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在患有循环休克的患者中,骨内科器械的有效性:一项回顾性观察性研究

Allyson M Hynes, Shyam Murali, Gary A Bass

Journal of special operations medicine : a peer reviewed journal for SOF medical professionals

|December 8, 2023

概括

骨内 (IO) 接入,作为静脉 (IV) 接入的替代方案,在78%的创伤患者中取得了成功. 需要进一步的研究来评估在民用创伤护理中胸部IO安置指示.

科学领域:

紧急医疗紧急医疗
创伤外科手术创伤外科
关键的护理关键的护理

背景情况:

出血性休克需要通过多个接入点进行快速的液体复苏.
骨内 (IO) 装置提供了静脉 (IV) 接入的替代方案,与战术战斗伤亡护理 (TCCC) 中的MARCH算法保持一致.
部IO接入是极端IO的替代方案,但对平民冲击的证据有限.

研究的目的:

为了研究胸部IO接入在遭受冲击的平民创伤患者的疗效.
为了评估两个胸部IO设备:TALON®和FAST1®.

主要方法:

对接受胸部IO装置的受伤患者的回顾性审查 (2020年10月 - 2021年6月).
对人口统计数据,伤害特征,接入地点,复苏努力和结果的分析.
主要结局是成功的胸部IO安置.

主要成果:

包括9名患有枪伤的男性患者;大多数患者呈现无脉动停止.
在9例 (78%) 的胸部IO安置中,有7例成功 (6例TALON®,1例FAST1®).
三名患者恢复了自发循环;没有人活到出院.

结论:

在这项民用创伤试点研究中,部IO接入显示出高成功率 (78%).
需要进行进一步的评估,以确定与平民群体的IV和极端IO接入相比,胸部IO安置的最佳指示.

关键词:

骨内肠道骨内肠道复苏复苏复苏复苏复苏复苏复苏复苏胸部骨内肠道骨内肠道胸部血管通道的入口胸骨是什么意思胸骨是什么意思血管接入的途径.

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