格尔木地处青藏高原。在该地区实施院前急救,其特殊的环境状况严重影响着出诊工作,甚至直接威胁到医护人员的安全。因此,只有采取积极有效的防范措施,确保医务人员的身心健康,才能更好地救治患者。本文分析了在本地区开展急救工作中存在的环境制约因素并提出防范措施,以期为此类地区实施院前急救及紧急医学救援提供借鉴。1院前急救环境制约因素1.1缺氧环境导致的急性高原反应急性高原反应可以由平原进入高原或由高原低海拔地区进入 Golmud is located in the Qinghai-Tibet Plateau. The implementation of first aid in front of the hospital in the area has a special environmental situation that seriously affects the work of visiting doctors and even directly threatens the safety of medical staff. Therefore, only active and effective preventive measures to ensure the health of medical staff in order to better treat patients. This article analyzes the environmental constraints that exist in the emergency rescue work in this region and puts forward preventive measures to provide reference for the implementation of pre-hospital emergency and emergency medical rescue in these regions. 1 Pre-hospital emergency environment constraints 1.1 Acute hypoxia-induced altitude sickness Acute high altitude sickness can enter the plateau from the plateau or from low altitude areas