儿童的医院前护理:挪威中部的一个描述性研究
Martine Myhre1, Lars Eide Næss2,3, Eirik Skogvoll4,5
1Faculty of Medicine and Health Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. myhremartine@gmail.com.
Scandinavian journal of trauma, resuscitation and emergency medicine
|November 4, 2024
概括
儿科紧急呼叫很少发生,这使得医院前儿科护理对紧急医疗服务 (EMS) 提供者来说具有挑战性. 这项研究分析了挪威Sør-Trøndelag的儿科EMS发送,以了解区域需求和改善护理.
科学领域:
- 紧急医疗 紧急医疗
- 儿科护理 儿科护理
- 医院前服务 医院前服务
背景情况:
- 医院前的儿科和新生儿事件很少见,由于临床特征与成年人不同,具有独特的挑战.
- 关于儿科医院前护理的流行病学和最佳实践的研究有限,影响提供者的知识和经验.
- 了解区域儿科医院前患者人群对于改善护理服务至关重要.
研究的目的:
- 为了检查挪威Sør-Trøndelag的医院前儿科人口.
- 提高对特定地区儿科患者流行病学和护理的理解.
- 确定儿科医院前紧急情况的关键特征和干预措施.
主要方法:
- 追溯观察队列研究涉及十二岁以下儿童的紧急事件.
- 从2018-2022年间的紧急医疗通信中心 (EMCC) 和直升机紧急医疗服务 (HEMS) 数据库 (LABAS) 提取的数据.
- 用于估计人口发病率的描述性统计和波桑回归.
主要成果:
- 在过去五年中,在Sør-Trøndelag,12岁以下的儿童占所有紧急呼叫 (7005/108,717) 的6%.
- 每年EMS发送的发病率为每1000名儿童中有17人,呼吸困难,意识变化和创伤是常见问题.
- 在309名HEMS患者中,42%接受了高级干预,最常见的是辅助呼吸.
结论:
- 儿科患者占医院前出院的很小一部分,这导致EMS提供者很少遇到EMS.
- 对于儿科先进医疗干预的经验有限,这是由于遭遇频率低的结果.
- 该研究强调了特定的临床特征和干预措施,这些特征和干预措施需要在儿科医院前护理方面进行进一步的研究.
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