评论文章: 评估动脉压点技术作为外部出血控制的急救方法的有效性: 一项系统性审查
Zoe Jane Rodgers1, Karolina Bejmert1, Tiani Chung1
1Physiotherapy Department, Bond University, Gold Coast, Queensland, Australia.
Emergency medicine Australasia : EMA
|December 4, 2024
概括
动脉压力点技术 (APPT) 显示出控制严重的四肢出血的前景,当带无法实现时. 虽然研究报告了高的成功率,但需要更多的研究来证实它们的有效性.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 首次援助研究 首次援助研究
背景情况:
- 目前的指导方针建议在危及生命的肢体出血时使用动脉带,因为它们对直接压力没有反应.
- 带需要专门的培训和设备,在某些紧急情况下限制了它们的可访问性.
研究的目的:
- 系统地审查动脉压点技术 (APPT) 的有效性,以控制严重的,非可压缩的四肢出血.
- 评估APPT作为潜在的急救措施,当护带不存在或不适用时.
主要方法:
- 根据PRISMA的指导方针,在五个数据库 (PubMed,CINAHL,SportDiscuss,Proquest Central,Embase) 中进行了全面的文献搜索.
- 包括专注于成人参与者的研究,医院内外设置,检查四肢和结合区域.
- 包括9篇准实验性文章,其中大多数具有低水平的证据.
主要成果:
- 大多数研究报告了APPT在实现血流停止方面的高成功率 (87.5-100%).
- 与动脉带相比,APPT的有效性仍然是不确定的,原因是方法的异质性和各种成功基准.
- 在包括的九篇文章中,有八篇的证据水平较低.
结论:
- 动脉压点技术在急救中显示出对外部出血控制的潜力.
- 进一步的高质量研究,使用标准化方案和更大的样本大小,对于确定APPT的有效性至关重要.
- 现实世界的调查对于将APPT与带进行比较,并确定其作为潜在的临时措施的作用至关重要.
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