摘要
目的探讨提升大型创伤事故患者院前急救效率的方法。方法选择我中心2018年6月-2019年6月收治的42例创伤患者作为观察组,2017年6月-2018年5月收治的42例创伤患者作为对照组。对照组:常规处置。观察组:科学合理地运用美国国家灾难生命支持课程(NDLS)进行检伤分类,运用国际创伤生命支持课程(ITLS)进行伤员的快速全面查体及处置。对比2组院前急救效率指标、急诊科延续救治结果、检伤分类时间、向调度中心汇报并呼叫增援的时间。结果观察组院前明确诊断率高于对照组,急救与转运成功率高于对照组,差异显著(P<0.05);观察组急诊科抢救成功率为97.62%(41/42),高于对照组的76.19%(32/42),差异显著(P<0.05);观察组院前检伤分类时间、向调度中心汇报并呼叫增援的时间均短于对照组,差异显著(P<0.05)。结论使用NDLS及ITLS方法流程能够有效提升大型创伤事故患者院前急救效率,提高院前明确诊断率、急救与转运成功率,提高急诊科抢救成功率,缩短院前检伤分类时间、向调度中心汇报并呼叫增援时间,应用价值较高。
Objective To explore the methods to improve the efficiency of prehospital first aid for patients with large-scale trauma accidents.Methods 42 trauma patients who were treated in our center from June 2018 to June 2019 were selected as the observation group.42 trauma patients who were treated in our center from June 2017 to may 2018 were selected as the control group.Control group:routine treatment.Observation group:scientifically and reasonably use the method of national disaster life support course(ndls)to classify the wounded,and scientifically and reasonably use the method of international creative life support course(ITLS)to quickly and comprehensively examine and dispose the wounded.Analyze the collected data,and compare the efficiency index of pre hospital first aid using ndls and ITLS method flow and not using ndls and ITLS method flow,the result of continuous treatment in the emergency department,the time of injury classification,the time of reporting to the dispatching center and calling for reinforcements.Results The diagnosis rate of observation group was higher than that of control group,the success rate of first aid and transportation was higher than that of control group,the failure rate of first aid and transportation was lower than that of control group,the difference between the two groups was significant(P<0.05)zero point zero five The success rate of emergency rescue in the observation group was 97.62%(41/42)。 Conclusion the use of ndls and ITLS can effectively improve the efficiency of pre hospital first aid for patients with large-scale trauma accidents,improve the pre hospital diagnosis rate,the success rate of first aid and transfer,reduce the failure rate of first aid and transfer,improve the success rate of emergency department rescue,shorten the time of pre hospital injury classification,report to the dispatching center and call for reinforcements,which has high application value.
作者
曾嵘
王勇斌
王安红
谢大发
Zeng Rong;Wang Yongbin;Wang Anhong(The Medical Emergency Center of Ganzhou City,Ganzhou,Jiangxi 341000)
出处
《基层医学论坛》
2020年第34期4925-4927,共3页
The Medical Forum
基金
赣州市卫生健康委员会科研计划项目(2019-2-45)。
