国际旅行者受伤和医疗紧急情况
Mathieu Potin1, Pierre-Nicolas Carron2, Blaise Genton3
1ISTM CTH (Certificate of Travel Health), Chemin des Croix-Rouges 12, Lausanne CH-1007, Switzerland.
Journal of travel medicine
|July 5, 2023
概括
旅行前的咨询应涵盖非传染性疾病和伤害,而不仅仅是传染性疾病. 简单的预防措施可以显著减少与旅行有关的创伤和紧急情况.
科学领域:
- 旅行 医学 旅行 医学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 传统上,旅行前咨询的重点是传染病和疫苗接种.
- 非传染性疾病,伤害和旅行中的意外往往被低估了.
- 医疗旅游和COVID-19等新兴问题也会影响旅行者的健康.
研究的目的:
- 审查有关旅行相关发病率和死亡率的文献,强调非传染性原因.
- 强调在旅行前咨询中包括受伤和医疗紧急情况的重要性.
- 为全面的旅行健康规划提供建议.
主要方法:
- 从数据库中对文献进行叙事审查,例如PubMed,谷歌学者,UpToDate,DynaMed和LiSSa.
- 将参考教科书和医学期刊纳入旅行,紧急情况和荒野医学.
- 提取相关的二次参考文献,并讨论新的或被忽视的问题.
主要成果:
- 旅行期间的死亡人数估计为10万分之一,其中40%是由于创伤,60%是由于疾病 (传染病<3%).
- 创伤和伤害,包括交通事故和溺水,可以通过预防措施减少高达85%.
- 在604次航班中约有1次发生飞行中的紧急情况;旅行者血栓形成的风险较高;旅行者的腹很常见.
结论:
- 旅行前的医疗咨询需要一个全面的方法,包括伤害和医疗紧急情况.
- 风险行为和更好的规划应该与疫苗和传染病建议一起讨论.
- 整合这些主题可以提高旅客的准备和安全.
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