一项农村紧急医疗救援服务：第一年
A rural emergency medical retrieval service: the first year.
作者信息
Corfield A R, Thomas L, Inglis A, Hearns S
机构信息
Emergency Medicine, Royal Alexandra Hospital, Paisley, PA2 9PN, UK.
出版信息
Emerg Med J. 2006 Sep;23(9):679-83. doi: 10.1136/emj.2006.034355.
INTRODUCTION
We describe the first year of operation of a rural emergency medical retrieval service (EMRS), staffed by emergency medicine and anaesthetic consultants and providing air based retrieval of critically ill and injured patients from general practitioner led community hospitals in rural west Scotland.
METHODS
Data were collected on all patients referred to the service, both those subsequently transported and those where transport by the service was not indicated, for a period of 1 year from 1 October 2004 to 30 September 2005. Data collected included information on demographics, physiology, and medical interventions. Detailed data were collected regarding advanced airway care and any complications relating to transfer.
RESULTS
Forty patients were attended and advice was given on a further 21 patients. Twenty one of the 40 patients (53%) required rapid sequence intubation prior to transfer. The median Injury Severity Score (ISS) for trauma patients was 26 (range 2-59). The median Acute Physiology and Chronic Health Evaluation (APACHE) II score for all patients was 11 (range 2-37).
CONCLUSION
Our data show a high level of acuity among this patient group and a need for advanced medical intervention to ensure safe transfer.
引言
我们描述了一项农村紧急医疗救援服务（EMRS）运行的第一年情况，该服务由急诊医学和麻醉学顾问提供人员支持，负责从苏格兰西部农村地区由全科医生主导的社区医院对危重症和受伤患者进行空中救援。
方法
收集了2004年10月1日至2005年9月30日这1年期间转介至该服务的所有患者的数据，包括随后被转运的患者以及那些该服务未建议转运的患者。收集的数据包括人口统计学、生理学和医疗干预方面的信息。收集了有关高级气道护理以及与转运相关的任何并发症的详细数据。
结果
共诊治了40例患者，并为另外21例患者提供了建议。40例患者中有21例（53%）在转运前需要快速顺序诱导插管。创伤患者的损伤严重度评分（ISS）中位数为26（范围2 - 59）。所有患者的急性生理与慢性健康状况评估（APACHE）II评分中位数为11（范围2 - 37）。
结论
我们的数据显示该患者群体病情严重程度较高，需要进行高级医疗干预以确保安全转运。
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