重新选指南的特征:对各州的规则和法规进行范围审查
Conor T Broderick1, John D Slocum1, Michael Visenio1
1Feinberg School of Medicine, Northwestern University, Chicago, IL.
Surgery
|November 28, 2023
概括
只有44%的美国州对紧急设施间转移有重新选指南. 共同标准侧重于损伤模式,生命体征和特殊人群,为未来的指导方针制定提供信息.
科学领域:
- 紧急医疗 紧急医疗
- 创伤系统的创伤系统.
- 公共卫生政策 公共卫生政策
背景情况:
- 国家对重新选或紧急设施间转移的指导方针在全国范围内没有很好地描述.
- 了解这些指导方针对于标准化患者护理至关重要.
研究的目的:
- 描述美国各州州级重新选指南的现状.
- 确定现有重新选协议中使用的共同标准.
主要方法:
- 对所有50个州的卫生部和/或创伤系统网站进行了全面审查.
- 确定了公开可用的重新选指南,并在必要时通过直接通信收集数据.
- 根据CDC现场选标准抽象和分类指南标准:损伤模式/解剖学,生命体征,特殊人群和损伤机制.
主要成果:
- 在50个州中的22个州 (44%) 确定了重新选的指导方针.
- 常见的标准包括头部创伤 (91%),脊髓损伤 (82%),胸部损伤 (77%) 和骨盆损伤 (73%).
- 生命体征标准通常包括格拉斯哥昏迷评分 (91%),并指出静脉血压和呼吸速率的特定范围. 特殊人群的标准经常涉及机械通风 (73%),年龄 (68%),心脏病 (59%) 和怀孕 (55%).
结论:
- 少数美国州已经制定了重新选指南.
- 描述这些现有标准为制定更全面和标准化的国家指南提供了基础.
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