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FireSync EMS:一种用于燃烧表面积计算的新型移动应用程序.

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科学领域:

  • 紧急医疗 紧急医疗
  • 燃烧管理 燃烧管理
  • 医疗技术 医疗技术 医学技术

背景情况:

  • 准确估计燃烧的百分比总体表面积 (TBSA) 对患者的护理和预后至关重要.
  • 隆德-布罗德 (LB) 图表是当前的标准,但在现场使用时可能很复杂.
  • 应急人员需要实用工具来快速评估燃烧情况.

研究的目的:

  • 开发和验证一个新的移动应用程序,FireSync EMS,用于估计TBSA燃烧.
  • 将FireSync EMS的准确性和可用性与LB图表进行比较.
  • 评估用户体验,玩具尺寸和烧伤尺寸对估计准确性的影响.

主要方法:

  • 开发了FireSync EMS移动应用程序.
  • 模拟了婴儿,儿科和成人人形上不同大小的8种烧伤.
  • 用FireSync EMS和LB图表对42名医学学生和消防员的TBSA估计进行比较.
  • 统计分析包括单变量分析和混合效应线性回归.

主要成果:

  • 与LB图表相比,FireSync EMS显著降低了高估偏差 (0.11%与0.91%,P = .002).与LB图表相比,FireSync EMS显著降低了高估偏差 (0.11%与0.91%,P = .002).
  • 该应用程序对儿童尺寸的模型和烧伤<10%或>20%的TBSA表现出了特别的准确性.
  • LB图表是估计误差的独立决定因素 (1.19x乘法效应与FireSync EMS相比,P < .001).
  • 用户发现FireSync EMS显著更容易,更直观,更快,更可取.

结论:

  • 与LB图表相比,FireSync EMS提供了比LB图表更准确,更少偏见的TBSA燃烧估计.
  • 移动应用程序是第一响应者在烧伤评估中的实用和首选工具.
  • FireSync EMS有可能改善烧伤患者的初始管理和结果.