Benner John P, Brauning Genevieve, Green Mike, Caldwell Wendy, Borloz Matthew P, Brady William J
Department of Emergency Medicine, University of Virginia Health System, and Charlottesville-Albemarle Rescue Squad, Charlottesville, VA 22908, USA.
Air Med J. 2006 Jul-Aug;25(4):165-9. doi: 10.1016/j.amj.2006.04.002.
To determine the rate of disagreement in assessment of significant illness or injury between air medical transport team assessment and emergency department (ED) diagnosis in patients transferred from the scene of an incident to the ED.
Retrospective analysis was performed on 84 patients transported by medical flight teams from an accident scene to an ED.
Results show transport team assessment concurred with ED diagnosis 96.7% of the time; most of the differences in assessment were overassessments by the transport team. Assessment differences occurred most often for abdominal injuries and least often for head injuries. Underassessment occurred most often for spinal cord injuries.
Despite the numerous difficulties involved in patient assessment, data show that the transport teams accurately evaluated patients in most instances. Disagreements in assessment of injury/illness most often were overassessments.
确定从事故现场转运至急诊科的患者中，空中医疗转运团队评估与急诊科（ED）诊断在重大疾病或损伤评估方面的不一致率。
对84例由医疗飞行团队从事故现场转运至急诊科的患者进行回顾性分析。
结果显示，转运团队评估与急诊科诊断在96.7%的时间内是一致的；评估差异大多是转运团队的过度评估。评估差异最常发生于腹部损伤，最少发生于头部损伤。脊髓损伤最常发生评估不足。
尽管患者评估存在诸多困难，但数据表明转运团队在大多数情况下能准确评估患者。损伤/疾病评估的不一致大多是过度评估。
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