Baker Russell A
Texas Tech Foster School of Medicine,Department of Emergency Medicine,El Paso,TexasUSA.
Prehosp Disaster Med. 2017 Aug;32(4):431-436. doi: 10.1017/S1049023X17006434. Epub 2017 May 2.
Study Objective The aim of this study was to evaluate Emergency Medical Services (EMS), use, injury mechanisms, prehospital assessments, and injuries among those receiving aid from the United States Border Patrol (USBP) in the El Paso (Texas USA) Sector.
This is a time-series, retrospective analysis of all prehospital data for injuries among patients receiving care from USBP EMS on the US Mexico border in the El Paso sector from February 6, 2014 to February 6, 2016.
A total of 473 documented EMS encounters occurred in this two-year period and demonstrated a male gender predominance (male 63%; female 37%) with the most prominent ages between 22-40 years old. The most prevalent EMS call types were medical (55%) and trauma (42%). The most common chief complaints were an injured or painful extremity (35%) and rash (13%). The most common USBP EMS provider primary impression was traumatic injury (34%), followed by fever/infection (17%) and extremity injury (7%); however, the most common secondary impression was also extremity injury (20%). The most common mechanism of injury was fall (26%) and motor vehicle accident (MVA; 22%). The USBP EMS was the first provider on scene in 96% of the MVAs.
The author reports on injury patterns, mechanisms, chief complaints, EMS impressions, as well as demographics of patients reporting to USBP EMS. A knowledge of these injury patterns will be useful to EMS administrators and physicians along the US Mexico border. Baker RA . Border injuries: an analysis of prehospital demographics, mechanisms, and patterns of injuries encountered by USBP EMS agents in the El Paso (Texas USA) Sector. Prehosp Disaster Med. 2017;32(4):431-436.
研究目的 本研究旨在评估美国边境巡逻队（USBP）在得克萨斯州埃尔帕索地区为民众提供援助时的紧急医疗服务（EMS）使用情况、损伤机制、院前评估及损伤情况。
这是一项对2014年2月6日至2016年2月6日期间在美国墨西哥边境埃尔帕索地区接受USBP紧急医疗服务的患者所有院前损伤数据进行的时间序列回顾性分析。
在这两年期间共记录了473次紧急医疗服务遭遇事件，其中男性占主导（男性63%；女性37%），最主要的年龄在22至40岁之间。最常见的紧急医疗服务呼叫类型是医疗（55%）和创伤（42%）。最常见的主要诉求是肢体受伤或疼痛（35%）和皮疹（13%）。USBP紧急医疗服务提供者最常见的初步诊断是创伤性损伤（34%），其次是发热/感染（17%）和肢体损伤（7%）；然而，最常见的二次诊断也是肢体损伤（20%）。最常见的损伤机制是跌倒（26%）和机动车事故（MVA；22%）。在96%的机动车事故中，USBP紧急医疗服务是现场的第一提供者。
作者报告了损伤模式、机制、主要诉求、紧急医疗服务诊断以及向USBP紧急医疗服务报告的患者的人口统计学特征。了解这些损伤模式对美国墨西哥边境的紧急医疗服务管理人员和医生将很有用。贝克·拉。边境损伤：对美国边境巡逻队紧急医疗服务人员在美国得克萨斯州埃尔帕索地区遇到的院前人口统计学、机制和损伤模式的分析。院前灾难医学。2017；32(4):431 - 436。
