紧急医疗服务 响应学校医疗紧急情况
Michael D Harries1,2, Jennifer K Saper2,3, Michelle L Macy1,2
1Department of Pediatrics, Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine; Chicago, Illinois.
Pediatrics
|June 30, 2025
概括
紧急医疗服务 (EMS) 在2018-2022年期间响应了超过50万个学校紧急情况. 大多数病例涉及神经疾病,精神疾病或创伤,大多数学生被送往医院.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 学校的医疗紧急情况需要学校工作人员和紧急医疗服务 (EMS) 的协调反应.
- 国家优先事项强调为这些事件做好准备,与儿科和护理组织的建议保持一致.
研究的目的:
- 分析有关EMS应对学校医疗紧急情况的国家数据.
- 描述这些事件在COVID-19大流行 (2018-2022) 之前,期间和之后.
主要方法:
- 分析国家EMS信息系统 (NIMS) 数据库.
- 包括儿科接触 (5-17岁) 在学校的紧急情况.
- 临床印象,人口统计和干预措施的描述.
主要成果:
- 超过50万学校的EMS遭遇被确定,占所有儿科现场反应的11.3%.
- 神经系统疾病,精神疾病/药物滥用和创伤是急救服务员打电话的最常见原因.
- 大多数遭遇 (69.1%) 导致医院运输;常见的干预措施包括心脏评估和血管接入.
结论:
- 大多数以学校为基础的EMS反应导致医院运输.
- 调查结果表明,针对学校工作人员和EMS工作人员进行有针对性的培训的关键领域.
- 该研究强调了学校所需的基本紧急药物和设备.
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