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在医院前的环境中使用血液产品:一个范围审查
Caitlin Turnbull1, Lisa Clegg1, Abishek Santhakumar2
1School of Nursing, Paramedicine and Healthcare Sciences, Charles Sturt University, Port Macquarie, New South Wales, Australia.
Prehospital emergency care
|August 19, 2024
概括
医院前的输血,包括红细胞,在全球范围内用于出血性休克. 本综述比较了这些拯救生命的干预措施的指导方针,安全性和物流.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理的护理人员.
- 关键的护理关键的护理
背景情况:
- 医院前血液产品的管理是一种全球性的做法,用于在军事和民用环境中管理出血性休克.
- 实施早期输血旨在改善临界出血情景中的患者结果.
研究的目的:
- 为了比较国际准则用于医院前血液产品的使用.
- 评估血液制品类型,适用情况,相关风险和后勤挑战.
- 为了确定医院前输血的安全性和有效性.
主要方法:
- 在CINAHL,Medline和Scopus中进行了系统的文献搜索.
- 一个PRISMA流程图指导了根据包含/排除标准选45篇文章.
- 在本次范围审查中,包括了20篇文章.
主要成果:
- 红细胞是最常用的产品 (12项研究),通常与其他产品结合使用.
- 血液动力学不稳定是各种服务中输血的主要指示.
- 大多数研究报告没有任何不良反应;在9项研究中,物流问题通过轮换系统来管理.
结论:
- 医院前血液制品用于医疗,创伤和产科出血.
- 存在多种不同的血液制品和协议,重点是改善血液动力学稳定性.
- 该审查支持医院前输血的有益和安全应用.
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