Lechleuthner A, Blomeyer R, Stirnberg E, Dieninghoff D
Institut für Notfallmedizin der Berufsfeuerwehr, Köln.
Z Arztl Fortbild Qualitatssich. 1998 Mar;92(2):113-8.
Guidelines for prehospital emergency care within the chain of rescue are recommended. At the scene, information about the patient and therapeutical tools are limited. Accidents and emergencies happen outside of hospitals and doctor's offices, while environmental factors and logistic problems strongly determine the rescue process. The sequence of interventions or the choice of the right hospital with specific triage criterias are only examples for these problems. There is only limited scientific evidence for therapies performed prehospitally. However, scientific material for the preparation of guidelines should be evaluated by using standardized criteria. The rules of evidence based medicine according to Cook are a practical way to evaluate and classify scientific material and to establish practical guidelines. In this paper, an 8-step-program is introduced to develop practical guidelines for the Emergency Medical Services Cologne.
建议制定救援链中的院前急救指南。在现场，关于患者的信息和治疗工具有限。事故和紧急情况发生在医院和医生办公室之外，而环境因素和后勤问题对救援过程有很大影响。干预措施的顺序或根据特定分诊标准选择合适的医院只是这些问题的例子。院前实施的治疗仅有有限的科学证据。然而，应使用标准化标准评估制定指南的科学材料。根据库克提出的循证医学规则是评估和分类科学材料以及制定实用指南的实用方法。本文介绍了一个八步程序，以制定科隆紧急医疗服务的实用指南。
