Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Objective To explore public emergency medical rescue resources'satisfaction of demand,influencing factors and multi-subject enabling countermeasures under the flood disaster.Methods A total of 651 valid question-naires were collected from victims in four towns in one city.Logistic regression analysis was applied to analyze the in-fluencing factors.Results 80.49％of the respondents considered that their and their families'emergency medical res-cue resources'demand could be met during the flood.The results of logistic regression analysis showed influencing factors of low satisfaction including there were the elderly aged 65 and above in the family,and patients with chronic diseases such as diabetes and hypertension in the family and the differences were statistically significant(P＜0.05);Influencing factors of high satisfaction including adequate preparation of familial emergency supplies,the grassroots government publicized the disaster prevention and self-help knowledge before the disaster,the grass-roots government had prepared emergency medical rescue resources,such as food,water and relief materials be-fore the disaster,the adequacy of emergency medical rescue resources of local hospital,and medical staff pro-moted psychological knowledge and skill and the differences were statistically significant(P＜0.05).Conclusion The store of emergency resource should be strengthened in all aspects,including medical institutions,the grass-roots governments and the public in the community,and emergency preparedness and publicity work should be promoted in a coordinated manner,so as to build a resilient community and society for disaster response.

Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.

Objective:To investigate the efficacy and safety of different treatment duration of dual therapy including vonoprazan and low-dose amoxicillin in Helicobacter pylori ( H. pylori) eradication. Methods:From December 1, 2022 to November 30, 2023, a total of 150 H. pylori-infected patients who underwent primary treatment in the Affiliated Changzhou No.2 People′s Hospital of Nanjing Medical University were recruited. The patients were divided into 10-day treatment group and 14-day treatment group with 75 patients in each group by random number table method. Patients of both groups were treated with vonoprazan (20 mg each time, twice per day) combined with amoxicillin (0.75 g each time, 3 times per day), and the treatment duration was 10 and 14 days, respectively. Intention-to-treat (ITT) and per-protocol (PP) analyses were used to evaluate the eradication efficacy of H. pylori of the 10-day treatment group and 14-day treatment group. PP analysis was used to compare the incidence of adverse events between the 2 groups. Cost-effectiveness analysis was performed to evaluate the economic efficiency of the 2 treatment regimens. Identified factors affecting the eradication rate in the 10-day treatment group based on the PP. Independent sample t-test and chi-square test were used for statistical analysis. Results:In ITT and PP analysis, a total of 75, 75 patients and 70, 72 patients were included in the 10-day treatment group and 14-day treatment group, respectively. The results of ITT analysis showed that the eradication rates of 10-day treatment group and 14-day treatment group were 86.7% (65/75) and 90.7% (68/75), respectively. The results of PP analysis showed that the eradication rates of the 2 groups were 92.9% (65/70) and 94.4% (68/72), respectively, and the differences were not statistically significant (both P>0.05). The results of PP analysis showed that the incidences of adverse events of the 10-day treatment group and 14-day treatment group were 12.9% (9/70) and 9.7% (7/72), respectively, and the difference was not statistically significant( P>0.05). The cost-effectiveness ratios of the 10-day treatment group and 14-day treatment group were 3.29 and 4.19 yuan/%, respectively. The optimal cut-off values were 63.5 kg for body weight and 1.73 m 2 for body surface area to affect the H. pylori eradication rate. The H. pylori eradication rate of patients with body weight ≤ 63.5 kg was higher than that of patients with body weight >63.5 kg (100.0%, 42/42 vs. 82.1%, 23/28), and the H. pylori eradication rate of the patients with body surface area≤1.73 m 2 was higher than that of patients with body surface area>1.73 m 2 (100.0%, 45/45 vs. 80.3%, 20/25), and the differences were statistically significant ( χ2=5.61 and 6.91, P=0.018 and 0.009). Conclusions:The 10-day combination therapy of vonoprazan and low-dose amoxicillin is a safe and effective primary treatment regimen for H. pylori eradication. Body weight and body surface area are influencing factors of the eradication rate.