Hunie Metages, Desse Tiruwork, Fenta Efrem, Teshome Diriba, Gelaw Moges, Gashaw Amanu
Department of Anesthesia, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Internal Medicine, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Open Access Emerg Med. 2020 Dec 1;12:435-440. doi: 10.2147/OAEM.S285695. eCollection 2020.
Emergency drugs and essential equipment are important to successfully manage patients in the intensive care unit (ICUs). The absence of these emergency drugs and essential equipment might result in mortality and morbidity which is more compounded in resource-limited settings. This study aims to assess the availability of emergency drugs and essential equipment in ICUs in hospitals in Ethiopia.
A cross-sectional descriptive study design was employed in the intensive care unit of nine Amhara regional state hospitals in Ethiopia. This study was done from August 01, 2020, to September 01, 2020. The data were collected using a structured questionnaire, which were adopted from the Emergency Medicine Society of South Africa (EMSSA) guidelines. Tables and narration were used to describe results.
There were deficiencies of essential emergency items particularly in the pediatrics domain, devices to confirm tracheal intubation and equipment for managing difficult intubation. Emergency drugs like adrenaline, salbutamol puff, atropine, aspirin, furosemide, hydrocortisone, insulin, lidocaine, and medical oxygen were available in all ICUs, whereas amiodarone, sodium bicarbonate, glucagon, ipratropium nebulization, thiamine were not available in all ICUs.
There were considerable deficiencies in emergency drugs and essential equipment. Based on our findings, we recommend to develop standardized checklists, regular audits, and healthcare personnel awareness program to improve checking, maintaining, restocking, and repairing the equipment in the emergency trolley.
急救药物和基本设备对于重症监护病房（ICU）成功救治患者至关重要。在资源有限的环境中，缺乏这些急救药物和基本设备可能会导致死亡率和发病率上升。本研究旨在评估埃塞俄比亚医院ICU中急救药物和基本设备的可用性。
采用横断面描述性研究设计，对埃塞俄比亚阿姆哈拉地区9家医院的重症监护病房进行研究。本研究于2020年8月1日至2020年9月1日进行。数据通过结构化问卷收集，该问卷采用了南非急诊医学协会（EMSSA）的指南。使用表格和叙述来描述结果。
基本急救物品存在短缺，特别是在儿科领域，气管插管确认设备和困难插管处理设备不足。所有ICU都有肾上腺素、沙丁胺醇气雾剂、阿托品、阿司匹林、呋塞米、氢化可的松、胰岛素、利多卡因和医用氧气等急救药物，而并非所有ICU都有胺碘酮、碳酸氢钠、胰高血糖素、异丙托溴铵雾化剂、硫胺素。
急救药物和基本设备存在相当大的短缺。根据我们的研究结果，我们建议制定标准化检查表、定期审计以及医护人员意识提升计划，以改善急救推车上设备的检查、维护、补货和维修。
