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广东省卫生应急基本装备目录(草案)

广东省卫生应急基本装备目录(草案)

为了适应突发公共卫生事件应急处理工作的需要,不断提高我省卫生应急处理能力,规范卫生应急队伍管理,参照国家卫生应急队伍设置的要求,特制定本目录(草案)。

一、装备原则

分类编配,分级储备,品量齐全,突出功能,实用易带,适宜野外作业。

二、装备分类

卫生应急基本装备共分为应急药械装备和应急队伍装备,其中应急药械装备分为日常装备和生物制品等二大类;应急队伍装备分为个人装备、后勤保障装备、通讯办公装备、徽章标志、卫生装备、常用药物和传染病预防药物等七大类。

三、装备目录

(一)应急药械装备。

1、日常装备。

(1)交通、通讯工具类。主要包括:应急指挥车,可视视频指挥系统,应急指挥电话(国际漫游的移动电话),对讲机,交通地图,广东省地图,电子地图,PDA等。

(2)消杀灭器械类。主要包括:背负式喷雾器,黄壶喷雾器,烟雾机(配充电器),手推车式杀虫喷雾机,机动超低容量喷雾机等。

(3)防护装备类。主要包括:全密闭式重型防护服,轻型防护服,呼吸面罩,6006#过滤盒,防护服,N95或FFP3口罩,3M防护目镜(1621AF)等。

(4)消杀药品类。主要包括: 顺式氯氰菊酯, 50%保安定,大隆蜡块,成品毒饵(毒鼠谷),含氯消毒剂(泡腾片、漂精片、漂白粉),二氧化氯,PVP碘消毒剂,过氧乙酸等。

2、生物制品。

(1)预防用疫苗。主要包括:破伤风、白喉类毒素,麻疹、脊灰、流感、流脑、风疹、腮腺炎、水痘、甲肝、乙脑、出血热、炭疽、钩体、布病、鼠疫、狂犬病等疫苗等。

(2)免疫血制品。主要包括:抗狂犬病血清、丙种球蛋白、干扰素、抗蛇毒血清等。

(二)应急队伍装备。

1、个人装备。

(1)服装类。主要包括:队服(有防水透气功能,春、秋装),保暖衣裤,防寒服,T恤衫,遮阳帽,拖鞋,旅游鞋,身份识别牌(标明身份、职务分类),手箱(盛放上述物品)。内衣裤(一次性棉质)、卫生应急箱、应急现场特种工作服(有荧光标志)等。

(2)背囊类。主要包括:野战睡袋,毛毯,毛巾被,蚊帐,充气垫,分体式雨衣,雨靴,防水野外靴,塑料布(可做雨具)。

(3)洗漱用品类。主要包括:牙膏,牙刷,手巾,洗发膏,浴液,电动剃须刀,香皂,小面镜,防晒霜,洗漱包等。

(4)生活用品类。主要包括:保温杯,防水手电筒或头灯,水壶(或水袋),太阳镜,救护绳,瑞士军刀,救生哨,卫生纸、巾,驱避剂,带指北针计时器,防风打火机,消毒纸巾,野战饭盒,餐具套装等。

2、后勤保障装备。

(1)宿营类。主要包括:住宿帐篷,取暖炉,脸盆,水桶,桌子,椅子,不锈钢暖瓶,马札,扫帚、簸箕,垃圾袋,铁锹,镐,警戒带、警戒杆等。

(2)供电照明类。主要包括:发电机,防水配电合,电缆搅盘,电线,防水接线板,电灯(含灯头),防风型马灯,油桶,营地照明灯,便携照明灯,标志灯,车用逆变电源(12v-220v),国际转换插头等。

(3)炊具、食品类。野外个人炊具,班用炊具组套,微波炉(含盒),电热水壶,水囊,水袋,主副食,军队野战食品等。

(4)工具类。斧子,细铁丝,尼龙绳,人字梯(1.5米),自行车(折叠式),后勤包装箱,后勤保障车辆等。

3、通讯办公装备。

(1)车载通讯设备类。主要包括:移动通讯天线,车载台,海事卫星mini-m站,海事卫星M4站,现场图像编辑传输系统,亚星电话,便携式vsat地面站,GPS(全球定位系统)等。

(2)办公设备类。主要包括:军用笔记本电脑(含上网卡),打印机(打印、复印、传真一体),无线hub(无线局域网),笔,笔记本,记号笔,胶带(窄),信纸,胶棒,剪刀,裁纸刀,白板,白板笔,多媒体投影仪,实物投影仪,数码照相机,录音笔,摄像机(DV),调查登记表,文件夹,打印纸等。

4、徽章标志。

主要包括:国旗,队旗(中英文),队徽,帽徽,臂章,胸牌,相关标志,不干胶(救援队用)等。

5、卫生装备。

(1)急救装备类。主要包括:急救箱,医生背囊,除颤起搏器,心肺复苏器,输液泵,担架ICU等。

(2)手术装备类。主要包括:清创缝合包,换药包,导尿包,气管切开包,静脉切开包,骨科器械包,胸科器械包,颅脑外科器械包,剖腹探查包,心血管手术器械包,妇产科手术器械包,血管吻合器,肠吻合器,高频电刀,手术床(便携式),手术灯(便携式),轻便器械台,麻醉机(便携式),呼吸机,吸引器,手术冲吸机(具冲洗和吸引功能),野外洗手装置,监护仪,自体血回输装置,手术器材补给箱等。

(3)特诊装备类。主要包括:心电图机,B超(便携式),X线机(便携式),洗片机(在非暗室条件下可操作),野外诊疗床等。

(4)消毒供应装备类。主要包括:高压消毒器,多人吸氧器,小型医用纯水装置,运血箱等。

(5)检验装备类。主要包括:医用冰箱,显微镜,离心机,凝血分析仪,恒温水浴箱,生化分析仪(干式),血球记数仪,尿液分析仪,血气分析仪(手持),检验器材补给箱等。

(6)五官科装备类。主要包括:五官科检查器械箱。

(7)防疫防护装备类。主要包括:检水检毒箱,电动喷雾器等。

(8)机动卫生装备类。主要包括:急救车,防疫车,医疗箱组,组合式帐篷医疗单元,远程医疗会诊车等。

(9)其他卫生装备类。主要包括:折叠担架,担架负压,铲式担架,汽车运送伤员附加装置,折叠病床(带输液架),护理器材补给箱,医疗器械修理箱,移动电站(挂车式),电子伤票系统等。

6、常用药物(具体名称略)。

(1)抗感染药物类;

(2)解热镇痛和镇痛药类;

(3)麻醉及其辅助药类;

(4)心血管药和兴奋药类;

(5)利尿药和止血药类;

(6)镇静和抗过敏药类;

(7)呼吸系统用药类;

(8)驱虫药类;

(9)消化系统用药类;

(10)维生素和激素类;

(11)水电解质酸碱平衡药类;

(12)敷料和包扎固定材料类;

(13)外用消毒和杀虫药类;

(14)化验药品类;

(15)急救解毒药品类;

7、传染病预防药物。

主要包括:环丙沙星、强力霉素、呋喃唑酮(痢特灵)、红霉素、达菲、氯喹(伯喹)、青蒿素等。

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We have about 73 kids split into 3 teams, age 7-9, 10-11 and 12-13,ghdpurplesale.comcheap ghds, about 40% are first time players. I'm head coach of all three teams.
   
These kinds of management and leadership skills are not easy for a young athlete to learn. Consider how hard it is for experienced managers,boots-uggbootsale.com/ugg-mens-boots-c-134.htmlcheap ugg boots, leaders and executives to communicate effectively with their staffs and their employees
Next was the snap progression drill. This drill helps us understand the players natural quickness, body control,asicstigersale.comasics tiger shoes, agility and willingness to work through contact. That drill of course is in the book and goes from stance to seating the ball to running to the correct hole and 10 yards to running the hole squeezing between two coaches holding/pushing hand shield dummies together and the last progression adding a gauntlet.
Meanwhile the backs were going a modified gauntlet drill with a shield squeeze at the end. We worked 10 yard pass catching progression starting with stationary above the waist catches, then 10 yard below the waist catches, all using the progression in the book with ball seating and running the ball back to the QB. They moved on to splatter blocking drills and then deer hunter to get some conditioning in.
   
The great quarterbacks also tend to be good leaders and outstanding communicators. Politicians have the luxury of using speech writers to assist them when they need to communicate with their publics. Quarterbacks need to be able to communicate effectively with the players and the coaches during the heat of fast paced battle.
The line worked on our 2 step offensive lineman drill. We worked at least 8 minutes just on the first step and added the second step in about 5 minutes,uggbootsalecom.comugg boots sale, working both in unison for about 3 minutes after freezing on the first step. We then moved on to dummy fit using the 2 steps and then on to the 2 steps with dummy fit adding the drive for 5 yards. Next the line worked our crab blocking progression. Last we walked though the base blocking rule going through it in a progression. Even the youngest kids seemed to do real well, when we did our "quiz" we were getting about 95% correct answers. Lastly we grouped each o-line up and formed them into what we think will be their positions, got into the correct splits and did group 2 step drills in formation with backups rotating every snap. We were going on cadence and getting a new snap in about every 7 seconds.
Some of the qualities of great NFL quarterbacks are quite obvious and well known by coaches and by football fans. Top quarterbacks tend to be about 6'3" tall and they typically weigh about two hundred and fifteen pounds. In addition, they need a strong throwing arm, quick feet, the ability to read defenses, outstanding vision,pinkmidnight.comghd hair, fine reflexes,boots-uggbootsale.com/ugg-mens-boots-c-134.htmlugg boots, clock management skills, self-discipline,pinkmidnight.com/red-lust-ghd-iv-styler-p-28.htmlghd red lust, focus, confidence and a personality which allows them to stay calm under pressure.
It cooled down to 88 degrees or so, so much nicer day today and even a 5-10 mph breeze. We are not in pads yet and started off with our normal dynamic warm ups of jumping jacks, high knees form stance on cadence,uggbootsalecom.comugg boots, butt kickers from stance on cadence, lunges and a quick yell breakout. This took us about 7 minutes,pinkmidnight.comghd straighteners, as the kids picked up well from where we left off yesterday, About 90% of our kids are in a perfect stance on every drill now, we expect the other 10% to be there by weeks end.
Several years ago, a talented young quarterback came to see me because he wanted to learn how he could better relate to and communicate with his teammates in the huddle. This fine young man had all the physical tools of a great football general. He was a star in high school,boots-uggbootsale.com/ugg-mens-boots-c-134.htmlugg boots outlet, but had more difficulty managing the members of his college team who came from a variety of socioeconomic backgrounds.
Our first break included a review and "quiz" of the hole back and hole numbering using the touch method in the book. Coaches had already made many of their line/backs decisions after our first practice and evaluation period, but the snap progression and gauntlet helped them decide on the kids that were sitting on the fence.
During one break we discussed the base defense,pinkmidnight.comghd hair straightener, the importance of defense and our base scheme. (5 minutes).
I familiarized him with motivational speeches and gave him some suggestions as to how to inspire, motivate,pinkmidnight.comcheap ghds, encourage and get his teammates focused on the bench and in the huddle. After all,asicstigersale.comasics mexico shoes, I spend a lot my time giving emotional pep talks to patients every day.
This young man was rather quiet, shy and soft spoken and he was having some difficulty in motivating and encouraging his teammates, particularly when they were faced with pressure and chaos which are often present in an important and close game.
We ended a good practice with a more detailed discussion on our sportsmanship standard,pinkmidnight.comghd hair straighteners, using lots of real world examples and asking the kids what they though sportsmanship meant.

We had a few players try and test the "ready focus" communication method/standard and we had 5-6 have to take a short run for that. We had zero problems with it day 1, but kids always test limits. It is always best to take care of that all in the first week, 5-6 violations is right at the norm if not just below. We expect zero problems with that by the end of the first week.
On Thursday we will be in full pads,asicstigersale.comasics mexico 66, stay tuned for more.
We spent some time working on his communication style and on bettering his on and off field relationships with his teammates. He made a point to spend more time off the field with members of the football team. I suggested that he keep a journal on each of this teammates which would remind him of what might motivate them during the course of a game.
Once he understood more about the other players,pinkmidnight.comghd flat iron, it was easy to develop more effective ways to talk to each and every member of his offensive team.
The first thing I helped him with was the building of his own self-confidence .Once I built him up a bit,uggbootsalecom.comcheap ugg boots, and his self-confidence grew,ghdpurplesale.comghd straighteners, we started to discuss how he could improve his relationships with his teammates.
We did our usual angle form and fit tackle drill, doing 1 rep every 6 seconds or so. We did 8 minutes of this,pinkmidnight.com/green-envy-ghd-iv-styler-p-29.htmlghd green envy, By weeks end the dynamic warm up and angle form tackling fit will combined be 10 minutes long as angle form is on a jog and part of the dynamic warmup period.
However,asicstigersale.comasics shoes, a young athlete who develops these interpersonal skills is building a foundation to be a fine leader in sports as well as in his off the field profession.
A good quarterback needs to know how each of his teammates is likely to behave during a game. He also needs to know that what motivates lineman to block effectively may not be the same thing which inspires receivers to perform well. He also needs to know what he needs to do get his teammates to feel positively about him.
All of these drills are detailed in words and diagrams/pictures in the book "Winning Youth Football a Step by Step Plan", or the DVDs.
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