德国直升机应急服务中儿科紧急情况的发生率和严重程度:对培训和服务配置的影响
Stefan Mockler1, Camilla Metelmann2, Bibiana Metelmann2
1Department of Anesthesiology, University Hospital Greifswald, Sauerbruchstr, 17475, Greifswald, Germany. stefan.mockler@uni-greifswald.de.
European journal of pediatrics
|September 1, 2023
概括
在德国直升机紧急服务 (HEMS) 中,严重病患的儿童很少见. 侵入性手术很少发生,这表明HEMS工作人员在工作场所的培训不足以有效地管理儿科紧急情况.
科学领域:
- 紧急医疗 紧急医疗
- 儿科重症监护 儿科重症监护
- 在医院前的护理.
背景情况:
- 儿科紧急情况在医院前环境中不太常见,但在直升机紧急医疗服务 (HEMS) 中比地面服务更为普遍.
- 像德国的DRF这样的直升机紧急医疗服务 (HEMS) 提供者在儿科重症监护中面临着独特的挑战.
- 了解重症儿科病例的发生频率对于HEMS运营规划和机组人员培训至关重要.
研究的目的:
- 确定德国HEMS (DRF) 治疗的儿科患者中危及生命的疾病的发生率.
- 评估HEMS中严重生病或受伤儿童的侵入性手术的必要性.
- 评估当前HEMS机组人员对儿科紧急情况的培训是否足够.
主要方法:
- 来自德国31个基地的DRF任务登记的分析 (2014-2018).
- 包括7954名10岁或更年轻的儿科患者.
- 检查关键条件和进行的侵入性手术,包括呼吸道管理和血管接入.
主要成果:
- 严重生病或受伤的儿童占儿科任务的26.2% (占所有主要任务的6.2%).
- 在6.5%的病例中需要内管道输入;其他气道方法很少见.
- 在50%和3.6%的病例中,需要静脉内或骨内接入;胸腔切除术和超声波检查很少进行.
结论:
- 在德国的HEMS手术中,患重病的儿科患者不常见.
- 危急病例的发病率低,以及很少需要进行大多数侵入性手术,这表明HEMS工作人员的现场培训不足.
- 专业的跨学科培训对于HEMS团队来说是必不可少的,以有效地管理严重不良的儿科患者.
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