评估医院前战斗伤亡人员护理的演变:对10年间隔的两个冲突进行比较研究
Danny Epstein1, Irina Radimislensky2, Ari M Lipsky3
1Israel Defense Forces, Medical Corps, Kiryat Ono, Israel; Critical Care Division, Rambam Health Care Campus, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
The American journal of emergency medicine
|November 29, 2024
概括
医院前先进的呼吸道干预和胸腔切除减少,而早期输血在战斗伤亡护理中增加. 尽管伤害严重程度上升,但死亡率保持稳定,支持"少就多"的方法.
科学领域:
- 军事医学 军事医学
- 创伤护理 创伤护理
- 紧急医疗服务 紧急医疗服务
背景情况:
- 战斗伤亡人员护理协议的重大进展旨在降低死亡率.
- 以色列南部的两个城市冲突为军事创伤系统提供了现实世界的挑战.
- 这项研究比较了2014年和2023年冲突中医疗人员撤离的伤亡者的医院前护理和结果.
研究的目的:
- 评估2014年和2023年冲突之间医院前干预的差异.
- 为了比较从两场冲突中空中医疗疏散伤亡者的临床结果.
- 评估不断发展的医院前护理对战斗伤亡结果的影响.
主要方法:
- 基于登记的回顾性队列研究,使用军事空降作战疏散单位 (MACEU) 和以色列国家创伤登记数据.
- 在2014年7月至2014年8月,以及2023年10月至2024年3月期间,MACEU航空医疗疏散的患者的比较.
- 排除地面疏散的伤亡;人口统计,医院前干预和临床结果的比较.
主要成果:
- 患者人数从2014年的251人增加到2023年的940人,人口统计和受伤模式相似.
- 到达医院的时间略有减少 (65分钟到60分钟).
- 医院前的先进气道干预和管胸切除术显著减少,而输血显著增加.
- 住院死亡率保持稳定 (2.7%对2.5%),严重和危急受伤患者的死亡率下降的趋势.
结论:
- 十年来,医院前的呼吸道干预和胸腔切除的数量下降,早期输血的数量增加.
- 尽管伤害严重程度增加,死亡率保持稳定.
- 研究结果支持现代医院前战斗伤亡人员护理中的"少是多"方法.
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