紧急医疗服务协议,用于评估和治疗患有心室辅助器件的患者
Emily L Larson1, JiWon Woo1, Gyeongtae Moon1
1Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MarylandUSA.
Prehospital and disaster medicine
|March 6, 2024
概括
对于心室辅助器件 (VAD) 患者的紧急医疗服务 (EMS) 协议在全国范围内没有标准化. 这种变化凸显了VAD团队和EMS在一致的医院前护理指南上进行合作的需要.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 带有心室辅助器件 (VAD) 的患者是紧急医疗服务 (EMS) 遇到的越来越多的人口.
- 目前对VAD患者的医院前护理协议尚未明确.
- 这项研究解决了关于VAD患者EMS管理的知识差距.
研究的目的:
- 描述美国紧急医疗服务 (EMS) 协议的现状,用于心室辅助器件 (VAD) 的患者.
主要方法:
- 进行了对全州EMS协议的全国性分析.
- 协议来源于州EMS网站或州医疗总监办公室.
- 对VAD特定的患者评估和治疗变量分析了协议.
主要成果:
- 在32个拥有全州EMS协议的州中,只有21个州包括VAD特定的指导方针.
- 由于脉冲无法触摸,协议经常建议进行替代的输液评估 (例如,平均动脉压).
- VAD评估侧重于的声,报警和电源;胸部压缩指南有很大的差异.
- 大多数州都建议运输VAD设备,但VAD协调员的联系信息很少.
结论:
- 特定于VAD的EMS协议在美国并未被普遍采用或标准化.
- 需要在VAD团队和EMS机构之间进行合作,以开发标准化的协议.
- 标准化协议对于优化为越来越多的VAD患者群体提供医院前护理至关重要.
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