紧急医疗服务要求在成人拘留中心提供服务:一项描述性研究
Jeffrey N Wood1, Aaron B Klassen1, Matthew D Sztajnkrycer1
1Mayo Clinic, Division of Prehospital Care, Department of Emergency Medicine, Rochester, Minnesota.
The western journal of emergency medicine
|August 12, 2025
概括
紧急医疗服务 (EMS) 响应拘留设施主要针对被监禁的个人,接受治疗的同意往往没有文件. 需要进一步的研究来了解他们的医疗保健需求和同意能力.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
- 犯罪学 犯罪学
背景情况:
- 监禁人口的使用物质,心理健康问题和慢性疾病的比例更高.
- 拘留设施对紧急医疗服务 (EMS) 的响应提出了独特的挑战.
研究的目的:
- 为了进行对EMS紧急 (9-1-1) 呼叫对拘留设施服务的描述性分析.
- 描述这些环境中的EMS响应的性质.
主要方法:
- 从2002年到2021年,对9个拘留中心的地面EMS紧急呼叫进行了回顾性审查.
- 排除特定设施和非紧急电话;使用描述性统计和比较测试进行分析.
- 获得机构审查委员会批准.
主要成果:
- 总的EMS电话中,0.25%是关押设施,分析了2,034名患者.
- 被拘留的患者年轻 (40.2岁与54.0岁相比),电话的场景时间更长 (14:13分与12:04分).
- 常见的投诉包括医疗,行为,心脏和创伤; 91.3%的患者是被监禁的人,同意仅在6.1%的案件中被记录下来.
结论:
- 电子邮件系统对拘留设施的呼叫主要涉及被监禁的人.
- 缺乏对治疗和运输的书面同意是一个重要的发现.
- 需要进一步的研究来解决这一群体的医疗保健需求和同意能力.
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