Study Of Consciousness Assessment Via Simulated Emergency Calls By Citizen Volunteers
スポンサーリンク
概要
- 論文の詳細を見る
Background: Emergency call triage (ECT) is a cornerstone in establishing medical regulations that ensure efficient transport for victims and the availability of out-of-hospital emergency medical teams including attending physicians. ECT itself must be recognized as a part of medical control. Quick identification of the consciousness level, pulse, and respiration is essential for adequate ECT. This report discusses a role-play study of emergency calls with citizen volunteers and analysis for risk factors in failed telephone communication to confirm patient consciousness. Method: Six physicians played emergencypatients, and 84 citizen volunteers--13 men and 71 women with an average age of 50 [95% CI: 46-53] years--were enrolled. Simulated medical dispatchers directed and assessed patients' consciousness by telecommunication. Telecommunication was evaluated as successful by monitoring voice and television simultaneously. Results: Communication (%) (successful telecommunication/all evaluated telecommunications) was 70.6% (72/102) for patient consciousness. In a consciousness-disturbance setting, callers used initial expressions without patients' complaints more frequently than in a normal setting. Communication for consciousness status was significantly lower than in a normal setting. The risk factor for failed telecommunications was the expression pattern of interrogation by medical dispatchers, which included "Please confirm to check..." Concrete orders for how to check without vagueness contributed to better successful telecommunication. Conclusion: To establish an ECT protocol in Japanese, these results showed the need for individual responses based on classification of the caller's initial expressions, and concrete and nonvague expression patterns of interrogation. Interrogation items should also be clarified.
- 一般社団法人 日本救急医学会の論文
一般社団法人 日本救急医学会 | 論文
- Emergency Endovascular Repair for a Ruptured Abdominal Aortic Aneurysm Patient
- Degree of injury severity of the traffic accident autopsy cases.
- タイトル無し
- The Effect of Antithrombin III on Cytokine Production in Endotoxemic Rats.
- Antithrombin III Effects on the Production of Vasoactive Substances in Endotoxemic Rats.