Strote Jared, Simons Reed, Eisenberg Mickey
Division of Emergency Medicine, Department of Medicine, University of Washington, Box 356123, Seattle, WA 98195, USA.
Am J Emerg Med. 2008 Mar;26(3):291-5. doi: 10.1016/j.ajem.2007.05.030.
We examine the safety and efficacy of emergency medical technicians (EMTs) providing treatment to stable hypoglycemic patients without transport or paramedic involvement, which is currently beyond their scope of practice.
All hypoglycemic patients treated in the field without transport for 12 months were included. We used a patient follow-up survey to compare the outcomes of EMT and paramedic-treated patients on the occurrence of repeat hypoglycemic episodes, 911 calls, and/or in-hospital reevaluation within 48 hours; patients' adhering to the provided instructions; and patient satisfaction.
Of 402 cases identified, we were able to contact and survey 203 (51%). There were no statistically significant differences for any of the outcome measures studied. Patients treated by EMTs (110) and paramedics (93) had 8 (7%) and 7 (8%) episodes of repeat hypoglycemia, 3 (3%) and 5 (5%) repeat 911 calls, and 9 (8%) and 10 (11%) hospital evaluations, respectively.
Emergency medical technicians performed comparably with paramedics treating hypoglycemia without transport.
我们研究紧急医疗技术员（EMT）在不进行转运且没有护理人员参与的情况下，为病情稳定的低血糖患者提供治疗的安全性和有效性，目前这超出了他们的执业范围。
纳入所有在现场接受治疗且未进行转运达12个月的低血糖患者。我们采用患者随访调查，比较紧急医疗技术员和护理人员治疗的患者在48小时内再次发生低血糖事件、拨打911急救电话和/或住院重新评估的情况；患者对所提供指导的遵守情况；以及患者满意度。
在确定的402例病例中，我们能够联系并调查203例（51%）。所研究的任何结果指标均无统计学显著差异。由紧急医疗技术员治疗的患者（110例）和护理人员治疗的患者（93例）分别有8例（7%）和7例（8%）再次发生低血糖事件，3例（3%）和5例（5%）再次拨打911急救电话，以及9例（8%）和10例（11%）住院评估。
紧急医疗技术员在不进行转运治疗低血糖方面与护理人员表现相当。
