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本文引用的文献

1
How do paramedics learn and maintain the skill of tracheal intubation? A rapid evidence review.护理人员如何学习并维持气管插管技能?一项快速证据综述。
Br Paramed J. 2018 Sep 1;3(2):8-15. doi: 10.29045/14784726.2018.09.3.2.7.
2
Paramedic Intubation Experience Is Associated With Successful Tube Placement but Not Cardiac Arrest Survival.护理人员插管经验与插管成功相关,但与心脏骤停存活无关。
Ann Emerg Med. 2017 Sep;70(3):382-390.e1. doi: 10.1016/j.annemergmed.2017.02.002. Epub 2017 Mar 25.
3
Paramedic Exposure to Out-of-Hospital Cardiac Arrest Resuscitation Is Associated With Patient Survival.护理人员参与院外心脏骤停复苏与患者存活相关。
Circ Cardiovasc Qual Outcomes. 2016 Mar;9(2):154-60. doi: 10.1161/CIRCOUTCOMES.115.002317. Epub 2016 Jan 26.
4
Airway management and out-of-hospital cardiac arrest outcome in the CARES registry.CARES注册研究中的气道管理与院外心脏骤停结局
Resuscitation. 2014 May;85(5):617-22. doi: 10.1016/j.resuscitation.2014.02.007. Epub 2014 Feb 18.
5
Advanced airway management does not improve outcome of out-of-hospital cardiac arrest.高级气道管理并不能改善院外心脏骤停的预后。
Acad Emerg Med. 2010 Sep;17(9):926-31. doi: 10.1111/j.1553-2712.2010.00829.x.
6
Field intubation of patients with cardiac arrest: a dying art or just a question of timing?
Emerg Med J. 2011 Feb;28(2):171-2. doi: 10.1136/emj.2010.097808. Epub 2010 Jul 26.
7
Tracheal intubation by paramedics under limited indication criteria may improve the short-term outcome of out-of-hospital cardiac arrests with noncardiac origin.在有限的适应证标准下,急救人员进行气管插管可能会改善非心源性院外心脏骤停的短期预后。
J Anesth. 2010 Oct;24(5):716-25. doi: 10.1007/s00540-010-0974-6. Epub 2010 Jun 25.
8
A meta-analysis of prehospital airway control techniques part I: orotracheal and nasotracheal intubation success rates.一项关于院前气道控制技术的荟萃分析 第一部分:经口和经鼻插管的成功率。
Prehosp Emerg Care. 2010 Jul-Sep;14(3):377-401. doi: 10.3109/10903121003790173.
9
A critical reassessment of ambulance service airway management in prehospital care: Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, June 2008.对院前急救中救护车服务气道管理的批判性再评估:皇家学院联合救护车联络委员会气道工作组,2008 年 6 月。
Emerg Med J. 2010 Mar;27(3):226-33. doi: 10.1136/emj.2009.082115.
10
The College of Paramedics (British Paramedic Association) position paper regarding the Joint Royal Colleges Ambulance Liaison Committee recommendations on paramedic intubation.护理人员学院(英国护理人员协会)关于皇家联合学院救护联络委员会对护理人员插管建议的立场文件。
Emerg Med J. 2010 Mar;27(3):167-70. doi: 10.1136/emj.2009.088443.

共识声明:护理人员安全有效插管的框架

Consensus statement: a framework for safe and effective intubation by paramedics.

作者信息

Gowens Paul, Aitken-Fell Paul, Broughton Will, Harris Liz, Williams Julia, Younger Paul, Bywater David, Crookston Colin, Curatolo Lisa, Edwards Tim, Freshwater Els, House Matt, Jones Andy, Millins Mark, Pilbery Richard, Standen Simon, Wiggin Christian

机构信息

College of Paramedics.

Scottish Ambulance Service.

出版信息

Br Paramed J. 2018 Jun 1;3(1):23-27. doi: 10.29045/14784726.2018.06.3.1.23.

DOI:10.29045/14784726.2018.06.3.1.23
PMID:33328802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7706753/
Abstract

This consensus statement provides profession-specific guidance in relation to tracheal intubation by paramedics - a procedure that the College of Paramedics supports. Tracheal intubation by paramedics has been the subject of professional and legal debate as well as crown investigation. It is therefore timely that the College of Paramedics, through this consensus group, reviews the available evidence and expert opinion in order to prevent patient harm and promote patient safety, clinical effectiveness and professional standards. It is not the purpose of this consensus statement to remove the skill of tracheal intubation from paramedics. Neither is it intended to debate the efficacy of intubation or the effect on mortality or morbidity, as other formal research studies will answer those questions. The consensus of this group is that paramedics can perform tracheal intubation safely and effectively. However, a safe, well-governed system of continual training, education and competency must be in place to serve both patients and the paramedics delivering their care.

摘要

本共识声明提供了护理人员进行气管插管方面的专业特定指导——护理人员学院支持这一操作。护理人员进行气管插管一直是专业和法律辩论以及官方调查的主题。因此,护理人员学院通过这个共识小组及时审查现有证据和专家意见,以防止患者受到伤害,并促进患者安全、临床有效性和专业标准。本共识声明的目的不是取消护理人员进行气管插管的技能。也无意辩论插管的有效性或对死亡率或发病率的影响,因为其他正式研究将回答这些问题。该小组的共识是,护理人员可以安全有效地进行气管插管。然而,必须建立一个安全、管理完善的持续培训、教育和能力体系,以服务于患者和提供护理的护理人员。