Kaczmarek C, Andruszkow H, Herren C, Pishnamaz M, Hildebrand F, Röhl A, Lichte P
Klinik für Unfall- und Wiederherstellungschirurgie, Uniklinik RWTH Aachen, Pauwelsstraße 30, 52074, Aachen, Deutschland.
St. Elisabeth-Krankenhaus Geilenkirchen, Geilenkirchen, Deutschland.
Med Klin Intensivmed Notfmed. 2021 May;116(4):339-344. doi: 10.1007/s00063-020-00675-2. Epub 2020 Apr 8.
In order to provide safe care to a patient in an emergency situation, it is useful to know something about the patient's previous medical conditions and medication. For this very reason smartphones have been equipped with so-called emergency apps (e.g. medical-ID, emergency-ID). The aim of our study was to find out whether the owners of smartphones are using the apps and whether medical professionals are trying to access this information.
We conducted a survey among patients in our outpatient clinic at a level one trauma center. We collected data over 3 months regarding the usage behavior of the aforementioned apps. We simultaneously asked emergency physicians at various hospitals about their experiences with these apps.
We were able to interview 192 patients and 103 emergency physicians. The emergency apps were unknown to 45% (n = 79) of the respondents; only 10% (n = 19) of the respondents had the app with data stored. Furthermore, it was found that a total of 21% (n = 41) of the persons carried a note on themselves with previous illnesses and medication. Of the surveyed physicians, 42% (n = 44) stated that they had heard of the app before; however, only 6% (n = 5) routinely searched the smartphone for relevant information in the case of nonresponsive patients. Only 14% of physicians (n = 14) have successfully used the app so far.
The collected data show that the emergency apps are still unknown to many patients and emergency physicians alike. Due to the low distribution it does not seem to be recommendable to search the smartphone for the apps in time-critical situations after accidents. For patients over 55 years of age, it currently seems more promising to search their wallets for information regarding their previous illnesses.
为了在紧急情况下为患者提供安全护理,了解患者以前的医疗状况和用药情况很有帮助。正是出于这个原因,智能手机配备了所谓的急救应用程序(如医疗身份识别、急救身份识别)。我们研究的目的是了解智能手机用户是否在使用这些应用程序,以及医疗专业人员是否试图获取这些信息。
我们在一家一级创伤中心的门诊对患者进行了一项调查。我们收集了3个月内有关上述应用程序使用行为的数据。我们同时询问了多家医院的急诊医生对这些应用程序的使用经验。
我们能够采访192名患者和103名急诊医生。45%(n = 79)的受访者不知道有急救应用程序;只有10%(n = 19)的受访者存储了应用程序中的数据。此外,发现共有21%(n = 41)的人随身携带记录有既往疾病和用药情况的纸条。在接受调查的医生中,42%(n = 44)表示他们以前听说过该应用程序;然而,只有6%(n = 5)的医生在患者无反应的情况下会常规地在智能手机上搜索相关信息。到目前为止,只有14%的医生(n = 14)成功使用过该应用程序。
收集到的数据表明,许多患者和急诊医生对急救应用程序仍然不了解。由于其普及率较低,在事故发生后的紧急情况下在智能手机上搜索这些应用程序似乎不太可取。对于55岁以上的患者,目前在他们的钱包中查找有关既往疾病的信息似乎更有成效。