在创伤患者中,医院前的积极和被动变暖
Heather McLellan1, Tim W H Rijnhout2, L Michael Peterson3
1Advanced Studies in Critical Care Nursing, Mount Royal University, Mount Royal Gate, Calgary, Alberta, Canada.
Air medical journal
|June 25, 2023
概括
医院前的温暖措施,比如脱掉湿衣,可以提高创伤患者的体温. 地上救护车运输和湿呈现与不利的温度结果有关.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 生理学 生理学 生理学
背景情况:
- 低温症是创伤患者常见的并发症,显著增加了发病率和死亡率.
- 有效的医院前管理对于稳定创伤患者和预防不良结果至关重要.
研究的目的:
- 研究医院前护理期间主动和被动变暖干预措施对创伤患者体温的影响.
- 在运输过程中识别与创伤患者体温负面变化相关的风险因素.
主要方法:
- 一项前性,跨国观察性研究,涉及由紧急医疗服务运送的成年创伤患者.
- 数据来自加拿大,美国和荷兰的四个紧急医疗服务计划.
- 分析使用的变暖指标,患者的温度变化以及相关的风险因素.
主要成果:
- 11%的患者出现了低温症;大多数评估发生在受伤后60分钟内.
- 在线液体加热器和毯子是最常见的主动和被动加热方法.
- 地上救护车运输 (OR=3.20) 和湿地呈现 (OR=3.64) 是降低体温的独立风险因素.
结论:
- 医院前的积极和被动加热措施,特别是脱掉湿衣,与创伤患者的体温改善有关.
- 地面救护车运输和患者在初次呈现时的湿度与不利的温度变化有关.
- 在医院前创伤护理中,早期和有效的变暖干预至关重要.
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