Department of Otolaryngology - Head & Neck Surgery, Schulich School of Medicine & Dentistry, Western University, St. Joseph's Healthcare, 268 Grosvenor Street, London, ON, N6A 4V2, Canada.
Department of Surgery, Division of Otolaryngology - Head & Neck Surgery, University of British Columbia, Vancouver, BC, Canada.
J Otolaryngol Head Neck Surg. 2021 Feb 11;50(1):7. doi: 10.1186/s40463-020-00485-8.
To perform a needs assessment of epistaxis first-aid measures practiced by family physicians and Emergency Department (ED) staff in London, Ontario, Canada.
Paper-based multiple-choice questionnaires were distributed to participants. Participant recruitment was conducted in two parts: 1) 28 Emergency Medicine (EM) attending physicians, 21 resident physicians training in the ED, and 26 ED nurses were surveyed while on duty in the ED; 2) 27 family physicians providing walk-in or urgent care and attending a continuing medical education (CME) event were also surveyed. Respondents were asked to identify where to apply compression to the nose and how patients should be positioned during acute epistaxis.
Regarding where to apply compression, 19% of family physicians, 43% of EM physicians, 24% of residents, and 8% of ED nurses responded correctly. Regarding positioning, all groups responded similarly with 54-62% responding correctly. Twenty-one percent of emergency physicians, 19% of residents, 11% of family physicians, and 4% of nurses responded correctly to both questions.
Most family physicians, EM attending physicians, ED nurses, and residents could not correctly identify basic first-aid measures for acute epistaxis. This study identifies an area where knowledge is lacking and the potential for improvement in patient management and education.
对加拿大安大略省伦敦市家庭医生和急诊部（ED）工作人员实施的鼻衄急救措施进行需求评估。
采用纸质多项选择题问卷对参与者进行调查。参与者招募分两部分进行：1）28 名急诊医学（EM）主治医生、21 名在 ED 接受培训的住院医生和 26 名 ED 护士在 ED 值班时接受调查；2）27 名提供门诊或紧急护理的家庭医生和参加继续医学教育（CME）活动的家庭医生也接受了调查。受访者被要求识别在何处对鼻子进行按压以及在急性鼻出血期间患者应如何定位。
关于在哪里进行按压，19%的家庭医生、43%的 EM 医生、24%的住院医生和 8%的 ED 护士回答正确。关于定位，所有组的回答都相似，正确回答的比例为 54-62%。21%的急诊医生、19%的住院医生、11%的家庭医生和 4%的护士对这两个问题的回答都是正确的。
大多数家庭医生、EM 主治医生、ED 护士和住院医生无法正确识别急性鼻出血的基本急救措施。本研究确定了一个知识匮乏的领域，有可能改善患者管理和教育。
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