在机动车碰撞后优化被困患者的护理:一项基于英国的Delphi共识研究
Tim Nutbeam1,2, Rob Fenwick3,4, Ian Marritt5
1IMPACT, Centre for Post-Collision Research Innovation and Translation, Exeter, UK. timnutbeam@nhs.net.
概括
机动车碰撞 (MVC) 陷影响了许多人,延迟了护理. 这项研究开发了专家共识原则,以快速,以患者为中心的释放,改善被困个体的结果.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 在医院前的护理.
背景情况:
- 机动车辆碰撞 (MVCs) 是全球主要的伤亡和死亡原因.
- 患者被困在MVC中发生在高达40%的病例中,导致治疗延迟和结果较差.
- 缺乏国际共识,以管理身体被困的患者.
研究的目的:
- 制定基于多学科共识的原则,以优化 MVC 后身体被困患者的临床和操作护理.
- 制定专家认可的指导方针,用于管理机动车辆碰撞中的陷.
主要方法:
- 从2025年1月到3月进行了三轮的Delphi研究.
- 一个多专业的指导小组根据文献审查和专家咨询制定了初步声明.
- 在救援,医院前和创伤护理方面有66名专家 (中小企业) 参与,共识定义为≥70%的同意.
主要成果:
- 在104个陈述上达成共识.
- 关键领域包括标准化的脱离术语,优先考虑严重受伤的患者,尽量减少现场干预,以及早期的心理支持.
- 共识支持转向快速,以患者为中心的脱离,平衡临床,操作和心理因素.
结论:
- 已经建立了专家认可的关于照顾身体被困的MVC患者的原则.
- 预计这些原则的采用将减少延迟,增强多机构响应,并改善患者的治疗结果.
- 需要进一步的研究来验证对临床结果的影响,并支持将其纳入实践.
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