紧急医疗技术人员可以在城市多层EMS系统中为有效止痛提供氧化
Emiliano Costilla1,2, Bradley Teasley1,3, Xingpei Zhao4
1Greenville County Emergency Medical Services, Greenville, South Carolina.
Prehospital emergency care
|July 18, 2025
概括
紧急医疗技术人员 (EMT) 在大多数患者中有效地使用自我剂量的氧化来缓解医院前的疼痛. 这项试点研究发现了最小的不良事件,表明了安全有效的止痛选择.
科学领域:
- 紧急医疗 紧急医疗
- 药理学 药理学是指药理学的学科.
- 疼痛管理 疼痛管理
背景情况:
- 医院前疼痛管理对于患者的治疗结果至关重要.
- 紧急医疗技术人员 (EMT) 目前的止痛选择可能有限.
- 自用剂量的氧化提供了一个潜在的替代方案,用于医院外的疼痛缓解.
研究的目的:
- 为了评估自用剂量氧化物由EMTs用于医院前疼痛的有效性.
- 量化与这种止痛干预相关的不良事件.
- 为了确定预测患者改善的因素,医院前药理学止痛.
主要方法:
- 一项为期365天的试点研究,涉及EMT给人吸入氧化 (50%N2O/50%O2).
- 对有异常疼痛评估的患者进行回顾性队列分析.
- 配对的t测试和逻辑回归分析了疼痛评分的变化和反应结果.
主要成果:
- 在165名患者中,75.76%的人使用氧化改善了疼痛反应.
- 在5分钟内和入院时观察到显著的疼痛评分减少.
- 报告了两个轻微的不良事件 (低血压,头);没有恶化的反应.
结论:
- 在监督下,自给自取的氧化对医院前的疼痛缓解在医院外的环境中是有效的.
- 这种干预措施在经过培训的EMTs进行时,显示出有利的安全概况.
- 缺乏改善预测增加了对护理人员干预的需求.
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