Noack Eva Maria, Bramesfeld Anke, Schmid Sybille, Schröder Dominik, Müller Frank
Institut für Allgemeinmedizin, Universitätsmedizin Göttingen.
Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover.
Psychiatr Prax. 2024 Oct;51(7):367-375. doi: 10.1055/a-2310-5534. Epub 2024 May 29.
Characterization of medical emergencies of patients with psychiatric symptoms or in psychosocial crisis.
Analysis of emergency medical services (EMS) mission logs from four German EMS stations of patients aged 12-65 from 2019 to 2020.
23.4% of missions involved patients with psychiatric or psychosocial symptoms (1.6% psychotic, 3.0% suicidal, 7.1% psychosocial crisis, 15.7% intoxicated). On average, these patients were younger than those with other symptoms. 48.9% exhibited additional somatic complaints. The COVID-19 pandemic showed only little impact on the frequency of such emergencies.
Psychiatric and psychosocial symptoms account for a significant proportion of rescue missions in our sample. Managing psychiatric and psychosocial emergencies should be an integral part of the training of medical and paramedical staff.
对有精神症状或处于心理社会危机中的患者的医疗紧急情况进行特征描述。
分析2019年至2020年来自德国四个急救站的12至65岁患者的紧急医疗服务(EMS)任务记录。
23.4%的任务涉及有精神或心理社会症状的患者(1.6%为精神病性症状,3.0%为有自杀倾向,7.1%为心理社会危机,15.7%为中毒)。平均而言,这些患者比有其他症状的患者更年轻。48.9%的患者有其他躯体不适。新冠疫情对此类紧急情况的发生频率影响甚微。
在我们的样本中,精神和心理社会症状在救援任务中占相当大的比例。管理精神和心理社会紧急情况应成为医疗和准医疗人员培训的一个组成部分。