在公共和私人环境中非心脏骤停PulsePoint激活的特征
Jennifer Blackwood1, Mohamud R Daya2,3, Ben Sorenson3
1Seattle & King County Public Health, 401 5th Ave, Suite 1200, Seattle, WA, 98104, USA. Jennifer.Blackwood@kingcounty.gov.
BMC emergency medicine
|July 27, 2023
概括
对于心脏骤停的地理空间智能手机警报,对于没有心脏骤停的患者,通常会激活. 超过一半的激活是针对昏迷,发作或过量服用等疾病,突出显示了志愿者干预的潜力.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生技术 公共卫生技术
- 心血管紧急情况.
背景情况:
- 地理空间智能手机应用群众资源社区响应医院外心脏骤停 (OHCA).
- OHCA的发送识别是不完美的,导致非逮捕患者的激活.
- 这些非逮捕患者的频率和临床概况尚未得到充分研究.
研究的目的:
- 调查通过智能手机的地理空间应用程序激活的患者的频率和临床特征,对未经历心脏骤停的疑似OHCA患者进行调查.
- 评估这些非逮捕患者的医疗状况和干预措施的类型.
主要方法:
- 在美国四个社区进行的前性三年队列研究 (大约. 人口100万人口).
- 包括通过智能手机地理空间应用程序激活的患者在内,可疑的OHCA.
- 将应用数据与紧急医疗服务 (EMS) 记录联系起来,以确定逮捕状态,情况类型和干预措施.
主要成果:
- 在1779个激活电话中,1023名患者 (57.5%) 没有OHCA.
- 常见的EMS评估包括昏迷 (15.9%),精神状态改变 (15.5%),发作 (14.3%),过量服用 (13.0%),窒息 (10.5%).
- 常见的EMS干预包括输入管道安置 (43.1%),12-Lead心电图 (27.9%) 和纳洛治疗 (9.8%).
结论:
- 超过一半的通过智能手机警报激活疑似OHCA的患者有其他疾病.
- 这些非逮捕条件的子集可能受益于受过培训的非专业人士或公共安全志愿者的早期干预.
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