To Out-of-hospital cardiac arrest(OHCA)is a major issue in emergency care worldwide.The incidence of OHCA is estimated to be 50 to 60 per 100,000 persons globally.Despite advances in treatment and technology,survival ...To Out-of-hospital cardiac arrest(OHCA)is a major issue in emergency care worldwide.The incidence of OHCA is estimated to be 50 to 60 per 100,000 persons globally.Despite advances in treatment and technology,survival following OHCA remains low.There are multiple factors affecting the survival outcome.The type of emergency medical service(EMS)system is likely to be one of them.In Asia,the EMS structure and its service capability in terms of dispatch,airway management,and medications vary widely between communities.This study aimed to evaluate the survival outcomes of OHCA in Beijing and Hong Kong(HK),China and the effect of the type of EMS system on the survival outcomes for patients with OHCA.展开更多
Purpose： To evaluate the performance of a prehospital trauma diversion system in Hong Kong, China. Methods： A retrospective analysis of prospectively collected data in the trauma registry of Queen Mary Hospital, Hon...Purpose： To evaluate the performance of a prehospital trauma diversion system in Hong Kong, China. Methods： A retrospective analysis of prospectively collected data in the trauma registry of Queen Mary Hospital, Hong Kong from I January 2009 to 31 December 2013 was done. All adult patients aged 18 years or above, either primarily or secondarily diverted to Queen Mary Hospital according to the trauma patient diversion protocol, were recruited. Need for trauma center level of care was based on a consensus-based criterion standard published in 2014. Performance of the protocol in terms of over-diversion and under-diversion was determined. Results： A total of 209 patients were included for analysis. About 30% of the patients required trauma center level of care. The most common reason was the need for vascular, neurologic, abdominal, thoracic, pelvic, spine or limb-conserving surgery within 24 h of presentation. The over-diversion rate and under-diversion rate were 69.6% and 19.7% respectively. Conclusion： The trauma patient diversion protocol currently in use in Hong Kong is not accurate enough. Further revision and refinement is needed.展开更多
文摘To Out-of-hospital cardiac arrest(OHCA)is a major issue in emergency care worldwide.The incidence of OHCA is estimated to be 50 to 60 per 100,000 persons globally.Despite advances in treatment and technology,survival following OHCA remains low.There are multiple factors affecting the survival outcome.The type of emergency medical service(EMS)system is likely to be one of them.In Asia,the EMS structure and its service capability in terms of dispatch,airway management,and medications vary widely between communities.This study aimed to evaluate the survival outcomes of OHCA in Beijing and Hong Kong(HK),China and the effect of the type of EMS system on the survival outcomes for patients with OHCA.
文摘Purpose： To evaluate the performance of a prehospital trauma diversion system in Hong Kong, China. Methods： A retrospective analysis of prospectively collected data in the trauma registry of Queen Mary Hospital, Hong Kong from I January 2009 to 31 December 2013 was done. All adult patients aged 18 years or above, either primarily or secondarily diverted to Queen Mary Hospital according to the trauma patient diversion protocol, were recruited. Need for trauma center level of care was based on a consensus-based criterion standard published in 2014. Performance of the protocol in terms of over-diversion and under-diversion was determined. Results： A total of 209 patients were included for analysis. About 30% of the patients required trauma center level of care. The most common reason was the need for vascular, neurologic, abdominal, thoracic, pelvic, spine or limb-conserving surgery within 24 h of presentation. The over-diversion rate and under-diversion rate were 69.6% and 19.7% respectively. Conclusion： The trauma patient diversion protocol currently in use in Hong Kong is not accurate enough. Further revision and refinement is needed.
