Innovations in point-of-care testing for enhanced United States disaster caches.
Innovations in point-of-care testing for enhanced United States disaster caches.
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DOI：
10.5055/ajdm.2013.0125
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发表时间：
2013-01-01
影响因子：
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通讯作者：
Kost, Gerald J
中科院分区：
文献类型：
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作者：
Curtis, Corbin M;Louie, Richard F;Kost, Gerald J
目的：描述、创新、推荐和促进灾难缓存中的即时护理（POC）测试的实施，以提高危机护理标准，并改善复杂紧急情况和灾难中受害者和志愿者的分类、诊断、监测、治疗和管理。设计和设置：作者将美国灾难缓存中的POC测试与商业可用的POC测试进行了比较，以增强缓存并反映当前的状态。艺术诊断能力。作者还提供了建议的基础上，从新开发的POC技术从加州大学戴维斯分校床旁技术Center.RESULTS：目前，美国POC检测缓存包括化学/电解质，怀孕，血红蛋白，心脏生物标志物，血液学，粪便潜血，药物滥用，肝功能，血气，和有限的传染病的文献综述和知识。现有的心脏生物标志物、血液学和感染性疾病的POC检测的缺陷应该消除。POC资源可以根据地理位置和潜在的传染病针对流行病、复杂的紧急情况或灾害进行定制。此外，新型热稳定容器可以帮助缓解导致测试质量下降的环境压力。结论：POC技术的创新可以通过增强诊断能力来改善响应准备。i-STAT Wireless、OraQuick ADVANCE HIV-1/2、VereTrop Lab-on-a-Chip和新的紧凑型血液分析仪等几项创新将改善测试集群，促进美国国家灾害响应期间的循证决策和危机护理标准。此外，应在全球统一战略资源和操作人员培训，以提高国际反应的效率。
OBJECTIVE: To describe, innovate, recommend, and foster the implementation of point-of-care (POC) testing in disaster caches to enhance crisis standards of care and to improve triage, diagnosis, monitoring, treatment, and management of victims and volunteers in complex emergencies and disasters.DESIGN AND SETTINGS: The authors compared POC testing in United States disaster caches to commercially available POC testing to enhance the caches and to reflect current state-of-the-art diagnostic capabilities. The authors also provided recommendations based on literature review and knowledge from newly developed POC technologies from the UC Davis Point-of-Care Technologies Center.RESULTS: Presently, US POC testing caches comprise chemistry/electrolytes, pregnancy, hemoglobin, cardiac biomarkers, hematology, fecal occult blood, drugs of abuse, liver function, blood gases, and limited infectious diseases. Deficiencies with existing POC tests for cardiac biomarkers, hematology, and infectious diseases should be eliminated. POC resources can be customized for pandemics, complex emergencies, or disasters based on geographic location and potential infectious diseases. Additionally, a new thermally stabilized container can help alleviate environmental stresses that reduce test quality.CONCLUSIONS: Innovations in POC technologies can improve response preparedness with enhanced diagnostic capabilities. Several innovations, such as the i-STAT Wireless, OraQuick ADVANCE HIV-1/2, VereTrop Lab-on-a-Chip, and new compact hematology analyzers will improve test clusters that facilitate evidence-based decision making and crisis standards of care during US national disaster responses. Additionally, strategic resources and operator training should be globally harmonized to improve the efficiency of international responses.