摘要
目的 通过对2021年通州急救中心站医防融合医生完成日常急救工作情况进行研究分析,探讨医防融合医生如何更好地开展院前急救,为今后医防融合工作的开展提供理论依据并积累经验。方法 回顾2021年2月—10月在北京急救中心通州急救站完成医防融合的13名医生(观察组)与同时间段通州急救中心站13名医生(对照组)的一般情况及出诊院前医疗运行情况,并进行对比分析。结果 观察组职称、学历高于对照组,入职时笔试成绩低于对照组,均有统计学差异(P<0.05)。两组医生执行急救任务的疾病谱分析排序差别不大,不同疾病之间所占比例无明显统计学差异(P>0.05)。心电图检查、心电监护、血糖检测、鼻导管吸氧、面罩吸氧、输液泵操作对照组较观察组明显偏高,同时对照组90 min任务超时占比较观察组明显增加,均有统计学差异(P<0.05)。静脉输液、止血包扎、骨折固定、心肺复苏(CPR)操作、气管插管、电除颤及简易呼吸器操作两组间无统计学差异(P>0.05)。两组2 min任务超时占比、救治率、急危重症救治成功率、心肺复苏操作率及心肺复苏成功率无统计学差异。结论 医防融合医生虽可在短期培训后胜任院前急救工作,但仍需做好培训和质控考核,以保证医防融合工作的顺利实施,为首都人民提供更加优质的医疗服务。
Objective To analyze the daily emergency work completed by medical and preventive fusion doctors at Tongzhou Emergency Center in 2021,and to explore how medical and preventive fusion doctors can better carry out pre hospital emergency care,so as to provide theoretical basis and accumulating experience for the future development of medical and preventive fusion work.Methods The general conditions and pre-hospital medical operation of the 13 doctors of medical and prevention fusion(observation group)between February and October in 2021 in the Tongzhou Emergency Center station and the 13 doctors(control group)in the Tongzhou Emergency Center station during the same period were reviewed and contrasted.Results The professional title and education level of the observation group were higher than those of the control group,and the written test scores at the time of entry were lower than those of the control group,with statistical differences(P<0.05).There was no significant difference in disease spectrum analysis ranking between the two groups of doctors performing emergency tasks,and there was no significant statistical difference in the proportion of different diseases.The control group showed a significant increase in electrocardiogram examination,electrocardiogram monitoring,blood glucose detection,nasal catheter oxygen inhalation,mask oxygen inhalation,and infusion pump operation compared to the observation group.At the same time,the proportion of 90 minute task overtime in the control group increased significantly compared to the observation group,with statistical differences(P<0.05).There was no statistically significant difference between the two groups in terms of intravenous infusion,hemostatic bandaging,fracture fixation,CPR procedure,tracheal intubation,defibrillation,and simple respirator operation.There was no statistically significant difference in the proportion of 2-minute task overtime,treatment rate,success rate of emergency and critical care,cardiopulmonary resuscitation procedure rate,and cardiopulmo
作者
丁玲
郑廉波
韩鹏达
DING Ling;ZHENG Lianbo;HAN Pengda(Beijing Emergency Medical Center,Beijing 100031,China)
出处
《中国急救复苏与灾害医学杂志》
2024年第4期436-440,共5页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
北京市高层次公共卫生技术人才建设项目(编号:学科骨干-02-10)。
关键词
院前急救
医防融合培训
急救质控考核
Pre-hospital first aid
Medical integration training
First aid quality control assessment
