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紧急救援医生是否会推迟HEMS工作人员的现场时间?
Krishna Patel1, Kevin Young1, Blake Miller1
1Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Prehospital emergency care
|October 4, 2023
概括
直升机紧急医疗服务 (HEMS) 医生的存在不会延迟患者运输时间. 这项研究发现,在现场有或没有急救医生的HEMS电话中,场景间隔没有显著差异.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 医疗运输 医疗运输
背景情况:
- 直升机紧急医疗服务 (HEMS) 对于快速分拣和运输重病患者至关重要.
- 较短的医院前间隔与死亡率降低有关.
- 紧急医疗医生越来越多地使用HEMS做出反应.
研究的目的:
- 调查紧急医疗服务 (EMS) 医生在现场与HEMS打电话是否会影响到医院的运输时间.
- 为了确定EMS医生参与是否会延长HEMS场景间隔.
主要方法:
- 从2016年1月到2020年11月的HEMS现场呼叫的回顾性图表回顾.
- 仅与HEMS工作人员打电话之间的HEMS场景间隔的比较与那些有EMS医生出席的HEMS场景间隔的比较.
- 使用威尔科克森等级和试验 (p<0.05显著性) 的统计分析.
主要成果:
- 分析了1106个现场电话,其中1079个仅涉及HEMS工作人员,23个涉及EMS医生.
- 平均HEMS场景间隔为单独HEMS工作人员的18分钟和EMS医生的19分钟.
- 威尔科克森等级总和测试的p值为0.30,表明没有统计学意义.
结论:
- 在HEMS的现场呼叫中,EMS医生的存在不会显著改变HEMS现场间隔.
- 紧急医疗服务医生的参与与HEMS通过重症患者的延长运输时间无关.
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