高原院前创伤应对小组的功效和成果。

IF 1.4 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Scottish Medical Journal Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI:10.1177/00369330241277895
Reuben Burgess, Tom Mallinson, Luke Regan
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引用次数: 0

摘要

背景和目的:苏格兰高地由于人口分散、多山地形、季节性天气以及与最近的主要创伤中心 (MTC) 相比更高的创伤负担,面临着独特的院前护理挑战,苏格兰创伤审计小组 (STAG) 强调了这一点。从现场到最近的指定 MTC 的初级公路/空中转运平均需要 1-5 个小时,这使得高地院前和院内资源的及时和知情利用变得至关重要--与英国其他大都会地区相比,在这些地区,大多数创伤患者的转运时间在 20-45 分钟之内。本文通过对高地院前即时护理和创伤(PICT)小组的患者报告表(PRFs)进行回顾性审查,回顾了高地院前即时护理和创伤(PICT)小组的创伤响应情况:方法和结果:分析结果表明,该小组在出诊性质和干预措施方面的创伤应对能力有所提高。分析结果表明,患者治疗效果呈改善趋势,高级镇痛和医疗外科干预措施的使用率有所提高,道路交通事故出诊和特定创伤出诊相对增加:结果凸显了苏格兰高地的创伤负担和 PICT 的附加价值,即提高了创伤应对能力并改善了治疗效果。尽管重大创伤的发生率和比例没有降低,但 PICT 团队的使用率可能会导致在紧急呼叫的后期阶段,在较窄地域范围内获得强化护理医生和高级医师团队服务的病人数量比以前更少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy and outcomes of a highland prehospital trauma response team.

Background and aims: The Scottish Highlands face unique prehospital care challenges due to population dispersity, mountainous terrain, seasonal weather, and higher trauma burden compared to the nearest Major Trauma Centres (MTCs) as highlighted by the Scottish Trauma Audit Group (STAG). Primary road/air transfer from scene to nearest designated MTC averages 1-5 hours, making prompt and informed utilisation of prehospital and in-hospital resources within the Highlands critical - comparative to other UK metropolitan regions where the trauma population majority lay within 20-45 minute transfer windows. This paper reviews the Highland pre-hospital immediate care and trauma (PICT) Team's trauma response through a retrospective review of PICT patient report forms (PRFs).

Methods and results: The analysis highlighted increased trauma response by the team in the nature of attended callouts and interventions utilised. Improving trends of patient outcomes, increased advanced analgesia and medico-surgical intervention utilisation, and relative increase of road traffic collision attendance and trauma-specific calls were noted.

Conclusion: Results highlight the Scottish Highlands' trauma burden and PICT's added value; with increased trauma response and improving outcomes. Despite the rate and ratio of major trauma not reducing PICT Team utilisation has, potentially led to fewer patients over narrower geography at later stages in emergency calls accessing the enhanced care doctor and advanced physician team than was achieved previously.

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来源期刊
Scottish Medical Journal
Scottish Medical Journal 医学-医学:内科
CiteScore
4.80
自引率
3.70%
发文量
42
审稿时长
>12 weeks
期刊介绍: A unique international information source for the latest news and issues concerning the Scottish medical community. Contributions are drawn from Scotland and its medical institutions, through an array of international authors. In addition to original papers, Scottish Medical Journal publishes commissioned educational review articles, case reports, historical articles, and sponsoring society abstracts.This journal is a member of the Committee on Publications Ethics (COPE).
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