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紧急救护车服务的使用与滥用:影响是否呼叫紧急救护车决策的一些因素。

The use and abuse of the emergency ambulance service: some of the factors affecting the decision whether to call an emergency ambulance.

作者信息

Gardner G J

机构信息

Accident and Emergency Department, Countess of Chester Hospital, England.

出版信息

Arch Emerg Med. 1990 Jun;7(2):81-9. doi: 10.1136/emj.7.2.81.

DOI:10.1136/emj.7.2.81
PMID:2390158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1285673/
Abstract

Over a 1-month period all patients arriving in the accident and emergency department by ambulance following a '999' call were questioned using a standard proforma. They were assessed as to whether their medical condition warranted ambulance transfer. A number of social and practical points were analyzed to see whether they would identify any group of patients who used the emergency service without medical need. Overall 289 patients were questioned. Of these 178 (62%) were considered to have medically warranted an ambulance call whereas 111 (38%) did not. A number of features which were more likely to result in an unjustified call were identified. These would suggest that basic knowledge of first aid by the public is poor and should be improved.

摘要

在1个月的时间里,所有通过拨打“999”后由救护车送至事故与急救科的患者,均使用标准表格进行询问。评估他们的病情是否需要救护车转运。分析了一些社会和实际情况,以确定是否能找出任何无医疗需求却使用急诊服务的患者群体。总共询问了289名患者。其中178名(62%)被认为其病情确实需要呼叫救护车,而111名(38%)则不需要。确定了一些更有可能导致不合理呼叫的特征。这表明公众的急救基本知识较差,需要改进。

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本文引用的文献

1
Is the emergency ambulance service abused?紧急救护服务是否被滥用?
Br Med J. 1980 Jul 12;281(6233):121-3. doi: 10.1136/bmj.281.6233.121.
2
Inappropriate use of ambulances.救护车的不当使用。
N Engl J Med. 1984 Sep 20;311(12):801.
3
Ambulance-user analysis in an accident and emergency department.急诊部门救护车使用者分析
Ir Med J. 1987 Dec;80(12):422-3.