在农村一级创伤中心确定顺序压缩装置合规性的障碍
Alexander N Mays1, Aliya G Burns1, Aarsh N Patel1
1Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
The American surgeon
|June 20, 2025
概括
住院创伤患者有高静脉血栓栓塞 (VTE) 的风险. 由于设备问题和监测挑战,序列压缩设备 (SCD) 的使用不足,特别是在ICU外,阻碍了VTE预防.
科学领域:
- 创伤护理 创伤护理
- 血管外科 血管外科
- 医疗器械 医疗器械
背景情况:
- 住院创伤患者面临静脉血栓栓塞 (VTE) 的风险增加.
- 序列压缩装置 (SCD) 是静脉瘤的主要机械预防措施.
- 对SCDs的低最佳合规性需要对利用障碍进行调查.
研究的目的:
- 评估住院创伤患者中SCD使用的频率.
- 识别影响SCD使用的障碍.
- 为了比较重症监护病房 (ICU) 和其他病房之间的SCD利用率.
主要方法:
- 一项前性队列研究,涉及119名创伤患者在一级创伤中心.
- 观察三天或直到出院,在第一天由调查人员提供SCD教育.
- 追踪SCD使用情况和障碍.
主要成果:
- 与PCU/Med Surg单位 (42.0%-45.3%) 相比,SCD使用率在ICU (77.5%-100%) 显著更高.
- 最初的不遵守与设备故障/缺失有关,转向功能性SCD的不足利用.
- 不接受化学预防的患者使用SCD的几率更高.
结论:
- 设备的可用性,员工培训和患者教育对于加强SCD预防至关重要.
- 非ICU设置需要有针对性的干预措施,以解决影响SCD使用的设备和监控挑战.
- 改善SCD遵守对于创伤患者的有效VTE预防至关重要.
相关概念视频
Barriers to Effective Communication II
3.8K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.8K
Aneurysm III: Interprofessional Care
30
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
30
SBAR II: Application of SBAR
4.8K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.8K


