ヘリコプターによる航空医療輸送中の呼吸音の評価ができない
R C Hunt1, D M Bryan, V S Brinkley
1Department of Emergency Medicine, East Carolina University School of Medicine, Greenville 27858-4354.
JAMA
|April 17, 1991
まとめ
フライト看護師は,増幅ステソスコプを使用しても,ヘリコプター輸送中に呼吸音を確実に評価することはできません. 航空機の騒音は,聴覚を著しく損なっており,航空医療輸送のための改善された設備と方法が必要である.
科学分野:
- 緊急医療 緊急医療
- 航空医学 航空医学
- バイオメディカルエンジニアリング
背景:
- 呼吸音の評価は,航空医療輸送中の患者ケアに不可欠です.
- ヘリコプター客室の騒音は,聴覚に重大な課題をもたらします.
- 診断能力を向上させるためには,従来のステソスコープと放大ステソスコープの評価が必要である.
研究 の 目的:
- ヘリコプター輸送中のフライト看護師による呼吸音の聴覚のための伝統的なおよび増幅ステソスコップの有効性を評価する.
- MBB BO-105ヘリコプターの騒音が呼吸音検出に与える影響を判断するために.
主な方法:
- マネキンと事前に録音した音を使って,通常の呼吸音のモデルを作成しました.
- フライト看護師は静かな環境で,ヘリコプターの飛行中にリスニングセッションを実施しました.
- 伝統的なステソスコープと増幅ステソスコープの両方が使用され,比較されました.
主要な成果:
- 静かな環境では,92%の試験で看護師が呼吸音を正しく識別した.
- ヘリコプターの飛行中に,ステソスコープのいずれかを使った看護師は呼吸音を検出しませんでした.
- 航空機の騒音により,MBB BO-105ヘリコプターでの聴覚は無効になりました.
結論:
- 伝統的および増幅ステソスコプは,MBB BO-105ヘリコプター輸送中のフライト看護師の呼吸音を評価するのに効果がありません.
- 航空機の騒音を大幅に削減するか,先進的なリスニング技術の開発が必要である.
- 空気医療環境における患者の評価を改善するために,革新的なアスクルテーション方法に関するさらなる研究が不可欠です.
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