紧急部门的到达方式: 强制性儿科准备的时间
Alfred Sacchetti1, Eric Hicken2, W Richard Bukata3
1From the Department of Emergency Medicine, Virtua Our Lady of Lourdes Hospital, Camden, NJ.
Pediatric emergency care
|August 7, 2023
概括
大多数儿童通过私人交通运输抵达急诊室,而不是紧急医疗服务 (EMS). 这凸显了所有急诊室 (ED) 需要为儿科患者做好准备的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 儿科护理 儿科护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 许多需要紧急护理的儿童通过私人交通工具进入,绕过紧急医疗服务 (EMS).
- 这些运输可能会导致儿童在未经确认的儿科准备的情况下进入急诊室 (ED).
- 本研究探讨了私人交通工具的普及率及其对儿科急诊护理的影响.
研究的目的:
- 量化了通过私人交通运输到达EDs的儿科患者比例.
- 评估到达模式是否根据患者的年龄,ED类型或处置而不同.
- 为所有ED的强制性儿科准备政策提供信息.
主要方法:
- 从3个一般和2个儿科ED的2022电子健康记录的回顾性分析.
- 数据包括患者年龄,ED类型,到达方式 (EMS/警察与私人) 和处置.
- 患者分为小孩子 (<10岁),大孩子 (10-18岁) 和年轻成年人 (19-40岁).
主要成果:
- 其中包括超过37,000名小孩子,19,000名大孩子和68,000名年轻人.
- 96.1%的小孩子使用私人交通工具,90%的大孩子使用私人交通工具,85.4%的年轻人使用私人交通工具.
- 私人运输是常见的,即使是住院/转移的患者,无论ED类型.
结论:
- 儿科患者主要使用私人交通工具到达ED,无论病情严重程度或ED专业化.
- 这强调了所有ED医生确保儿科能力的关键需求.
- 紧急医疗服务和监管机构必须解决这一现实,以确保最佳的儿科护理.
相关概念视频
Cardiopulmonary Resuscitation III: AED Use
38
Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...
38
Cardiopulmonary Resuscitation I: Adult
20
Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
20
Cardiopulmonary Resuscitation II: ACLS Airway Management
20
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
20
Guidelines for Nursing Documentation II
1.1K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.1K
SBAR I: Understanding the Concept
4.6K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.6K
Ventilatory Modes
216
Mechanical ventilators are life-saving devices that support or replace spontaneous breathing. They deliver breaths to patients through varying methods known as ventilator modes. Understanding these modes is critical for healthcare providers managing patients with respiratory failure.
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
There are three ventilatory modes: full support, partial support, and spontaneous. These are described below.
Full Support Modes
Full support modes include controlled mechanical ventilation, continuous mandatory...
216


