急诊留观病人健康教育

目的：探讨急诊留观病人健康教育的方法及效果。方法研究选取了2014年8月～2015年7月收治的126例急诊留观患者作为研究对象,将126例患者随机分为对照组和观察组,每组各63例,对照组患者采用常规健康教育,观察组患者在对照组的基础上采用一体化健康教育。结果观察组患者的健康教育的认知率为96．8％,较对照组的77．8％显著提高（ P＜0．05）。观察组患者的护理总满意率为98．4％,较对照组的85．7％显著提高（ P＜0．05）。结论一体化健康教育应用于急诊留观病人具有良好效果,值得推荐。     

风险护理对急诊留观患者护理不良事件及护理质量的影响研究

目的 研究风险护理对急诊留观患者护理不良事件及护理质量的影响.方法 选择2018年8月-2019年8月收入的150例急诊留观患者,按照随机数字表法分为两组均75例,其中对照组实施常规护理措施,研究组实施风险护理,观察两组患者不良事件情况、护理质量.结果 护理前两组生活质量评分无差异,P＞0.05;研究组用药错误0.00...     

南方毒蛇伤的流行病学特点及急诊救治

我国南方气候条件适合蛇类繁衍,毒蛇的种类及数量居全国之冠,如广州地区每年蛇伤者约１３０００人,蛇伤的发生具有突发性,病情发展快,常常引起人体脏器损伤,轻者肢体伤残、重者则造成死亡。我区几家部队中心医院每年有２１００人（指战员）在野外军训作业中被毒蛇咬...     

急诊创伤患者临床数据特征分析

急诊创伤患者具有病情复杂、高病死率和高致残率的特点,创伤患者在急诊救治过程中,会产生大量有价值的动态数据,随着医疗单位信息化体系建设的不断完善和大数据、人工智能等一批新技术的出现,为基于创伤数据的临床基础与应用研究提供技术支撑[1].本文回顾性分析2019 年1月—2020年12月解放军总医院第一医学中心急诊门诊诊断包含"伤"或"骨折"等创伤患者的临床资料,从性别、年龄、分诊科室分布、就诊人数季节性变化以及抢救间的患者数据进行统计分析,结合创伤患者的救治路径分析创伤数据临床特点及数据分析的可行性,为致伤机制研究及伤情快速诊断、个性化治疗相关研究提供参考.     

军队中小型医院的门诊急诊护理管理

门诊急诊室是医院的窗口,工作的好坏,服务态度的优劣,医疗护理技术的高低,工作安排得当否,不仅直接影响护理质量,而且影响医院的社会声誉。为此,必须抓住门诊急诊工作的特点,加强对门诊急诊的护理管理。 我军中、小型医院的门诊部一般只设急诊室,实行24 h应诊制和首诊负责制,有较完善的急诊抢救组织机构,配以护理理论和技术水     

急危重症留观患者的特点及护理对策

急症留院观察患者具有病情复杂且危重、病情发展瞬息万变、患者流动随机性大、病室易增加医院感染危险因素等特点,本文结合急症留观患者的病情特点提出了不断优化急诊护士素质,合理调配急诊护理力量,注重提高急诊护理质量,积极预防医院感染的护理对策。     

昆明地区1538例儿童急诊创伤患者流行病学分析

目的 研究昆明市儿童急诊创伤患者流行病学特征,为降低儿童创伤发生率以及合理制定医疗方针提供依据.方法 回顾性分析2019年9月—2020年8月昆明市儿童医院收治的1538例创伤儿童患者的临床资料,从儿童年龄、性别、致伤原因、主要损伤部位及创伤严重程度等方面进行分析,将致伤原因分为跌倒伤、道路交通伤、高处坠落伤、机械锐器...     

大型综合性医院急性中毒患者的流行病学特点

目的 研究大型综合性医院急性中毒患者的流行病学特点.方法 采用前瞻性研究方法,对2005年1月～2006年12月在急诊科就诊的急性中毒患者的性别、年龄、职业、中毒时间、中毒原因、毒物种类、毒物侵入途径、急诊诊断、急诊处理情况、转归等进行调查分析.结果 急性中毒患者共315例,占急诊患者总数的2.33‰,男女比为1∶0.84,主要集中于20～29岁年龄组(占35.9%);毒物种类以酒精为主(占38.4%),其他依次为药物、食物、其他化学物质、农药中毒等;中毒时间呈无规律性波动,以1～2月、6～7月和11～12月相对较多;毒物进入人体最常见的途径是经消化道摄入(占85.1%);中毒患者的职业以专业技术人员为主(占21.0%),其他依次为农民及民工、个体业者、家务及无业人员等;98.1%患者治愈出院,1.9%死亡.结论 青年人与专业技术人员是大城市急性中毒的高危人群,毒物种类以酒精、药物、食物和其他化学物质等为主,中毒途径主要为消化道摄入,中毒季节无明显规律性.     

优质护理服务在骨科留观病区的应用

我院骨科是全军骨科创伤研究所,现有手术病区8个,床位320张。因科室医疗技术先进,吸引了大量周边群众前来就诊,2012年度门诊量达85 164人次,入院量达11 362人次,手术9835台次。大量的就诊患者与有限的床位之间存在着极大的矛盾,不仅增加了病房的收治压力,给患者也带来了心理和经济方面的负担。为缓解患者住院困难,减少术前待床日,现有的住院治疗模式已经不能完全满足患者的需     

武警某院急诊科抗菌药物处方分析

 目的 了解武警某院急诊科抗菌药物的使用情况。方法 提取急诊科2015年下半年的处方,遴选出使用抗菌药物(除去眼膏、外用膏药及中成药)的处方。对抗菌药物处方进行分类统计及分析, 包括使用抗菌药物的种类及比例、使用居前6位的抗菌药物、抗菌药物的联合使用情况等。结果 在2015年下半年急诊处方中有抗菌药物处方3872张,占处方总数的22.3%。使用抗菌药物构成比中,喹诺酮类药物使用频率最高,占42.9%。使用居第一位的药物是左氧氟沙星,占39.8%。单联处方77.86%,二联处方22.14%,无三联处方。结论 2015年下半年我院急诊科抗菌药物使用符合卫生部抗菌药物使用规定,但有些方面还需要进一步改进。     

Epidemiology and Severity of Sports and Recreation Injuries Presenting to a Tertiary Adult Emergency Department

Objective: This study aims to evaluate all sports and recreation injuries that present to an emergency department, identify the activity and injury patterns associated with hospital admission, and determine injuries that could be better treated in alternative care settings.

Methods: This is a retrospective review of all sports injuries that presented to the emergency department of a high volume, urban, tertiary referral center from 1/1/2010 to 12/31/2011. These were identified by a sports term search algorithm applied to all emergency department records. The main outcome measured was hospital admission status after sports injury. Univariate and multivariate regression analysis was performed to identify risk factors for hospital admission in the sports injury population.

Results: 1,101 of the 191,259 encounters (0.6%) had 1,210 sports injuries. 84 were admitted (7.6%). Basketball injuries were most prevalent (31.6%). All-terrain vehicle (ATV) related injuries was most often admitted (46.4%). Logistic regression identified ATV riding (95% CI 6.15–23.37, p < 0.001) and age over 50 years-old (4.09–17.40, p < 0.001) as independent risk factors for admission while basketball (0.101–0.985, p = 0.047) and black race (0.17–0.77, p = 0.008) were independently protective. Isolated sprains/strains and soft tissue injuries (4/649, 0.6%) rarely required admission.

Conclusions: The 7.6% admission rate is higher than previously reported, likely because the study institution is a tertiary referral center. ATV riding is associated with higher severity injuries that are more likely to require hospital admission. Most sports injuries that present to an emergency department, specifically isolated soft tissue injuries of the extremities, may be more efficiently treated in a non-emergent setting.     

核医学显像在急诊医学中的应用

目的:探讨核素显像在急诊显像中的应用价值。材料和方法:105 例患者接受急诊核素显像。A 组78 例行急诊心肌显像;B 组5 例行急诊脑显像;C 组15 例行急诊胃肠道出血显像;D 组7 例行急诊大血管显像。结果:78 例急诊心肌显像中,阳性74 例,阴性4 例;5 例急诊脑显像全部阳性;15 例胃肠道出血显像中,6 例阳性;7 例大血管显像全部阳性。结论:核素显像在急诊医学中能发挥重要作用。     

Ionizing Radiation Knowledge Among Emergency Department Providers

PurposeThe aim of this study was to assess knowledge of ionizing radiation exposure from diagnostic imaging examinations among emergency department (ED) providers.MethodsAn electronic questionnaire was distributed to ED providers in a five-hospital university-affiliated health care system. Providers included attending emergency medicine (EM) physicians, EM residents, and midlevel providers (MLPs) (nurse practitioners and physicians assistants). Data were collected and analyzed.ResultsOne hundred six of 210 providers (41 attending physicians, 32 residents, and 31 MLPs) completed the survey, for a response rate of 50.5%. More than two in five providers (44.6%) could not correctly identify which of six common imaging modalities used ionizing radiation. MLPs were more likely to incorrectly identify radiography (25%) and fluoroscopy (29%) as modalities that did not use ionizing radiation (P = .01 and P = .25 respectively). Fewer attending physicians (14.6%) than residents (37.5%) were not very comfortable or were uncomfortable explaining the risks of radiation to patients. Nearly half of attending physicians (47.5%) and nearly three-quarters of residents (71.9%) were not very comfortable, were uncomfortable, or were extremely uncomfortable explaining the amount of radiation in certain imaging tests to patients. MLPs were more likely to incorrectly rank a selection of imaging tests by radiation exposure (P = .002). MLPs were more likely to incorrectly answer a question on the effects of ionizing radiation on patients (P = .01).ConclusionsAmong ED providers, there are knowledge gaps regarding the presence and effect of ionizing radiation in diagnostic imaging tests. MLPs were more likely to make factual errors, while EM residents were least comfortable counseling patients about radiation risks.     

优质护理服务在急诊科的应用效果探究

目的：探讨优质护理服务在急诊科的应用效果。方法选取344例急诊患者为研究对象,采用数字表法随即分为观察组和对照组,对照组实施急诊科常规护理,观察组开展优质护理服务。比较两组护理质量及患者满意度。结果观察组护理质量、患者满意度均明显高于对照组。结论优质护理服务可提升急诊科护理质量,提高患者满意度,值得在临床护理工作中的推广应用。     

急性脑血管病变患者80例临床分析和急救护理干预观察

目的：研究分析急性脑血管疾病患者的急救护理措施和效果,为其临床应用和实践提供有效的理论依据。方法入选研究对象80例,均为2013年2月～2014年3月收治的急性脑血管病变患者,按照患者治疗期间接受的不同护理方案,将80例患者分为两组,对照组40例,临床期间给予常规护理干预,观察组患者80例,加强院前急救护理,比较两组患者的急救成功率和护理满意度。结果观察组患者的急救效果明显优于对照组,两组比较差异明显,P＜0．05;观察组患者的护理满意度为95％,对照组为85％,观察组明显高于对照组,两组比较差异明显,P＜0．05。结论加强急性脑血管病变患者院前快速、安全的急救护理,可有效的缩短患者的治疗时间,对其治疗和恢复具有重要的意义,应引起急诊护士的高度重视。