PROCEDURES PERFORMED BY EMERGENCY MEDICAL SERVICES IN THE UNITED STATES
PROCEDURES PERFORMED BY EMERGENCY MEDICAL SERVICES IN THE UNITED STATES
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DOI：
10.3109/10903127.2015.1051682
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发表时间：
2016-01-02
影响因子：
2.4
通讯作者：
Wang, Henry E.
中科院分区：
文献类型：
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作者：
Carlson, Jestin N.;Karns, Christopher;Wang, Henry E.
紧急医疗服务（EMS）必须为院外环境中的患者提供广泛的护理。虽然以前的工作已经详细说明了EMS供应商很少执行某些程序，（例如，气管内插管），但在EMS提供商的实践范围内，详细说明手术频率的数据有限。我们试图描述EMS在美国进行的手术。我们对2011年国家紧急医疗服务信息系统（NEMSIS）研究数据集进行了分析，其中包括来自40个州和两个地区的EMS应急响应数据。根据这些数据，我们报告了EMS手术的数量和发生率。我们还描述了所执行的程序。有14，371，941份EMS回复，其中7，680，559份提供了关于成人手术的完整信息。其中，4，206，360例EMS响应进行了总计11，407，396例手术。最常见的手术是外周静脉入路（28.4%）、心脏监测（16.1%）、脉搏血氧测定（13.5%）和血糖分析（10.4%）。手术最常在创伤性损伤（20.0%）患者中进行，其次是胸痛/不适（14.0%）。关键手术（心脏复律、除颤、气管插管等）很少进行（n = 277，785，2.4%）。这些数据突出了EMS供应商在美国各地执行程序的频率。这可能有助于指导今后的环管系统培训和教育工作，突出具体程序的相对频繁和不频繁。
Emergency medical services (EMS) must provide a wide range of care for patients in the out-of-hospital setting. Although previous work has detailed that EMS providers rarely perform certain procedures, (e.g., endotracheal intubation) there are limited data detailing the frequency of procedures across the breadth of EMS providers' scope of practice. We sought to characterize procedures performed by EMS in the United States. We conducted an analysis of the 2011 National Emergency Medical Services Information System (NEMSIS) research data set, encompassing EMS emergency response data from 40 states and two territories. From these data, we report the number and incidence of EMS procedures. We also characterize procedures performed. There were 14,371,941 submitted EMS responses, of which 7,680,559 had complete information on procedures performed on adults. Of these, 4,206,360 EMS responses had procedures performed totaling 11,407,396 procedures. The most common procedures performed were peripheral venous access (28.4%), cardiac monitoring (16.1%) pulse oximetry (13.5%), and blood glucose analysis (10.4%). Procedures were performed most often in patients with traumatic injury (20.0%) followed by chest pain/discomfort (14.0%). Critical procedures (cardioversion, defibrillation, endotracheal intubation, etc.) were infrequently performed (n = 277,785, 2.4%). These data highlight the frequency with which EMS providers perform procedures across the United States. This may help to guide future EMS training and education efforts by highlighting the relative frequency and infrequency of specific procedures.