Thompson S J, Schriver J A
Department of Emergency Medicine, Oregon Health Sciences University, Portland 97201.
J Emerg Med. 1984;1(5):421-8. doi: 10.1016/0736-4679(84)90205-1.
All field paramedic/patient encounters requiring advanced life support management in Multnomah County, Oregon, required radio/telephone communications with the emergency department physicians of the county's single medical resource hospital for a period of 6 months. A survey of these communications (compliance estimated to be 75% to 80%) demonstrated that paramedics established contact during management or transport in one-half of instances and after transport in the remainder. Consultation was estimated to be helpful in 12% to 17% of cases and of critical importance rarely. Additional benefits were seen in hospital notification, education, and as an adjunct to the medical record; and the concept of a single centralized resource hospital was established in this community.
在俄勒冈州马尔特诺马县，所有需要高级生命支持管理的现场护理人员/患者接触情况，在6个月的时间里都需要与该县唯一医疗资源医院的急诊科医生进行无线电/电话通信。对这些通信的一项调查（合规率估计为75%至80%）表明，护理人员在一半的情况下是在管理或转运期间建立联系的，其余情况是在转运后建立联系的。据估计，会诊在12%至17%的病例中有所帮助，很少具有至关重要的意义。在医院通知、教育以及作为病历的辅助方面还发现了其他益处；并且在这个社区确立了单一集中资源医院的概念。
