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克服实施障碍:一种整体的方法来改善运动热中风管理
1Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan.
BMJ open sport & exercise medicine
|February 29, 2024
概括
医疗志愿者对应力热中风 (EHS) 管理的知识有所提高,但实施落后. 全身冷水浸泡 (CWI) 在奥运会后使用量增加,尽管障碍仍然存在.
科学领域:
- 运动医学 运动医学
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 运动热中风 (EHS) 在大众体育赛事期间构成重大风险.
- 有效的医院前管理对于减轻EHS严重性和改善结果至关重要.
研究的目的:
- 评估2020年东京奥运会后医疗志愿者对EHS医院前管理的看法和做法的变化.
- 确定影响采用EHS管理技术的障碍和促进因素.
主要方法:
- 在三个时间点对医疗志愿者进行了在线调查:初始培训,比赛后立即,比赛后一年.
- 该调查评估了与直肠温度评估和全身冷水浸泡 (CWI) 相关的知识和实践.
- 一个开放式问题探讨了对EHS管理实施的感知障碍和促进因素.
主要成果:
- 随着时间的推移,关于直肠温度评估的知识得到了改善,但实际实施并没有显示出类似的收益.
- 在奥运会后一年,CWI用于EHS管理的使用增加了.
- 关键障碍包括缺乏设备,对直肠温度评估的担忧,同意困难,对低温的担忧和提供者的可用性.
结论:
- 虽然在EHS管理的认识和实践中观察到一些改进,但广泛实施的重大障碍仍然存在.
- 需要加强组织和财务支持,以促进更广泛的技能转让和一致应用EHS医院前管理策略.
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