Royal Free Hospital, London, UK.
Emerg Med J. 2009 Dec;26(12):892-5. doi: 10.1136/emj.2008.066175.
Safety in prehospital practice is a paramount principle. Personal protective equipment (PPE) use is intrinsic to safe practice. There is varied guidance as to what constitutes effective PPE. No evidence is available of what current provision encompasses.
A questionnaire-based study directed to all ambulance trusts, British Association for Immediate Care (BASICS) schemes and air ambulance operations in England, Scotland and Wales.
Total response rate was in excess of 66%. A specific protocol for PPE use was issued by 81%, 89% and 38% of ambulance trusts, air ambulance and BASICS schemes, respectively. There was a wide variation in provision of PPE both within and between different groups of providers. Fewer than 55% of providers had an evaluation system in place for reviewing PPE use.
Many reasons account for the differences in provision. There is a clear need for a standard to be set nationally in conjunction with locally implemented evaluation and re-accreditation processes.
院前实践的安全是首要原则。个人防护设备（PPE）的使用是安全实践的固有要求。关于什么构成有效的 PPE 有不同的指导意见。目前的供应情况尚无可供参考的证据。
一项针对英格兰、苏格兰和威尔士所有救护车信托基金、英国即时护理协会（BASICS）计划和空中救护业务的基于问卷调查的研究。
总回复率超过 66%。救护车信托基金、空中救护和 BASICS 计划分别有 81%、89%和 38%发布了 PPE 使用的特定方案。不同提供者之间的 PPE 供应存在很大差异。不到 55%的提供者有评估 PPE 使用情况的系统。
许多原因导致了供应的差异。显然需要与当地实施的评估和再认证流程一起在全国范围内制定一个标准。
