与酒精有关的陈述中的紧急护理要求:一个多站点观察性研究
概括
与酒精相关的紧急服务部门 (ED) 呈现频繁,特别是在夜间小时的年轻人中. 这些访问带来了大量的成本和资源利用,突出了减少与酒精有关的危害的公共卫生干预措施的必要性.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 与酒精有关的疾病在全球范围内造成了巨大的社会和经济负担.
- 紧急诊所 (ED) 经常处理与酒精有关的患者.
- 了解这些演示的特点和成本对于资源分配和干预计划至关重要.
研究的目的:
- 描述与酒精有关的陈述 (ARP) 给急诊室.
- 确定ARP患者的临床护理要求和结果.
- 量化澳大利亚ED中与ARP相关的资源利用和成本.
主要方法:
- 在澳大利亚昆士兰州进行了一项多地观测研究.
- 在2016年4月至2017年8月期间,对四家公立医院急救部门的2720名ARP的随机样本进行了分析.
- 数据包括人口统计,临床护理,结果,成本和手动医疗记录审查,以提供详细的护理.
主要成果:
- ARP主要涉及年轻男性,其中62%乘救护车抵达,61%在下午6点到早上6点之间.
- 大多数患者接受了生命体征监测 (83%),相当一部分患者接受了病理学 (46%),放射学 (41%),药物治疗 (65%) 或静脉注射液 (20%).
- 住院时间的中位数为194分钟,入院率为38%,每次ED事件的中位数成本为651澳元.
结论:
- 与酒精有关的演示代表了急诊室资源和财政的大量消耗.
- 旨在减少与酒精有关的伤害的有效公共卫生战略可以显著减少ED占用率,工作量和相关成本.
- 在EDS和更广泛的公共卫生倡议中,有必要采取有针对性的干预措施,以减轻酒精对医疗保健系统的影响.
相关概念视频
Acute Coronary Syndrome IV: Interprofessional Care
27
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
27
SBAR II: Application of SBAR
4.7K
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...
4.7K
Esophageal Varices-II: Clinical Features and Management
139
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
139
Acute Kidney Injury V: Interprofessional Care
44
Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
44
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
Specialized Care Centers and Settings-II
777
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
777


