全球体外膜氧化运输计划的全球调查:团队组成,培训和能力的变化
Adam L Gottula1,2,3,4,5,6, Lauren Gillespie4,7,8, Michael Lauria9,10
1From the Center for Resuscitation Medicine, University of Minnesota, Minneapolis, Minnesota.
概括
关键护理运输医学 (CCTM) 能够实现体外膜氧化 (ECMO) 接入. 全球ECMO运输表现出不同的团队组成和能力,但标准化的培训是常见的.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 关键护理医学 关键护理医学
- 运输医学 运输医学
背景情况:
- 身体外膜氧化 (ECMO) 改善了严重呼吸衰竭和心脏骤停的生存率.
- 大量的ECMO中心产生更好的结果,促进区域化的护理模式.
- 重症护理运输医学 (CCTM) 在ECMO可访问性方面发挥着至关重要的作用.
研究的目的:
- 描述性地回顾全球ECMO运输流程.
- 识别团队组成,训练和运输能力的变化.
- 为ECMO设施间运输提供最佳实践的发展提供信息.
主要方法:
- 一项27项调查分发给16个国际运输组织.
- 调查涉及团队组成,培训和运输能力.
- 在可用的情况下,审查了ECMO运输协议.
主要成果:
- 来自6个国家的14个ECMO项目得到了回应 (87.5%的回应率).
- 大多数项目提供地面 (78.6%) 和旋翼 (71.4%) 运输;50%提供固定翼.
- 团队组成各不相同,有42.9%的团队不需要单独的ECMO团队;医生 (57.1%) 和输液师/ECMO专家 (71.4%) 是常见的.
结论:
- 重症护理运输医疗团队对于ECMO访问至关重要.
- 在ECMO运输团队的组成和能力方面存在显著的变化.
- 标准化的初始团队ECMO培训是跨程序的共同要求.
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