伊朗院前医疗服务模式；一项横断面研究。
The Pattern of Pre-hospital Medical Service Delivery in Iran; a Cross Sectional Study.
作者信息
Haddadi Mashyaneh, Sarvar Mohammad, Soori Hamid, Ainy Elaheh
机构信息
Disaster and Emergency Management Center, Ministry of Health and Medical Education, Tehran, Iran.
Safety Promotion and Injury Prevention Research Center of Shahid Beheshti University of Medical Sciences, Research affair Department, Tehran, Iran.
出版信息
Emerg (Tehran). 2017;5(1):e57. Epub 2017 Feb 19.
INTRODUCTION
Pre-hospital emergency systems provide service by Franco-German and Anglo American models. This study was carried out to compare the Iranian emergency medical service (EMS) with the two models regarding timing and equipment.
METHODS
In this cross sectional study, response time, scene time, and transport time to hospital as well as ambulance equipment of five hundred thousand Tehran EMS recorded missions, during one year, were compared with Franco-German and Anglo American models, trying to determine the pattern of EMS delivery in Iran.
RESULTS
The mean response time, scene time, and transport time to hospital were 15.00 ±10.88, 18 ±11.48, and 15.00 ±11.20 minutes, respectively. The mean response time (p<0.035), scene time (p<0.033), and transport time to hospital (p<0.015) were more than the standard time. Percentage of ambulances quipped with automated external defibrillator (45%, p<0.001), ventilator (2%, p<0.001), disposable splint (0%, p<0.001), and wheelchair (0%, p<0.001) were very far from standards.
CONCLUSION
The pattern of EMS delivery in Iran was a combination of Anglo American and Franco-German system.
引言
院前急救系统按法德模式和英美模式提供服务。本研究旨在就时间安排和设备方面，将伊朗的紧急医疗服务（EMS）与这两种模式进行比较。
方法
在这项横断面研究中，将德黑兰EMS一年内记录的五十万次任务的响应时间、现场时间、送往医院的转运时间以及救护车设备，与法德模式和英美模式进行比较，试图确定伊朗紧急医疗服务的模式。
结果
平均响应时间、现场时间和送往医院的转运时间分别为15.00±10.88分钟、18±11.48分钟和15.00±11.20分钟。平均响应时间（p<0.035）、现场时间（p<0.033）和送往医院的转运时间（p<0.015）均超过标准时间。配备自动体外除颤器的救护车比例（45%，p<0.001）、呼吸机（2%，p<0.001）、一次性夹板（0%，p<0.001）和轮椅（0%，p<0.001）与标准相差甚远。
结论
伊朗紧急医疗服务的模式是英美模式和法德模式的结合。
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