农村紧急医疗服务系统中的院前手术气道管理技能
Prehospital Surgical Airway Management Skills in a Rural Emergency Medical Service System.
作者信息
Risavi Brian L, Carlson Jestin, Reese Erin M, Raleigh Aaron, Wallis Jordan
机构信息
Emergency Medicine, Lake Erie College of Osteopathic Medicine, Erie, USA.
Emergency Medicine, Allegheny Health Network, Erie, USA.
出版信息
Cureus. 2023 Jul 14;15(7):e41864. doi: 10.7759/cureus.41864. eCollection 2023 Jul.
BACKGROUND
The objective of this study is to describe the education, training, and use of prehospital surgical airways in a rural Emergency Medical Service (EMS) system.
MATERIALS AND METHODS
We conducted an internet-based survey instrument of all advanced life support (ALS) EMS agencies in a seven-county rural EMS system in Pennsylvania. ALS agencies were queried regarding basic demographic information as well as the number of surgical airways performed in the previous 10 years as well as the education and training of EMS providers in surgical airways.
RESULTS
The survey was completed by 11 of 20 ALS EMS agencies in our region (55% rate of return). The content and frequency of training varied considerably among EMS agencies. Only four prehospital surgical airways were performed during the study period. One patient survived to hospital discharge to home.
CONCLUSION
Surgical airways are an infrequently performed procedure in the rural prehospital setting. There is no universally accepted standard for teaching or evaluating the competency of this potentially life-saving procedure. Further efforts to establish a core educational curriculum appear warranted.
背景
本研究的目的是描述农村紧急医疗服务（EMS）系统中院前手术气道的教育、培训和使用情况。
材料与方法
我们对宾夕法尼亚州一个七县农村EMS系统中的所有高级生命支持（ALS）EMS机构进行了一项基于互联网的调查。询问了ALS机构的基本人口统计信息，以及过去10年中进行的手术气道数量，以及EMS提供者在手术气道方面的教育和培训情况。
结果
我们地区20个ALS EMS机构中有11个完成了调查（回复率为55%）。EMS机构之间培训的内容和频率差异很大。在研究期间仅进行了4例院前手术气道操作。1例患者存活至出院回家。
结论
手术气道在农村院前环境中是一种不常进行的操作。对于这种可能挽救生命的操作，目前尚无普遍接受的教学或评估能力的标准。似乎有必要进一步努力建立核心教育课程。
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