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在大规模伤亡事件中进行医院前救生干预的时间:一项观察模拟研究
Fayez Alruqi1,2, Elaine Cole3, Karim Brohi3
1Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, 4 Newark St, London, E1 2AT, UK. f.alruqi@qmul.ac.uk.
概括
医院前护理提供者 (PHCP) 可以在两分钟内执行大多数救命干预 (LSI). 然而,医疗卫生专家经常高估LSI时间,这表明需要重新评估大规模伤亡事件 (MCI) 的分拣协议.
科学领域:
- 紧急医疗 紧急医疗
- 在医院前的护理.
- 医疗模拟 医疗模拟
背景情况:
- 大规模伤亡事件 (MCI) 为医院前护理带来了复杂的挑战.
- 在快速分拣和及时提供救命干预 (LSI) 之间存在关键紧张关系.
- 由于时间限制,当前的分类实践往往将干预措施限制在最简单的程序中.
研究的目的:
- 为了确定在模拟的医院前环境中执行关键LSI的实际时间间隔 (TI).
- 将估计的TI与医院前护理提供者 (PHCP) 的实际TI进行比较.
- 为了确定LSIs的感知和实际时间要求之间的潜在差异.
主要方法:
- 在两个培训中心进行了一项观测模拟研究.
- 16个不同的LSI是由医院前护理提供者 (医生和护理人员) 进行的.
- 通过问卷评估参与者的经验,并使用非参数测试分析时间间隔.
主要成果:
- 大多数LSI在130秒内完成,快速序列诱导和输管 (RSI) 是一个显著的例外 (中位数为348秒).
- 基于团队的LSI,特别是RSI,显示了长时间的准备和安置后的保证阶段.
- 医疗保健医生严重高估了几个程序的TI,包括气道管理和胸部减压.
结论:
- 这项研究提供了在模拟的医院前环境中关于LSI时间的关键数据.
- 研究结果表明,许多LSI可以比感知速度更快地执行,这可能会影响分拣策略.
- 有机会简化LSI的交付和完善MCI的医院前选协议.
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