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    香港急症室的歷史演變

    History of

    Emergency Medicine

    in Hong Kong

    香港中文大學意外及急救醫學教學單位

    Accident and Emergency Medicine Academic Unit

    Chinese University of Hong Kong

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    只要你能往後看，你便可以展望將來

    The longer you can look back, the

    farther you can look forward

    Winston Churchill, in an address to the

    Royal College of Physicians of London

    2 March 1944

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    急症醫學的起源

    The Birth of Emergency Medicine

    由人類歷史的起初，急症已經存在.

    但急症醫學卻是近年才創立

    Emergencies are as old as human history

    but emergency medicine as a specialty is

    quite new…

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    急症醫學的發展

    Development of

    Emergency Medicine

    服務

    The Service

    專科

    The Specialty

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    我們的開始

    Where do we begin…

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    在急症室創立之前，我們的服務包括

    Before Casualty, We Had

    普通科門診服務

    Outpatient Clinics

    收症室

    Receiving Rooms

    醫院醫生當值

    House Calls2

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    由救難團體到意外及急症科部門

    From “Casualty” to Accident &

    Emergency Department

    急症服務的發展

    Development of the Service

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    為甚麼是救難團體而不是急症室

    Why Casualty and Not ER?

    救難團體 Casualties

    - 在戰爭中的傷者 Injured at Wars

    - 普通病人 Casual Patients

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    黑暗時期：

    一九四一年至一九四五年抗戰時期

    Dark Times:

    The War Years, 1941 - 1945

    那時期，在香港有很多設立急救崗位

    來醫治戰爭中的傷者

    First Aid Posts were established in many parts

    of Hong Kong to treat war casualties

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    港島柏架山的急救站

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    首個急症室

    The First

    Casualty Department

    一九四七年設於香港瑪麗醫院

    Queen Mary Hospital

    1947

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    那打素醫院 Nethersole Hospital 3

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    急症室扮演的角色

    The Main Functions of Casualty

    主要任務

    The main roles of casualty were to treat

    –意外事故 Accident cases

    –警方案件 Police cases

    –政府公務員 Government servants

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    一九五五年瑪麗醫院急救室

    QMH Casualty 1955

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    Han Suyin

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    一九四七年，創傷及急症專科部門的起源

    Birth of the Specialty – 1947

    ? 香港首個急症部門

    First Casualty Unit - Queen Mary Hospital

    – 主要員工

    staffed by:

    ? 初級醫生

    junior doctors

    ? 剛畢業的醫學生(等待其他專科培訓安排)

    fresh graduates waiting for training in other

    branches of medicine

    ? 一位高級醫生負責監督

    One senior medical officer in-charge

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    急症部門的初期

    Casualty Departments…

    the Early Years

    醫生資歷較淺

    The Doctors Are Young

    急症室配備過時

    The Equipment Is Old

    幾乎沒有監管

    Supervision Is Mostly Absent

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    一九七四年 ......