从公共卫生角度来看,紧急医疗服务对野火的反应:系统性审查
Rafael Castro-Delgado1, Nur A Habiba Mukta2, Eduardo Montero Viñuales3
1Department of Medicine, University of Oviedo, Oviedo 33006, Spain; Health Service of the Principality of Asturias (SAMU-Asturias). Oviedo, Spain; Health Research Institute of the Principality of Asturias (Research Group on Prehospital Care and Disasters, GIAPREDE), Oviedo 33001, Spain; RINVEMER-SEMES (Research Network on Prehospital Care-Spanish Society of Emergency Medicine), Madrid, Spain.
紧急医疗服务 (EMS) 在野火期间提供关键健康和咨询支持. 加强EMS准备和扩展服务对于面临越来越多野火威胁的弱势社区至关重要.
科学领域:
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
- 环境健康 环境健康
背景情况:
- 野火事件的频率和强度在全球范围内不断增加.
- 了解野火期间紧急医疗服务 (EMS) 的反应至关重要.
- 现有的关于EMS在野火事件中的作用的证据需要综合.
研究的目的:
- 系统地审查和综合当前关于野火事件期间EMS响应的证据.
- 在野火场景中确定EMS提供的服务范围.
- 突出EMS应对野火的潜在缺陷和改进领域.
主要方法:
- 在五个主要的电子数据库 (PubMed,科学网,Medline Ovid,Embase,Scopus) 进行系统的文献搜索.
- 包括同行评审的,全文的,关于EMS野火响应的英语文章.
- 根据预先定义的标准,由两名独立审查员进行数据提取和分析.
主要成果:
- 在最终分析中包含了六篇全文文章.
- 紧急医疗服务提供了多种服务,包括急性护理,烧伤/伤害治疗,呼吸/眼科支持,咨询和协调.
- 服务包括直接/间接,短期/长期和转诊健康支持.
结论:
- 在管理野火对健康的影响方面,EMS发挥着多方面的作用.
- 确定了当前的EMS实践和潜在的缺陷.
- 建议包括扩大对弱势群体的EMS服务,提高系统的准备和弹性.
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