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运动热中风在美国的最佳实践 紧急医疗服务指南 准则
Faton Tishukaj1, Rebecca L Stearns2, Margaret C Morrissey2
1Department of Physical Education and Sports, University of Prishtina "Hasan Prishtina", Prishtina, Kosovo.
The Journal of emergency medicine
|August 25, 2024
概括
全州范围内的EMS指南建议冷水浸泡 (CWI) 和冷却第一,运输第二 (CFTS) 减少劳动者中运动热中风 (EHS) 死亡人数. 在指南中实施这些最佳实践可以显著降低EHS死亡的几率.
科学领域:
- 职业健康 职业健康 职业健康
- 紧急医疗服务 紧急医疗服务
- 环境医学 环境医学
背景情况:
- 劳动热病 (EHIs),特别是劳动热中风 (EHS),是美国劳动者可预防死亡的主要原因.
- 为了有效管理EHS,急救医疗服务 (EMS) 和雇主之间需要合作,重点是冷水浸泡 (CWI) 和冷第一,运输第二 (CFTS) 方法.
研究的目的:
- 评估国家范围的EMS指导方针对EHS管理的普及程度.
- 确定现有的全州EHS指南是否与经历EHIs的劳动者的改善结果相关.
- 检查将EHS最佳实践纳入全州EMS指南与工人死亡的可能性之间的关联.
主要方法:
- 对护理人员协议提供者数据库和EMS官方网站进行了全面审查,以确定现有全州EMS指南的州.
- 采用双向二次 (χ2) 分析来评估指南组件与EHI结果之间的关系,计算赔率比率.
- 三位独立审查员对全州EMS指南的内容分析侧重于EHS最佳实践的存在,统计学意义为p < 0.05.
主要成果:
- 在50个州,哥伦比亚特区和波多黎各中,有30个州 (57.7%) 制定了全州EMS指南,而22个州 (42.3%) 没有.
- 推CWI的州与改善的EHI结果有显著的关联 (χ21 = 3.336; p = 0.049),在没有CWI建议的州,EHS死亡的几率是3.0倍.
- 在没有CFTS协议的州 (χ21 = 5.051; p = 0.017) 发现了EHI结果的显著关联,在这些州,劳动者面临着3.7倍高的EHS死亡率.
结论:
- 包括CWI在内的全州EMS指南与工人中EHS死亡人数减少3.0倍有关.
- 在全州EMS指导方针内实施CFTS协议与劳动者EMS死亡率降低3.7倍有关.
- 采用包括CWI和CFTS在内的全面的全州EMS指南,对于减轻劳动力中的EHS死亡至关重要.
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