评估简单的第一响应者 (LFR) 提供急救工具包在肯尼亚西部的使用和适当性
Ashwin Jitendra Kulkarni1,2,3, Anagha Balaji Thiagarajan2, Simon Ochieng Ogana4
1University of Michigan Medical School, Ann Arbor, Michigan, United States of America.
The Pan African medical journal
|December 4, 2024
概括
肯尼亚的Lay-first responder (LFR) 报告说,他们对手套和带等基本急救用品的使用率很高,并且同意使用. 当地生产和简化补给协议对于低资源环境中可持续的LFR计划至关重要.
科学领域:
- 全球健康 全球健康
- 紧急医疗 紧急医疗
- 公共卫生政策 公共卫生政策
背景情况:
- 低收入和中等收入国家 (LMICs) 面临着高创伤死亡率的负担,经常因缺乏正式的紧急医疗服务 (EMS) 而加剧.
- 培训初级急救人员 (LFRs) 是在LMICs中开发医院前护理系统的一个基本步骤.
- 要建立有效和可持续的LFR计划,需要对LFR急救箱供应使用情况,适当性和衰变率的关键数据.
研究的目的:
- 评估肯尼亚卡卡梅加县的初级急救人员 (LFR) 中的急救包的使用,适当性和供应链需求.
- 在资源有限的环境中收集数据,为开发可持续的LFR计划提供信息.
- 确定必要的急救物资和当地补给战略.
主要方法:
- 在肯尼亚接受培训和装备后的101名初级应急人员 (LFRs) 进行了横截面调查.
- 这项24个问题的调查收集了有关人口统计,患者接触,急救箱供应使用情况和供应的适当性等数据.
- 数据分析包括描述性统计数据和利克尔特尺度协议供应建议,遵守调查研究报告检查清单 (CROSS) 准则.
主要成果:
- 81.2%的LFR参与,报告了3个月的394起协助事件.
- 手套 (88.9%),布/带 (61.3%) 和毛巾 (34.7%) 是使用最多的用品.
- 对于手套 (92.7%) 和布/带 (91.5%) 的适用性达成了高度共识,建议使用酒精抹布/手洗手剂和带.
结论:
- 对于LFR的急救包,应优先提供用于身体物质隔离,伤口护理和出血管理的供应.
- 地方生产能力和有组织的补给协议对于LFR计划的可持续性和连续性至关重要.
- 有效的LFR计划需要持续评估供应需求和后勤支持.
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