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我们是否为人口增长做好了准备?病态肥胖及其对爱尔兰急诊部门的影响。

Are we prepared for a growing population? Morbid obesity and its implications in Irish emergency departments.

机构信息

Emergency Medicine Registrar, Connolly Hospital, Blanchardstown, Dublin, Leinster, Ireland.

出版信息

Eur J Emerg Med. 2012 Apr;19(2):117-20. doi: 10.1097/MEJ.0b013e3283499311.

DOI:10.1097/MEJ.0b013e3283499311
PMID:21862929
Abstract

Two percent of the Irish population is morbidly obese with this figure expected to rise significantly. This survey aimed to establish the present logistical capacity of Irish emergency departments (EDs) to adequately cater for the bariatric patients. A telephone survey was carried out of 37 health service executive EDs over a 5-day period in October 2008. Questions were posed to the departmental lead nurse regarding facilities (Supplemental digital content 1). No ED had adequate facilities. Two of 37 units questioned had on-site hoists designed to lift patients of more than 170 kg. Four departments had rapid access to mattresses within the hospital and three of these four had access to beds and trolleys for weighing patients. Two percent of the Irish population is morbidly obese with this figure expected to rise significantly to more than 150 kg. One department had access to commodes, chairs, wheelchairs and trolleys from inpatient services. All departments had extra-wide blood pressure cuffs and 12 had a difficult airways trolley. Necessary infrastructure and equipment for bariatric patients is deficient in the majority of Irish EDs.

摘要

爱尔兰有 2%的人口患有病态肥胖症,预计这一数字还会显著上升。这项调查旨在确定爱尔兰急诊部(ED)目前的后勤能力,以充分满足肥胖患者的需求。2008 年 10 月,在为期 5 天的时间里,对 37 家卫生服务行政部门进行了电话调查。向部门主管护士询问了有关设施的问题(补充数字内容 1)。没有一个 ED 有足够的设施。在接受调查的 37 个单位中,只有两个单位有现场起重机,设计用于提升超过 170 公斤的患者。有四个部门可以在医院内快速获得床垫,其中三个部门可以获得用于称重患者的床和手推车。爱尔兰有 2%的人口患有病态肥胖症,预计这一数字将显著上升至超过 150 公斤。有一个部门可以从住院服务部门获得便盆、椅子、轮椅和手推车。所有部门都有超宽的血压袖带,有 12 个部门有困难气道手推车。大多数爱尔兰 ED 都缺乏为肥胖患者提供必要的基础设施和设备。

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