9-1-1 门诊护理中心的激活:一个更生病的儿科人口
Theodore W Heyming1,2, Chloe Knudsen-Robbins3, Shelby K Shelton1
1Children's Hospital of Orange County (CHOC Children's), Orange, CaliforniaUSA.
由紧急医疗服务 (EMS) 从急诊和医生办公室转移到急诊部 (ED) 的儿科患者比一般ED人口更生病. 护理人员为这些重病儿童做出了适当的运输决定.
科学领域:
- 儿科急救医学 儿科急救医学
- 紧急医疗服务 紧急医疗服务
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 从紧急护理 (UC) 和医生办公室通过紧急医疗服务 (EMS) 转移到急诊室 (ED) 的儿科患者是研究不足的人群.
- 关于这种特定转移场景中儿童的结果的文献有限.
研究的目的:
- 描述由EMS从UC和医生办公室转移的儿科患者的特征.
- 探索EMS对这些儿科患者的护理水平的运输决策.
- 检查这个患者队伍的急诊室 (ED) 结果.
主要方法:
- 儿科患者 (<15岁) 的回顾性审查,由EMS从UC和医生实践运输到两个儿科ED (2017年1月至2019年12月).
- 分析包括转移的原因,EMS运输水平,干预,药物,ED工作,程序和处置.
- 统计分析采用了描述性统计,千二测试,点二序相关,z测试,曼-惠特尼U测试和双向ANOVA.
主要成果:
- 包括450个EMS运输:382个高级生命支持 (ALS) 和68个基本生命支持 (BLS).
- 平均年龄为2.66岁;男性为60.9%;私人保险为60.7%. 呼吸困难是最常见的运输原因 (46.9%).
- 转移患者的住院住院率明显高于一般ED患者 (P <.001).
结论:
- 从UC和医疗办公室通过EMS转移的儿科患者比一般儿科ED人口更急性.
- 似乎EMS护理人员正在为这些儿童做出适当的护理级别的运输决定.
- 这项研究强调了从门诊机构转移儿科的关键性质.
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