北岸救援提供的紧急医疗护理先进的医疗服务提供者
Foster T Wynne1, Matthew Turnock2,3, Michael Crickmer3,4
1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Wilderness & environmental medicine
|September 27, 2024
概括
北岸救援先进医疗提供者 (AMP) 计划有效地管理高急性医疗搜救 (SAR) 事件,在荒野环境中展示了卓越的患者护理. 该计划为其他寻求增强医疗响应能力的SAR团队提供了有价值的模型.
科学领域:
- 紧急医疗 紧急医疗
- 搜索和救援 (SAR) 是指搜索和救援.
- 荒野医学 荒野医学
背景情况:
- 北岸救援 (NSR) 高级医疗提供者 (AMP) 计划利用医生和护士进行高急性医疗搜救 (SAR) 调用.
- 该计划在加拿大不列颠哥伦比亚省运作,在偏远的环境中提供关键护理.
研究的目的:
- 分析SAR行动期间AMP提供的医疗护理.
- 为了比较AMP相关的呼叫与非AMP呼叫的医疗护理和结果.
主要方法:
- 对2018年1月1日至2022年12月31日的所有NSR调用进行回顾性审查.
- 分析包括AMP参与,救援物流,患者人口统计,医疗敏度 (NACA分数),治疗和提取方法.
- 评估医疗决策,包括过量选和不足选率.
主要成果:
- 在767个NSR调用中,283个 (37%) 是医疗的,其中99个 (35%) 涉及AMP.
- 与非AMP调用 (1.9) 相比,AMP调用有显著更高的NACA平均得分 (3.1),这表明医疗敏度更高.
- 在AMP救援中,先进的干预措施很常见:药物 (40%),程序 (54%) 和先进的医疗决策 (37%). 过量分类发生在33%的AMP调度中,不足分类发生在10%的AMP调度中.
结论:
- 该AMP计划是提供先进的医疗保健在荒野环境的宝贵资产.
- AMP确保了适当的医疗反应,并促进了安全,高效的患者运输.
- 该NSR AMP计划作为其他SAR团队开发类似先进医疗服务的潜在模型.
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