医院前超声波:来自NEMSIS数据库的全国发病率
Benjamin Karfunkle1,2, Hei Kit Chan1,2, Benjamin Fisher3
1Texas Emergency Medicine Research Center, McGovern Medical School, Houston, Texas.
Prehospital emergency care
|July 21, 2023
概括
美国的医院前超声波 (PHUS) 使用量从2018年到2021年大幅增加,尽管它仍然很少见. 护理人员进行了大多数PHUS检查,心脏骤停,创伤和呼吸系统病例是最常见的.
科学领域:
- 紧急医疗 紧急医疗
- 护理点的超声波超声波检查
- 医疗技术采用 医疗技术采用
背景情况:
- 医院前超声波 (PHUS) 是紧急医疗服务中的新兴诊断工具.
- 了解当前的使用模式和趋势对于其有效的整合至关重要.
研究的目的:
- 描述美国医院前超声波 (PHUS) 的使用情况.
- 在四年时间内分析PHUS采用和应用的趋势.
主要方法:
- 对2018-2021年国家紧急医疗服务信息系统 (NEMSIS) 数据库的分析.
- 包括涉及PHUS的EMS激活.
- 回归分析,以评估PHUS使用的趋势随着时间的推移和分组.
主要成果:
- 在71个机构的148.7万次EMS激活中,PHUS在3,291个 (0.002%) 中进行.
- 每年每百万次EMS激活的PHUS年率从2018年的5.2大幅增加到2021年的38.9.
- 护理人员执行了75.5%的PHUS检查,常见应用在心脏骤停,创伤和呼吸系统紧急情况.
结论:
- 在美国,医院前超声波的使用显著增加,但仍然非常罕见.
- PHUS在全国范围内使用,护理人员是主要用户.
- 进一步的研究可能会探索更广泛采用障碍和促进者的障碍.
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