倾斜患者运输协议的质量审查
David Hersey1, Tobias Witter2, George Kovacs3
1LifeFlight Nova Scotia, Enfield, Nova Scotia, Canada.
Air medical journal
|November 23, 2023
概括
使用生命飞行新斯科舍亚航空公司 (LifeFlight Nova Scotia) 运送卧卧的患者.
科学领域:
- 关键护理医学 关键护理医学
- 紧急医疗服务 紧急医疗服务
- 运输医学 运输医学
背景情况:
- 躺卧是急性呼吸困扰综合征 (ARDS) 患者的关键干预措施.
- 机械通风,易受感染的患者的安全设施间运输对重症监护团队提出了独特的挑战.
研究的目的:
- 评估LifeFlight新斯科舍省运输患者躺姿的协议的安全性和可行性.
- 为了识别与易患病患者运输相关的任何不良事件.
主要方法:
- 从2017年2月到2022年6月的电子患者护理记录的回顾性质量审查.
- 纳入标准:患有急性呼吸困扰综合征 (ARDS) 的患者躺卧.
- 收集的数据:人口统计,运输方法,通风参数,动脉血液气体和不良事件 (低氧化,低血压,心脏骤停,线位移).
主要成果:
- 17名易受感染的患者通过救护车,旋翼和固定翼运送.
- 记录了4例轻度低血压和4例轻度低血压.
- 记录了一例耐火性低血压的发生.
结论:
- 由专门的重症监护团队进行易患病人的设施间转移是可行的.
- 该协议表明运输期间的不良事件最小.
- 确保患者获得专门的,拯救生命的护理.
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