对患者进行检查,他们向急诊室介绍"明显醉酒"的情况
Michael Hanrahan1, Mary O'Mahony2, Darren McLoughlin3,4
1Department of Public Health - HSE South West (Cork & Kerry), St Finbarr's Hospital, Douglas Road, Cork, Ireland. mthanrahan@gmail.com.
Irish journal of medical science
|January 17, 2025
概括
对于"明显醉酒"的人来说,紧急部门的访问从2022年到2023年增加了18%. 这一趋势凸显出一个日益严重的公共卫生问题,特别影响弱势群体,给紧急服务带来压力.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 与酒精有关的危害与酒精有关的危害
背景情况:
- 酒精消费对公共卫生构成重大挑战,导致对紧急服务的需求增加.
- 识别急诊室 (ED) 访问的可预防原因可以缓解医院过度拥挤并改善公共卫生结果.
研究的目的:
- 分析患者在2022年和2023年向梅西大学医院的ED报告的患病率和特征.
- 为了在两年内确定这些演示的趋势.
主要方法:
- 追溯分析来自梅西大学医院综合患者管理信息系统的数据.
- 包括所有在2022年和2023年被记录为"明显醉酒"的患者.
- 描述性统计总结人口统计,伤病,抵达方式和入院/出院状态,并进行跨年趋势分析.
主要成果:
- 1662 "显然喝醉了"的演示占了所有ED访问的3%.
- 从2022年到2023年,这些演示文稿的数量增加了18%.
- 关键的人口统计和问题包括:72%的男性,中位数年龄39,23%的无家可归者,81%的救护车抵达,常见的伤害包括头部伤害 (7%),跌倒 (6%),心理健康问题 (5%),以及袭击 (4%).
结论:
- 对于"显然醉酒"的人来说,ED访问的令人担忧的上升趋势被确定.
- 无家可归人口中的高患病率和大量资源使用需要有针对性的公共卫生干预和综合服务.
- 调查结果表明,政策制定者应该考虑立法措施,影响酒精供应.
相关概念视频
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Assessment of the Gastrointestinal System I: Subjective Data
142
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
142
Acute Respiratory Failure-IV
125
Respiratory failure can manifest suddenly or gradually, characterized by a rapid decline in PaO2 and a rapid rise in PaCO2. This situation indicates a severe respiratory problem that may quickly become a life-threatening emergency. One of the early signs of hypoxemic Acute Respiratory Failure (ARF) is a change in mental status due to the brain's sensitivity to oxygen levels and changes in acid-base balance. Symptoms such as restlessness, confusion, and agitation suggest inadequate oxygen...
125
Assessment of the Cardiovascular System II: Inspection
174
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
174
Respiratory System Abnormal Finding I: Inspection and Percussion
201
Respiratory system abnormalities are a significant concern in healthcare due to their potential to indicate underlying severe conditions like Chronic Obstructive Pulmonary Disease (COPD), asthma, and pneumonia. These abnormalities can often be detected through physical examination methods like inspection and percussion.
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
201
Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46


