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个人防护设备协议导致山地救援行动中患者评估的推迟启动
Michiel J van Veelen1,2, Giulia Roveri1,3, Ivo B Regli1
1Institute of Mountain Emergency Medicine, Eurac Research, Bolzano, Italy.
High altitude medicine & biology
|June 1, 2023
概括
在山地救援行动中实施空气传播感染预防措施,包括个人防护设备 (PPE),导致患者评估的重大延迟. 这种延迟可能会对危急情况下的患者结果产生负面影响.
科学领域:
- 紧急医疗 紧急医疗
- 荒野医学 荒野医学
- 感染控制 感染控制
背景情况:
- 山地救援行动因偏远和严酷的环境而面临挑战.
- 空气传播感染的预防措施,如佩戴个人防护设备 (PPE),至关重要,但可能会延迟患者的接近.
研究的目的:
- 在山地救援模拟中量化空中传染病预防协议引入的时间延迟.
- 为了比较模拟患者已经部分受保护时的时间延迟.
主要方法:
- 一个随机交叉试验,涉及24个现实的山地救援模拟场景.
- 分析患者接触期间完成感染预防协议所需的时间.
- 使用线性混合模型,比较患者戴或不戴口罩和手套的时间延迟.
主要成果:
- 空气传播感染预防措施 (查,手部消毒剂,佩戴个人防护设备) 导致平均时间延迟为98±48秒 (26-214秒).
- 一个趋势表明,当模拟患者已经佩戴PPE时,预防时间更短 (p=0.052).
结论:
- 空气传播感染预防协议可以显著延迟在山地救援中患者评估的开始.
- 这些延迟可能会在时间关键的山地救援场景中危及临床结果.
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