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紧急医疗服务 (pSERG队列) 的儿科状态症管理

Marta Amengual-Gual¹, Iván Sánchez Fernández², Alejandra Vasquez³

¹Division of Epilepsy and Clinical Neurophysiology, Department of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, MA, United States; Universitat de les Illes Balears, Palma, Spain.

|July 31, 2023

概括

紧急医疗服务 (EMS) 及时为儿科耐火性性状态 (RCSE) 提供了护理. 对于RCSE的医院前治疗可以得到改善,有史以来的发作增加了救援药物的使用.

科学领域:

儿科神经学儿科神经学
紧急医疗紧急医疗
临床研究临床研究

背景情况:

状态 (SE) 的延迟治疗与更糟糕的结果有关.
了解耐性状态 (RCSE) 的医院前护理对于改善患者的生存率和减少长期影响至关重要.

研究的目的:

描述儿科RCSE的医院前管理途径.
评估紧急医疗服务 (EMS) 在管理儿科RCSE的及时性.

主要方法:

对前性收集数据的回顾性多中心研究 (2011年6月 - 2020年3月).
包括儿童患者 (1个月-21岁) 患有RCSE,接受EMS治疗.
分析了医院前治疗途径和时间指标.

主要成果:

从发作开始到医院抵达的平均时间为45分钟;EMS护理平均为24分钟.
22%的患者没有接受医院前的抗发作药物 (ASM);78%的患者只接受了类药物 (BZD).
以前有SE病史的患者更有可能接受医院前BZD (aHR 3.25).

结论:

儿科RCSE的医院前治疗可能需要进一步优化.
经历SE与接受医院前救援药物的可能性增加有关.

关键词:

紧急医疗服务 (EMS)是一种病.准则准则准则准则医院前的管理管理.状态的状态 epilepticus.治疗方法治疗方法

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