中国专家就重大创伤的医院前管理达成共识
Yang Li1, Liangjun Lang2, Jiliang Zhang3
1Daping Hospital, Army Medical University, State Key Laboratory of Trauma and Chemical Poisoning, Chongqing, 400042, China.
概括
这种共识将在中国标准化医院前创伤护理,强调XABCDE方法和关键干预措施,如护理和酸,以获得更好的患者结果.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 医院前救援,医院前救援
背景情况:
- 在中国,为改善治疗质量和效率,对医院前重创急诊的标准化至关重要.
- 一个多学科的专家小组被召集来解决这个需求,涉及关键的医疗协会和联盟.
研究的目的:
- 制定标准化关键技术和协议,用于医院前重创急诊在中国.
- 提高严重创伤患者紧急治疗的质量和效率.
主要方法:
- 在多个数据库 (PubMed,Embase,Cochrane Library,Web of Science,SinoMed,CNKI) 进行系统的文献搜索,寻找相关的指导方针,系统审查和临床研究.
- 基于基于证据的研究结果和临床情景的共识起草,涉及多轮专家咨询,投票和共识会议.
- 制定了16条建议,解决了医院前重度创伤管理中的14个核心临床问题.
主要成果:
- 为医院前重创护理制定了16条基于证据的建议.
- 建议涵盖现场安全,创伤识别,出血控制 (X),呼吸道 (A),呼吸 (B),循环 (C),残疾 (D),暴露 (E),特殊人群,固定,运输,交付,团队合作和培训.
- 强调了"XABCDE"评估序列和干预措施,如带,伤口包装,允许低血压,松酸和骨盆结合剂.
结论:
- 该共识为中国的医院前急救服务提供者提供了可行的,基于证据的协议.
- 旨在规范国家医院前创伤护理系统.
- 通过加强创伤管理,预计将改善患者的治疗结果.
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