Investigation On Ability To Deal With Emergency Poisoning Accidents In Shandong Province

Objectives We selected medical institutions at all economic levels, such asoccupational disease prevention and treatment agencies, hospital, chemical poisoningtreatment institution in Shandong Province as the object of research by completing the "Survey of Poisoning Emergency Ability Questionnaire in Medical Institutions ofShandong " and "Poisoning Staff Questionnaire". To investigate the emergent poisoningmedical institutions involved the poisoning emergency situation, including theconstruction of professional poisoning control teams, detoxification drug reserves,reserves and the use of poison detection equipment, personal protection, trainingrehearsals and other aspects of poisoning cases. By searching the documents, we canunderstand the legislation and management in poisons control of our nation and eachprovince, develop the strategies for poison control in Shandong Province.Methods Using multi-cluster sampling methodology to select the medical institutionsparticipating in the poisoning treatment for the survey in17cities from ShandongProvince,1318questionnaires of “poisoning emergency treatment capacity” werereceived (responses rate91.5%), of which1201copies were effective(effective rate91.1%).1726copies of the “Poisoning staff survey" were collected, of which1600copieswere effective questionnaires(effective rate92.7%). The data were recorded in softwareEpiData3.0and analyzed by SPSS18.0statistical system. To investigate medicalinstitutions surveyed poison control professional team of age, education, job title, suddenpoisoning emergency training and drills differences by multiple independent samplesnonparametric test method Kruskal-Wallis, two independent samples nonparametric testmethod Mann-Whitney were used to compare the difference between two groups. One-way variance analysis after rank transformation was used to compare the differencesbetween surveyed medical institutions about the number and age of rescue equipment,first aid ability, homogeneity of variance using the Student-Newman-Keuls,heterogeneity of variance using Dunnett’s T3method. One-way ANOVA was used tocompare the difference between the three medical institutions in first aid ability andreserve of drug detoxification differences. Test level α=0.05.Results The medical institutions were divided by three group at all ecnomic levels. The first is belonged to high economic level, the second is belonged to media economic level,the third is belonged to lower economic level.1The structure of age, educationalbackground, job title and poisoning treatment in three groups has significant differences.Age structure: First, the third group was less than the second, there was no significantdifference between the second and third group. Educational background: The secondgroup is higher than the first, and the first group is more than the third. Job title: The firstand the third group are greater than the first, there is no significant difference between thefirst and the second group. Poisoning treatment capacity: the first group is more than thesecond, the second is more than the third.2In medical institutions of each group, thereare differences in the number of poisoning rescue equipment such as gastric lavage andheart defibrillator,and no difference in the other devices reserves.3Poisoning treatmentcapacity has a significant difference in medical institutions of each group, the first groupis greater than the second and third group, the second group is greater than the third. Inprimary health care of each group, there are differences in poisoning treatment ability, thefirst group is greater than the second and third group,the second is greater than the third.The secondary and tertiary medical institutions of each group had no significantdifferences.4The reserve capacity of drug detoxification in each group has significantdifference, the first group is stronger than the second and third group, there is nosignificant difference between the second and the third.5Each group for poisoningemergency trainings and drills are no significant differences. The primary health care, thesecondary and tertiary medical institutions of each group has no significant differences.Conclusions We concluded that there were significant differences in poisoningcapacity among the medical institutions of different economic levels of each region, thesame as poisoning emergent trainings and drills. We need to strengthen the aid equipment,supplies, personal building among the lower economic level of each region. The poisoncontrol team building, drug detoxification and rescue equipment reserves are in needbadly, such an improvement of the level of treatment and treatment capacity can beachieved through trainings and drills.