响应创伤患者的资源部署
Thomas Matthews1, Alexa LaScala1, Theresa Tomkin1
1Nursing, Good Samaritan University Hospital, West Islip, USA.
Cureus
|December 7, 2023
概括
创伤队在急诊室 (ED) 的部署因患者特征而有很大差异. 创伤激活的标准化,特别是对于老年患者的患者,对于高效的ED工作人员利用和患者护理至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 医疗保健管理的管理
背景情况:
- 创伤小组部署到急诊室 (EDs) 的变化可能导致患者治疗延迟,并使ED人员受到压力.
- 患者的特征,如伤害机制,类型和年龄,影响创伤资源分配.
- 了解这些模式是优化ED操作的关键.
研究的目的:
- 检查ED中创伤资源部署模式.
- 识别与不同水平的创伤资源部署相关的患者特征.
- 评估创伤反应对ED工作人员和非创伤患者的影响.
主要方法:
- 对接受社区医院ED治疗的创伤反应患者进行了回顾性队列研究.
- 数据收集时间为三年 (2019年7月 - 2022年7月).
- 对创伤激活水平,患者人口统计,伤害类型和ED工作人员分配的分析.
主要成果:
- 创伤资源的部署因受伤机制,受伤类型和患者年龄而异.
- 与年轻人群相比,老年人群中跌倒患者的平均创伤激活率较低.
- 平均每位创伤患者分配了3.35名ED注册护士 (RN),其中RN从4.09名非创伤患者重新分配.
- 超过三分之一的创伤患者从急诊室出院.
结论:
- 创伤激活协议需要标准化,以确保有效使用资源.
- 需要针对老年人病患者制定具体计划,以优化创伤和急救人员的部署.
- 目前的部署策略可能导致ED资源的分配效率低下,并影响非创伤患者的护理.
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