Herron H, Johnson R, Childress S, Falcone R E
Grant Medical Center, Columbus, OH, USA.
Air Med J. 1995 Apr-Jun;14(2):61-4. doi: 10.1016/s1067-991x(95)90096-9.
This survey attempts to identify the current standard of care for the air medical transport of the patient in cardiopulmonary arrest.
An Association of Air Medical Services/National Flight Nurses Association-approved survey by a single mailing with an anonymous response.
All rotor-craft programs with current memberships in AAMS.
Fifty-three of the 178 questionnaires mailed were returned. Program demographics, crew composition and transport volumes were typical of other reported national experiences. The majority of programs (84%) had standing operational protocols for trauma and non-trauma cardiopulmonary arrests. The indications for not initiating or discontinuing CPR, the transport of the patient in cardiopulmonary arrest, triage and financial considerations varied widely between air medical programs.
This study provides some insight on the current air medical management of the patient in cardiopulmonary arrest. National practice guidelines should be developed and tested prospectively in future studies.
本调查旨在确定目前对心肺骤停患者进行空中医疗转运的护理标准。
由空中医疗服务协会/国家飞行护士协会批准的一项调查,通过单次邮寄方式进行,采用匿名回复。
所有目前是空中医疗服务协会会员的旋翼机项目。
在寄出的178份问卷中,有53份被退回。项目的人口统计学特征、机组人员构成和运输量与其他已报道的全国性经验类似。大多数项目(84%)针对创伤性和非创伤性心肺骤停制定了常规操作方案。在空中医疗项目之间,关于不启动或停止心肺复苏的指征、心肺骤停患者的转运、分诊和财务考虑等方面差异很大。
本研究为目前对心肺骤停患者的空中医疗管理提供了一些见解。未来的研究应前瞻性地制定并测试全国性的实践指南。