剧院内复苏气球对大动脉堵塞的评估 (REBOA) 能力和培训
Alex Y Koo1,2, Jerry Hu3,4, Kyle S Couperus
1Department of Emergency Medicine, MedStar Georgetown University Hospital, Washington, DC.
概括
在部署的设置中评估了复苏性内血管气球阻塞大动脉 (REBOA) 的部署能力. 大多数地点都满足了最低要求,但建议加强对REBOA和监测的培训.
科学领域:
- 创伤外科 手术 创伤外科
- 紧急医疗 紧急医疗
- 血管内干预 血管内干预
背景情况:
- 复苏性内血管气球阻塞大动脉 (REBOA) 对于控制危及生命的出血至关重要.
- REBOA涉及在大动脉中充气球导管以遮住血液流动和出血.
- 这项研究评估了REBOA在部署的医疗环境中的部署障碍.
研究的目的:
- 在部署的医疗治疗地点评估ER-REBOA®安置和监控的能力.
- 确定阻碍在运营环境中实施REBOA的具体障碍.
主要方法:
- 2019年春季在伊拉克和科威特进行了一项质量改善项目和调查.
- 根据供应商的能力和REBOA部署所需的必需设备评估的网站.
- 采访和直接检查被用来收集有关人员,设备和监控的数据.
主要成果:
- 113人参与了评估和培训.
- 四个站点中有三个满足了最低要求:一个有能力的供应商,以及未过期的ER-REBOA®设备和引入器套件.
- 只有18.7%的医生能够安置ER-REBOA®.
结论:
- 大多数部署的网站在2019年满足了ER-REBOA®安置的最低要求.
- 对REBOA和动脉血压监测的部署前培训需要改进.
- 加强培训确保了关键干预措施的足够资源和冗余性.
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