瑞典创伤中心骨盆固定带的使用经验与可用性；一项全国性调查。
Experience and Availability of Pelvic Binders at Swedish Trauma Units; A Nationwide Survey.
作者信息
Bakhshayesh Peyman, Heljesten Sara, Weidenhielm Lars, Enocson Anders
机构信息
Department of Molecular Medicine and Surgery, Karolinska Institute, Sweden.
出版信息
Bull Emerg Trauma. 2018 Jul;6(3):221-225. doi: 10.29252/beat-060306.
OBJECTIVE
To assess availability, experience, and knowledge about the Pelvic Circumferential Compression Device (PCCD) in Sweden.
METHODS
A telephone interview with the current on-call trauma doctors at all trauma units in Sweden was conducted. After a short presentation and oral consent, the doctors were asked to answer four short questions. We asked the doctors to answer whether they knew if they had PCCDs available in their emergency room, how many times had they applied a PCCD, which is the correct level of application for a PCCD, and if a PCCD can stop arterial bleeding.
RESULTS
The on-call trauma doctors at the nine University hospitals, twenty-two General hospitals and twenty-one District General hospitals, with response rate of 100%, were interviewed. Availability of PCCD was 85 % and there was no difference between hospital types (=0.546). In all hospitals 29/52 (56%) of those interviewed had used a PCCD at least once. There were significantly more doctors that had used a PCCD at least once in the University hospitals (8/9), compared to General hospitals (13/22) and District General hospitals (8/21) (=0.034). A total of 43/52 (83 %) doctors defined the greater trochanters as the correct level of application for a PCCD. No difference was found when comparing hospitals (=0.208). Only 22/52 (42 %) of doctors answered that a PCCD could not stop an arterial bleeding. No difference was found between hospitals (=0.665).
CONCLUSION
Less than half of the doctors knew that a PCCD cannot stop arterial bleeding, while the majority knew the correct level of application of a PCCD.
目的
评估瑞典盆腔环形压迫装置（PCCD）的可用性、使用经验及相关知识。
方法
对瑞典所有创伤中心当前的值班创伤医生进行电话访谈。在简短介绍并获得口头同意后，要求医生回答四个简短问题。我们询问医生是否知道其急诊室有PCCD，他们使用过PCCD多少次，PCCD正确的应用部位是哪里，以及PCCD能否止住动脉出血。
结果
对九所大学医院、二十二所综合医院和二十一所地区综合医院的值班创伤医生进行了访谈，回复率为100%。PCCD的可用性为85%，不同医院类型之间无差异（P = 0.546）。在所有医院中，52名受访者中有29名（56%）至少使用过一次PCCD。与综合医院（13/22）和地区综合医院（8/21）相比，大学医院中至少使用过一次PCCD的医生明显更多（8/9）（P = 0.034）。共有43/52（83%）的医生将大转子定义为PCCD的正确应用部位。比较不同医院时未发现差异（P = 0.208）。只有22/52（42%）的医生回答PCCD不能止住动脉出血。不同医院之间未发现差异（P = 0.665）。
结论
不到一半的医生知道PCCD不能止住动脉出血，但大多数医生知道PCCD的正确应用部位。
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