麻木机制胸壁损伤:初步患者评估和急性护理优先事项
Edward Baker1, Ceri Battle2, Geraldine Lee3
1King's College Hospital NHS Foundation Trust, London, England.
概括
突发性胸壁损伤 (CWI) 影响15%的创伤患者. 紧急护士在初步评估和急性护理中发挥着关键作用,新的模型预测了医院内并发症.
科学领域:
- 紧急医疗 紧急医疗
- 创伤外科 手术 创伤外科
- 胸部创伤 胸部创伤 胸部创伤
背景情况:
- 形机制胸壁损伤 (CWI) 是一个频繁的急诊室 (ED) 呈现,发生在约15%的创伤患者中.
- 胸腔对重要器官的保护作用意味着CWI可以导致严重的,危及生命的并发症,影响呼吸和血液循环.
- 目前对粗CWI的护理途径在整个英国是不一致的,这凸显了对标准化评估和治疗方案的需求.
研究的目的:
- 概述急救护士在初步评估和急性护理中所扮演的关键角色.
- 讨论管理患者的基本优先事项,向ED提出粗的CWI.
- 引入一个预后模型,旨在预测在CWI之后医院内并发症的可能性.
主要方法:
- 审查当前的急诊室实践对于不的胸壁损伤.
- 讨论已建立的护理途径及其局限性.
- 开发和介绍一种用于预测并发症的新型预后模型.
主要成果:
- 紧急护士在初步管理粗的CWI中起着关键作用.
- 系统的护理途径可以改善患者的结果,但需要一致的实施.
- 拟议的预后模型提供了一个预测医院并发症的工具.
结论:
- 标准化的初始评估和急性护理对于患有粗CWI的患者至关重要.
- 紧急护士需要明确的指导方针和支持,以有效管理患者.
- 预后模型可以帮助风险分层和积极的患者护理规划.
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