一个团队:确定医院前提供者对烧伤患者接触和教育的需求
Ronnie Adams1, Stephen Elmgren2, Yuk Ming Liu1,2
1Emory University School of Medicine Atlanta, GA, United States.
概括
医院前的医疗服务提供者对烧伤患者的护理有有限的经验和舒适性,这导致了各种各样的做法. 改善教育和标准化的协议对于更好的燃烧管理结果至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 燃烧管理 燃烧管理
背景情况:
- 烧伤是常见的创伤性伤害,患病率和死亡率很高.
- 预科医院提供者往往不熟悉当前的烧伤管理指南.
- 护理指南的变化会影响临床结果.
研究的目的:
- 评估和评价大都会紧急医疗服务 (EMS) 机构提供的烧伤护理.
- 确定医院前烧伤管理方面的改进和教育领域.
- 了解当前的做法和提供者舒适度在管理烧伤患者.
主要方法:
- 在19个EMS机构向医院前专业人员分发的调查.
- 对8个EMS治疗烧伤治疗临床方案的定性分析.
- 使用Qualtrics进行调查响应和协议审查的数据分析.
主要成果:
- 大多数医疗服务提供者 (92.1%) 每年运送≤5名烧伤患者.
- 显著的大多数 (80.0%) 感到不舒服在烧伤中建立血管通道.
- 协议显示了液体复苏配方的变化,并有限地提及温度调节.
结论:
- 预科医院提供者有低体积暴露和舒适与烧伤患者.
- 对烧伤的持续教育是最小的,通常是不够的.
- 在EMS机构实践中的差异凸显了对标准化烧伤护理协议和教育的需求.
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