农村血管创伤:是时候关心了
Kirran Bakhshi1, Heather Rhodes-Lyons2, Ayman Ahmed3
1Department of General Surgery, Marshfield Clinic Health System, Marshfield, WI, USA.
The American surgeon
|March 25, 2024
概括
农村血管创伤患者的临床下降与更长的运输时间有关. 优化医院前护理和运输可以改善延迟进入创伤中心的患者的结果.
科学领域:
- 创伤外科 手术 创伤外科
- 血管外科 血管外科
- 紧急医疗 紧急医疗
背景情况:
- 农村血管创伤研究是有限的,之前的研究集中在20多年前的病例系列.
- 需要了解农村血管创伤患者的临床状态和最终护理的时间之间的关系.
研究的目的:
- 评估临床衰退与农村血管创伤患者的护理时间之间的关联.
- 确定影响农村环境中血管损伤及时进入创伤中心的因素.
主要方法:
- 在II级创伤中心招收的患有血管损伤的成年创伤患者的回顾性队列研究.
- 多变量后勤回归分析,以评估临床衰退在"黄金时刻" (护理的第一个小时) 抵达时的影响.
- 冲击指数比率 (SIR) 被用作临床衰退的关键指标.
主要成果:
- 这项研究包括149名患者.
- 冲击指数比率 (SIR) 的增加与长时间的护理时间显著相关.
- 对于SIR每增加1个单位,到达创伤中心的几率在黄金时间内减少了99.9%.
结论:
- 用SIR表示的临床衰退与农村血管创伤的治疗时间延迟相关.
- 研究结果表明,需要优化在农村地区的医院前护理和运输策略,以延长到达时间.
- 这项研究提供了农村血管创伤的当代数据,解决了过去二十年的研究差距.
更多相关视频
相关概念视频
Vascular Spasm
1.4K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.4K
Flail Chest-II
168
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
168
Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K
Traditional Level Of Health Care System
2.8K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.8K


