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首页> 外文期刊>Canadian Journal of Emergency Medicine >The Role of Emergency Medical Services in Geriatrics: Bridging the Gap between Primary and Acute Care
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The Role of Emergency Medical Services in Geriatrics: Bridging the Gap between Primary and Acute Care

机译：紧急医疗服务在老年病中的作用：弥合初级保健和急性保健之间的差距

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Caring for older adults is a major function of emergency medical services (EMS). Traditional EMS systems were designed to treat single acute conditions; this approach contrasts with best practices for the care of frail older adults. Care might be improved by the early identification of those who are frail and at highest risk for adverse outcomes. Paramedics are well positioned to play an important role via a more thorough evaluation of frailty (or vulnerability). These findings may inform both pre-hospital and subsequent emergency department (ED) based decisions. Innovative programs involving EMS, the ED, and primary care could reduce the workload on EDs while improving patient access to care, and ultimately patient outcomes. Some frail older adults will benefit from the resources and specialized knowledge provided by the ED, while others may be better helped in alternative ways, usually in coordination with primary care. Discerning between these groups is a challenge worthy of further inquiry. In either case, care should be timely, with a focus on identifying emergent or acute care needs, frailty evaluation, mobility assessments, identifying appropriate goals for treatment, promoting functional independence, and striving to have the patient return to their usual place of residence if this can be done safely. Paramedics are uniquely positioned to play a larger role in the care of our aging population. Improving paramedic education as it pertains to geriatrics is a critical next step.
机译：照顾老年人是紧急医疗服务（EMS）的主要功能。传统的EMS系统旨在治疗单一的急性病。这种方法与照顾年老体弱的成年人的最佳做法形成对比。尽早发现那些身体虚弱和不良后果风险最高的人，可能会改善护理。通过对脆弱性（或脆弱性）进行更彻底的评估，医护人员处于充分发挥重要作用的位置。这些发现可能会为基于院前和后续急诊室（ED）的决策提供依据。涉及EMS，ED和初级保健的创新计划可以减少ED的工作量，同时改善患者获得护理的机会，并最终改善患者的治疗效果。一些脆弱的老年人将从教育署提供的资源和专业知识中受益，而另一些老年人则可以通过其他方式得到更好的帮助，通常是在初级保健的配合下。这些群体之间的区别是一个值得进一步研究的挑战。无论哪种情况，都应该及时进行护理，重点是确定紧急或急诊护理的需求，虚弱性评估，流动性评估，确定适当的治疗目标，促进功能独立性，并努力使患者重返正常的住所。这可以安全地完成。护理人员处于独特的位置，可以在照顾人口老龄化方面发挥更大的作用。改善与老年医学有关的护理人员教育是至关重要的下一步。

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