Thomas F, Clemmer T P, Orme J F
Aviat Space Environ Med. 1985 Dec;56(12):1213-5.
Traumatized patients may be transported by a variety of aeromedical transport teams. Frequently, the skills of physicians, nurses, and paramedical personnel overlap. This study was undertaken to determine if nurses used on hospital aeromedical evaluation services perform advanced trauma life support (ATLS) procedures usually reserved for physicians. Forty-seven hospital programs responded to our questionnaire. Flight nurses on programs (26) in which physicians were frequently used were significantly (p less than 0.05) less likely to perform cricothyreotomy, esophageal obturator airway placement, oral intubations, and pericardiocentesis than flight nurses of programs (21) not using flight physicians. Except for cervical tong placement (p less than 0.05), central line placement (p less than 0.05), and the performance of saphenous vein cutdown (p less than 0.05), no differences were found in procedures performed by flight nurses of programs not using physicians and those performed by flight physicians. We conclude that flight nurse abilities are expanding into areas traditionally set aside for physicians in providing advanced trauma life support procedures on hospital aeromedical services. Future studies need to be performed to determine their success and complication rates.
创伤患者可能由各种航空医疗运输团队运送。通常，医生、护士和辅助医疗人员的技能存在重叠。本研究旨在确定在医院航空医疗评估服务中工作的护士是否会执行通常由医生进行的高级创伤生命支持（ATLS）程序。47个医院项目回复了我们的问卷。与不使用飞行医生的项目（21个）的飞行护士相比，经常使用医生的项目（26个）的飞行护士进行环甲膜切开术、食管阻塞气道放置、口腔插管和心包穿刺的可能性显著降低（p<0.05）。除了放置颈椎牵引钳（p<0.05）、中心静脉置管（p<0.05）和大隐静脉切开术（p<0.05）外，不使用医生的项目的飞行护士所执行的程序与飞行医生所执行的程序之间没有差异。我们得出结论，在医院航空医疗服务中提供高级创伤生命支持程序时，飞行护士的能力正在扩展到传统上为医生保留的领域。需要进行进一步研究以确定其成功率和并发症发生率。
