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在紧急情况下使用医院前重症监护室 - - 范围审查
Abdullah Alruwaili1,2,3,4, Amir Khorram-Manesh5,6,7, Amila Ratnayake8
1Emergency Medical Services Department, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa 36428, Saudi Arabia.
Healthcare (Basel, Switzerland)
|November 14, 2023
概括
医院前重症监护室可以改善创伤护理,但全球准备情况各不相同. 各国需要在紧急医疗服务方面取得具体进展才能成功实施,这揭示了全球的巨大差异.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 公共卫生 公共卫生
背景情况:
- 由于创伤紧急情况的增加,急诊室面临过度拥挤和长时间的等待.
- 建议设置医院前重症监护室 (PICU),以简化创伤护理和提高患者安全.
- 创伤护理中PICU整合的全球可行性需要彻底调查.
研究的目的:
- 审查创伤护理医院前重症监护病房的配置,操作实践,挑战和研究重点.
- 评估全球准备情况,并确定创伤患者PICU实施方面的差异.
主要方法:
- 为了确定符合条件的研究,采用了范围审查方法.
- RAYYAN研究平台被用于由多名研究人员有效评估研究.
- 进行了系统的研究选择和数据分类过程.
主要成果:
- 最初的搜索结果是42项研究;在删除重复和无关研究后,包括了13项研究.
- 研究结果被分为各种子组进行综合分析.
- 在准备实施PICU方面发现了全球显著的差异.
结论:
- 有效的医院前重症监护单位部署要求各国达到教育,能力,资源和绩效的里程碑.
- 虽然一些国家做好了准备,但另一些国家缺乏必要的紧急医疗服务基础设施.
- 解决全球差距对于公平获得先进的医院前创伤护理至关重要.
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