A survey of trauma alert criteria and handover practice in England and Wales
A survey of trauma alert criteria and handover practice in England and Wales
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DOI：
10.1136/emj.2006.038323
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发表时间：
2007-04-01
影响因子：
3.1
通讯作者：
Porter, Keith
中科院分区：
文献类型：
--
作者：
Budd, Henry Robert;Almond, Lawrence Maximilian;Porter, Keith
简介：对创伤患者进行适当的警报和信息交接对于院前和医院团队之间的护理顺利过渡是必要的。目的：确定当前的做法和需要改进的领域，以促进从院前护理到急诊科复苏的过渡。方法：对英格兰和威尔士的 100 个急诊科和所有 32 个救护车服务信托机构进行问卷邮寄研究。结果：急诊科退回了 34 份 (34%) 完整的问卷，并且救护车信托基金返回了 16 份（50%）已完成的调查问卷。总体而言，56.8% 的急救人员表示创伤警报信息是通过救护车控制系统转发的，48.5% 的人表示警报消息是标准化的，18.5% 的人认为救护人员在警报期间使用了创伤严重程度评分系统。 64.7% 的受访者表示，已向创伤小组广播了交接情况，9.1% 的受访者经常收到数字摄影图像。所有救护车服务响应人员都将伤害机制纳入其警报标准，53.3% 使用标准移交结构，其中 86.7% 熟悉助记符 ASHICE（年龄、性别、历史、受伤、状况、预计到达时间）以实现快速信息传输。讨论：区域急救部门和救护车服务部门之间需要加强合作，以完善警报和移交流程，建立一条途径，让受过培训的人员收集重要信息，并在不失真的情况下传达给救护车服务人员复苏室，可用于为挽救生命做出决定。
Introduction: Appropriate alerting of patients with trauma and informative handover are necessary to allow a smooth transition of care between the prehospital and hospital teams.Aim: To identify current practice and areas that need to be improved to facilitate the transition from prehospital care to emergency department resuscitation.Methods: A questionnaire postal study of 100 emergency departments and all 32 ambulance service trusts in England and Wales.Results: Emergency departments returned 34 (34%) completed questionnaires, and ambulance trusts returned 16 (50%) completed questionnaires. In all, 56.8% of emergency department responders stated that trauma alert information was relayed through ambulance control, 48.5% stated that alert messages were standardised and 18.5% felt that ambulance crews used the trauma severity scoring system during alerting. 64.7% stated that handover was broadcast to the trauma team and 9.1% routinely received digital photographic images. All ambulance service responders included injury mechanism in their alerting criteria and 53.3% used a standard handover structure with 86.7% familiar with the mnemonic ASHICE ( Age, Sex, History, Injuries, Condition, Expected time of arrival) for rapid information transmission.Discussion: Greater cooperation between regional emergency departments and ambulance services is necessary to refine the alerting and handover process, producing a pathway through which vital information is collected by trained personnel and communicated without distortion to the resuscitation room, where it may be utilised to inform life-saving decisions.