지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Purpose: Effective time management, as well as life-saving care, are important in maximizing the prognosis of patients who have sustained major traumas. This study evaluated the appropriateness of emergency medical system (EMS) provider’s essential care and how this care impacted on-scene time in patients with major traumas. Methods: This retrospective observational study analyzed the EMS major trauma documents, classified according to the physiological criteria (Glasgow coma scale <14, systolic blood pressure <90mmHg, Respiration rate <10 or >29) in Daejeon, from January, 2015 to December, 2018. Results: Of the 707 major trauma cases, the mean on-scene time was 7.75±4.64 minutes. According to EMS guidelines, essential care accuracy was 67.5% for basic airway, 36.4% for advanced airway, 91.2% for cervical collar, 81.5% for supplemental oxygen, 47.0% for positive pressure ventilation, 19.9% for intravenous access and fluid administration, and 96.0% for external hemorrhage control. Factors affecting on-scene time were positive pressure ventilation (p<.004), and intravenous access and fluid administration (p<.002). Conclusion: Adherence to guidelines was low during advanced airway procedures, positive pressure ventilation, intravenous access, and fluid administration. In addition, the on-scene time was prolonged when the practitioner provided positive pressure ventilation, intravenous access, and fluid administration; however, these durations did not exceed the recommended 10 minutes.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Cowley RA / 1975 / A total emergency medical system for the state of Maryland / Md State Med J 45:37~45
Rogers FB / 2015 / The golden hour in trauma : dogma or medical folklore? / Injury 46(4):525~527
Brown J / 2016 / Not all prehospital time is equal : influence of scene time on mortality / J Trauma Acute Care Surg 81(1):93~100
Pham H / 2017 / Faster on-scene times associated with decreased mortality in Helicopter Emergency Medical Services(HEMS)transported trauma patients / Trauma Surg Acute Care Open 2(1):e000122
McCoy CE / 2013 / Emergency medical services out-of-hospital scene and transport times and their association with mortality in trauma patients presenting to an urban level I trauma center / Ann Emerg Med 61(2):167~174
Rogers FB / 2015 / The golden hour in trauma : dogma or medical folklore? / Injury 46(4):525~527
Brown J / 2016 / Not all prehospital time is equal : influence of scene time on mortality / J Trauma Acute Care Surg 81(1):93~100
Pham H / 2017 / Faster on-scene times associated with decreased mortality in Helicopter Emergency Medical Services(HEMS)transported trauma patients / Trauma Surg Acute Care Open 2(1):e000122
McCoy CE / 2013 / Emergency medical services out-of-hospital scene and transport times and their association with mortality in trauma patients presenting to an urban level I trauma center / Ann Emerg Med 61(2):167~174
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
The Complexities of Intravenous Fluid Research: Questions of Scale, Volume, and Accumulation
Acute and Critical Care
2016 .01
-
원주세브란스기독병원 응급실로 내원한 0 - 15세 어린이의 치과적 외상에 관한 후향적 분석
대한소아치과학회지
2017 .01
-
공동주택 내의 기계환기 설비에 따른 라돈농도 평가
한국환경보건학회지
2021 .08
-
Effects of small tidal volume and positive end-expiratory pressure on oxygenation in pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation
영남의대학술지
2018 .01
-
The effects of Virtual-reality (VR) based education for core nursing skills of injection of intravenous fluid on practical immersion, and problem-solving
한국간호교육학회 학술대회
2024 .07
-
Effect of virtual reality simulation based on core fundamental nursing skills intravenous fluid infusion
성인간호학회 학술대회
2022 .08
-
외상환자에 대한 손상 중증도 점수체계와 국내 외상성과 연구
Journal of Acute Care Surgery
2016 .01
-
연령대별 사망 중증외상환자의 특성 비교
한국응급구조학회지
2023 .04
-
Could the unexpected excessive airway pressure be caused by water in the ventilator circuit?: a case report
Medical Biological Science and Engineering
2019 .01
-
[Trauma / Critical Care / Emergency Surgery] Outcomes: High Flow Nasal Cannula Followed by Mechanical Ventilation vs Mechanical Ventilation Alone
대한외과학회 학술대회 초록집
2022 .11
-
급성 호흡부전의 치료: 침습적 기계환기
대한의사협회지
2022 .03
-
외상성 및 비외상성 병원밖 심정지 환자의 병원전 처치율 비교
대한응급의학회지
2019 .01
-
경미한 외상이 경추 척수병증 환자의 수술 결과에 미치는 영향
대한척추외과학회지
2015 .01
-
외상 환자의 수액 치료
대한골절학회지
2023 .04
-
급성 뇌졸중 의심 환자의 병원 전 지연 원인 분석
한국응급구조학회지
2020 .01
-
외상환자 중증도 분류에 있어 병원전단계와 병원단계의 RTS (Revised trauma score) 비교
Journal of trauma and injury : JTI
2015 .01
-
폐쇄성수면무호흡증에서 우울 증상이 양압기 치료의 효과와 순응도에 미치는 영향
생물치료정신의학
2021 .10
-
Current trends in intravenous sedative drugs for dental procedures
Journal of dental anesthesia and pain medicine
2016 .01
-
응급구조(학)과 학생의 전공만족도 관련 요인에 관한 연구
한국응급구조학회지
2023 .04
이 논문의 저자 정보
최근 본 자료
댓글(0)
0