社会脆弱性和儿科EMS行为健康激活:利用和镇静实践的趋势
Hayes Stancliff1, Christopher Buresh2, Garrett Cavaliere3
1Department of Medical Education, Pennsylvania State College of Medicine, 500 University Dr, Hershey, PA 17033.
Prehospital emergency care
|May 21, 2025
概括
儿童行为健康紧急情况 (BHE) 在社会脆弱地区较少发生,观察到的镇静率较低. 这表明需要针对弱势群体量身定制的紧急医疗服务 (EMS) 协议.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 儿科行为健康紧急情况 (BHE) 越来越多地得到认可,但研究不足.
- 健康的社会决定因素 (SDOH) 显著影响健康结果,但它们对儿科BHE的影响尚未得到充分理解.
研究的目的:
- 描述紧急医疗服务 (EMS) 遇到的儿科BHE.
- 研究健康的社会决定因素 (SDOH) 与儿科BHE频率之间的关联.
- 检查SDOH和儿科BHE接触期间镇静药物给药率之间的关系.
主要方法:
- 对国家紧急医疗服务信息系统 (NEMSIS) 数据库 (2018-2021) 的回顾性观察分析.
- 与CDC/ATSDR的社会脆弱性指数 (SVI) 进行整合,以评估社区一级的社会决定因素.
- 过儿科EMS遭遇 (<18岁) 与行为健康ICD-10代码,其次是描述性统计和Poisson回归.
主要成果:
- 对344,896次儿科BHE激活的分析,其中3,382,719次儿科EMS电话总数.
- 在SVI得分和BHE率之间发现了反向相关性;更高的社会脆弱性与更低的BHE频率有关.
- 较高的SVI得分也与儿科BHEs期间的镇静剂药物给药率相反相关.
结论:
- 儿科BHE的医院前管理与社会脆弱性有关.
- 当前的护理实践可能无法充分满足患有BHE的弱势群体的需求.
- 建议制定量身定制的EMS协议和资源配置,以改善对患有BHE的脆弱儿科患者的护理.
更多相关视频
08:09Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
11.4K
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
2.7K
相关概念视频
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Autism Spectrum Disorder
53
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
53
Socioemotional Development during Infancy
27
Socio-emotional development in infancy is primarily shaped by early emotional responses and social connections, with temperament playing a central role. Temperament refers to the consistent patterns in an individual's emotional and behavioral responses, observable even in infancy. By examining temperament, researchers can better understand an infant's unique ways of interacting with the world, influencing subsequent personality and socio-emotional growth.
Primary Temperament Types
Primary Temperament Types
27
Community Based Intervention
27
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
27
Sedatives and Hypnotics: Overview
246
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
246
Specialized Care Centers and Settings-I
906
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
906
