急救人员会对创伤患者进行分诊吗？
Do ambulance crews triage trauma patients?
作者信息
Rouse A
机构信息
Cornwall and Isles of Scilly Health Authority, Department of Public Health Medicine, Truro, England.
出版信息
Arch Emerg Med. 1991 Sep;8(3):185-91. doi: 10.1136/emj.8.3.185.
OBJECTIVE
To determine whether ambulance crew triage trauma patients appropriately.
DESIGN
A retrospective descriptive study.
SETTINGS
Cornwall County Ambulance Service.
VARIABLES STUDIED
On-scene times, injury severity, establishment of intravenous infusion and time from scene to A&E department.
SUBJECTS
Patients with compound fracture of the lower limb taken to Truro Accident and Emergency department.
OUTCOME MEASURES
Ambulance service on-scene times and mission times.
RESULTS
Ambulance crew do not appear to be triaging patients appropriately. Excessive time is being spent on pre-hospital stabilization. Delivery of patients to a casualty department is delayed.
CONCLUSION
At present the activities of paramedics are poorly supervised, and pre-hospital management by paramedics may be jeopardizing patient care.
目的
确定救护人员对创伤患者的分诊是否恰当。
设计
一项回顾性描述性研究。
地点
康沃尔郡救护服务中心。
研究变量
现场停留时间、损伤严重程度、静脉输液的建立以及从现场到急症室的时间。
研究对象
被送往特鲁罗事故与急救部的下肢复合骨折患者。
观察指标
救护服务的现场停留时间和任务执行时间。
结果
救护人员似乎没有对患者进行恰当分诊。在院前稳定病情方面花费了过多时间。患者送往急诊部的时间被延迟。
结论
目前护理人员的活动监督不力，护理人员的院前管理可能会危及患者护理。
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