在肢体创伤中,预先安置医院带
Jonathan Gushing1, Scott G Blair2, Roxie M Albrecht2
1University of Oklahoma College of Medicine, Oklahoma City, OK, USA.
American journal of surgery
|August 18, 2023
概括
肢体带 (ET) 通常首先用于创伤护理,以治疗出血. 在伤口评估和出血控制方面培训急救人员对于有效的医院前肢体带使用至关重要.
科学领域:
- 创伤护理 创伤护理
- 紧急医疗 紧急医疗
- 控制出血 控制出血
背景情况:
- 在创伤系统中越来越多地使用四肢带 (ET).
- 需要评估医院前的ET申请实践.
研究的目的:
- 评估医院前肢体轮安置的模式和结果.
- 找出需要改进的领域,为出血性创伤提供急救人员培训.
主要方法:
- 一个前性收集的队列的回顾性审查.
- 对211名接受医院前ET安置的成年患者的分析.
- 收集关于ET应用者的数据,说明,患者表现和结果.
主要成果:
- 在63.2%的病例中,ET是最初的干预措施.
- 几乎三分之一的患者抵达时有明显的脉冲,尽管ET安置.
- 在ET释放后,不到一半的患者有动脉出血.
结论:
- 肢体围往往是创伤的第一个现场干预.
- 加强急救人员在伤口评估和出血管理方面的培训至关重要.
- 优化ET使用需要改善医院前创伤护理协议.
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