjing 天津: Football足球 • Shanghai上海: Football足球 • Shenyang沈阳: Football足球 • Qinhuangdao秦皇岛: Football足球
Structure of Venue比赛地点建筑结构 Entrance Ticketing
Chronology of Major Crowd-Related sports events造成大规模人群聚集的主要运动赛事年表
Mass Casualty Incidents人群意外伤亡事件 • Definition定义 • Situations overwhelming the capacity of medical care by the medical personnel staffed inside of the stadium 大幅超出运动场内医疗人员进行医疗救助的能力范围。 • Medical help needed 医疗救助需求 • From local medical facilities来自当地医疗设施 • Mutual aids from adjacent cities邻近城市相互援助
Mass Casualties Incidents人群意外伤亡事件 • Hooliganism/Crowd violence 流氓/人群暴力 • Crowd surge/panic人群猛增/恐慌 • Structural collapse/Fire建筑的倒塌/火 • Terror attacks恐怖袭击 • Bomb blast, biological, chemical • 炸弹爆炸,生物性的,化学性的 • Protestor 抗议者 • Transportation accidents交通事故
Immediate post event phase赛事后续事件处理 • Main sectors involved 有关的主要部分 • Police 警察 • Fire/Rescue 火灾/营救 • Medical 医疗 • Main Issues主要问题 • Scene control场面控制 • Triage and Victim care治疗类选法和照料伤员 • Dispatch and Transportation分派和交通
Police department 公安部门 • Scene control场面控制 • Criminal evidence collection • 犯罪证据收集 • Evacuation of crowds人群的撤退 • Traffic control交通管制
Fire/Rescue火灾/营救 • Fire fighting灭火 • Elimination of hazardous material 消除有害材料 • Search and rescue搜索和营救 • Scene triage现场治疗类选 • Decontamination of the victims at scene现场受难者消毒 • Transportation of the victims 受难者运输
Medical sector医疗部分 • Life support at the victims collection point • 受伤人员聚集点的生命救助 • Secondary triage次要伤员鉴别分类 • Dispatch to appropriate medical facilities • 分派适当的医疗设施 • Transportation of victims运输受伤人员 • Definitive care at hospital医院治疗
Public Health concerns公共卫生影响 • Drinking water饮用水 • Sanitary facilities卫生设施 • Shade or Shelter in adverse weather conditions 恶劣气候时的避难场所
Summary小结 • Issues for Medical Planning 医疗计划的问题 • Type of events赛事类型 • Duration of the events赛事持续时间 • Structure of the venue比赛地点的建筑结构 • Size of crowds人群的规模 • Local medical facilities当地医疗设施