从火线到医院:解放战争中华东部队的伤员转运系统OACHSSCD

During the Liberation War,the East China Army relied on civilian resources to build a casualty transportation system that was adapted to the changing battle situation.With the change of the battle pattern from guerrilla warfare to large-scale mobile warfare,the army of the CPC formed a new mode of casualty transportation by establishing additional transportation hubs and reallocating the transportation capacity.In response to the issue of the excessive use of civilian power in the op-eration of this system,the East China Army made two-way adjustments:vertically,a vertical com-mand system was established from the army to the local grassroots,so that the amount of civilian power mobilized could match the flow of wounded soldiers;horizontally,a paid contract transporta-tion system was introduced to replace the traditional mandatory support system,so as to economically improve the efficiency of civilian power.In the urban assault phase,the East China Army introduced the local relay transfer system to prevent the rupture of the wounded transport chain due to imbal-anced medical load,and intentionally strengthened the connection and linkage between the various treatment nodes.This flexible wartime treatment system that responds to the characteristics of the campaign not only demonstrates the integration of war,medical care,and resource constraints,but also provides a historical model for military-civilian integrated emergency medical treatment.