在护理人员评估后被送往警察拘留所的患者:一项观察性队列研究
Kari Heinonen1,2, Markku Kuisma2, Tuukka Puolakka2,3
1Department of Anaesthesiology and Intensive Care Medicine, Helsinki University Hospital and the University of Helsinki, Helsinki, Finland kari.heinonen@fimnet.fi.
Emergency medicine journal : EMJ
|April 25, 2025
概括
被紧急医疗服务 (EMS) 释放到警方拘留的患者的再接触和死亡率较低. 这种在中毒和袭击中常见的做法,与一般的不运输相比,似乎是安全的.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 法医医学 法医医学
背景情况:
- 超过三分之一的芬兰紧急医疗服务 (EMS) 患者在没有医院运输的情况下在现场出院.
- 这些患者中的一小部分被释放到警察拘留所,特别是那些有行为问题或涉嫌犯罪活动的患者.
- 这项研究调查了警方拘留释放后患者的结果.
研究的目的:
- 为了确定患者在出院后病情恶化的发生率.
- 为了确定与这种患者群体的不良结果相关的因素.
- 为了比较释放到警察拘留的安全性,与一般的不转移.
主要方法:
- 对于被释放到警察拘留的患者的EMS记录 (2013-2021) 的回顾性分析.
- 包括来自国家死亡原因登记册的数据.
- 对患者和与呼叫有关的因素进行统计分析,以找出与再接触,运输或48小时内死亡的关联.
主要成果:
- 2184名患者被释放到警方拘留;6%的人涉及到医生咨询.
- 常见的原因包括中毒 (22.8%),跌倒 (20.1%) 和袭击 (8.6%).
- 8.8%在48小时内有新的EMS接触;5.8%需要救护车运输. 医生咨询与更高的再接触和运输费率相关. 0.14%的人在拘留期间死亡.
结论:
- 对于表现出暴力行为,中毒或吸毒的患者来说,释放到警察拘留是常见的.
- 电脑神经系统的再接触率和死亡率并不高于一般的非传输.
- 医院前医生咨询与增加的再接触和运输有关,需要进一步调查.
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