检查由护理人员运送的酒精或阿片类药物中毒患者的稳定中心:对急诊室转移模型的队列研究
Ryan P Strum1,2, John McPhee1, Jamie Burnett1
1Toronto Paramedic Services, City of Toronto, Toronto, Ontario, Canada.
Prehospital emergency care
|September 26, 2025
概括
一个新的稳定中心 (SC) 从急诊室 (ED) 安全地转移醉酒患者,减少了关键资源的压力. 这种非医疗模型优化了紧急护理的提供,并减少了ED的利用率.
科学领域:
- 紧急医疗 紧急医疗
- 公共卫生政策 公共卫生政策
- 药物使用障碍管理 药物使用障碍管理
背景情况:
- 由于越来越多的健康寻求行为,急诊室 (ED) 正面临着越来越大的压力.
- 在加拿大多伦多建立了一个非医疗稳定中心 (SC),用于管理疑似急性酒精或阿片类药物中毒的患者,这些患者不需要紧急医疗干预.
- 这一倡议旨在通过为护理人员运送的病人提供替代目的地来保护有限的ED资源.
研究的目的:
- 描述转移护理模式,临床指南,患者队列和非医疗稳定中心的安全性.
- 评估SC在减轻紧急部门压力的有效性.
- 评估将护理人员转移模型纳入紧急护理策略的可行性.
主要方法:
- 在2022年12月8日至2024年12月31日期间,医护人员将患者运送到多伦多的SC,进行了一项回顾性研究.
- 收集了患者人口统计数据,运输方法 (直接或间接到SC),以及进行的医疗干预.
- 用描述性统计数据总结了患者队列,并分析了随后的转移到ED.
主要成果:
- 总共有3744名患者被运送到SC,其中80.3%来自社区.
- 大多数患者是男性,年龄在16-49岁之间,95.0%的患者没有接受过护理人员的医疗干预.
- 只有1.6%的患者接受了纳洛,8.6%的患者被转移到ED,主要是因为与中毒无关的医疗问题.
结论:
- 在非医疗环境中,SC模型成功管理了选择的中毒患者,减少了ED的压力.
- 初步发现支持整合护理人员转移模型,以优化紧急护理并减少ED的使用.
- 这种方法证明了一种安全有效的策略,用于管理急性中毒患者,这些患者不需要急性医疗护理.
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