相关实验视频

Updated: Jul 25, 2025

Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine

Standardized Model of Ventricular Fibrillation and Advanced Cardiac Life Support in Swine

Published on: January 30, 2020

什么时候一个增强的重症监护团队可以为与马术有关的事件增加价值? 一个回顾性观察性研究

Sarah Morton¹, Gaynor Wareham², Peter Sherren²

¹Essex Herts Air Ambulance, Flight House, Earls Colne Business Centre, Earls Colne Business Park, Earls Colne, Colchester, Essex, CO6 2NS, UK; Department of Surgery, Imperial College, London, UK.

|June 26, 2023

概括

直升机紧急医疗服务 (HEMS) 参与少数马术事件,大多数患者不需要HEMS干预. 这项研究确定了高风险伤害模式和患者个人资料,以改善关键马术紧急情况的HEMS调度.

科学领域:

紧急医疗紧急医疗
创伤护理创伤护理
医院前护理医院前护理

背景情况:

直升机紧急医疗服务 (HEMS) 经常被派往马术事故.
之前的研究表明,大多数患者不需要HEMS特定的干预措施.
自2015年以来,关于马术赛事HEMS使用情况的当前数据有限.

研究的目的:

确定目前由英国HEMS参与的马术事件的发生率.
确定可以优化对最有需要的患者进行HEMS调度的趋势.
分析涉及到需要HEMS的马术事件患者的特征.

主要方法:

从2015年1月到2022年6月的英国HEMS计算机化记录系统的回顾性审查.
提取人口统计数据,事件时间,疑似伤害模式和HEMS干预.
对20名确诊受伤负担最高的患者进行详细审查.

主要成果:

赫姆斯医疗服务中心参与了257起马术事件 (0.02%的发送),其中229名患者是女性.
临床医生对999通话的审讯导致了124个调度;只有52%是由HEMS传达的.
51%的患者没有接受特定于HEMS的干预;严重的伤害包括脏,肝脏,脊髓和TBI.

结论:

对于马术事故的HEMS调度很少发生,但可能涉及严重的伤害.
高风险的机制包括头,干,被马压,以及事故后的不动.
50岁以上的患者被确定为严重伤害的高风险群体.

关键词:

调度调度调度调度马术运动是马术运动.他们的家具.马马的马,就是马马.伤害伤害伤害伤害

更多相关视频

Setup and Execution Of the Blindfolded Code Training Exercise

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies

Published on: January 16, 2019

相关概念视频

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...

Acute Coronary Syndrome IV: Interprofessional Care

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...