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首页> 外文期刊>Prehospital emergency care >Outcome of asymptomatic electric shock victims requesting an emergency ambulance.
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Outcome of asymptomatic electric shock victims requesting an emergency ambulance.

机译：无症状电击受害者要求紧急救护车的结果。

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OBJECTIVE: To determine whether patients suffering from electric shock without significant symptoms at the point of an emergency call could be appropriately assigned a nonemergency ambulance response using the Medical Priority Dispatch System (MPDS). METHODS: Welsh Ambulance Service dispatch records were searched to identify patients allocated the MPDS code of 15C01 (electric shock without priority symptoms) over a 30-month period. Ambulance and hospital records were also reviewed. RESULTS: Records were unavailable for seven of the 52 patients identified (13%). Nine refused transport (17%, 95% CI 8.2% to 30.3%), and 36 were taken to emergency departments (69%, 95% CI 55% to 81%). Of the 52 patients, 23 were discharged shortly after arrival (44%, 95% CI 31% to 59%), 11 receiving no treatment (21%, 95% CI 11% to 35%). Thirteen patients were admitted as inpatients or were transferred to another hospital (25% of the total sample, 95% CI 14% to 39%). Fourteen had burns (27% of the total sample, 95% CI 16% to 41%). Five of these were admitted or transferred to another hospital, five were discharged after treatment, and two left without treatment (one self-discharged). Records were unavailable for two burns patients. CONCLUSIONS: The findings of this study do not justify allocating a low-priority response to victims of electric shock without significant symptoms at the point of the emergency call, since 25% require hospital admission. Further research is required to determine whether the addition of questions to the MPDS about burns and pregnancy might allow safe allocation of a nonemergency response to other asymptomatic electric shock patients.
机译：目的：为了确定在紧急呼叫时无明显症状的电击患者是否可以使用医疗优先分派系统（MPDS）适当地分配非紧急救护车响应。方法：搜索威尔士救护车调度记录，以识别在30个月内分配了MPDS代码15C01（无优先症状的电击）的患者。还检查了救护车和医院的记录。结果：在确定的52位患者中有7位（13％）没有记录。 9架被拒绝运输（17％，95％CI 8.2％至30.3％），36架被送往急诊部门（69％，95％CI 55％至81％）。在52例患者中，有23例在到达后不久出院（44％，95％CI为31％至59％），11例未接受治疗（21％，95％CI为11％至35％）。 13名患者入院或转入另一家医院（占总样本量的25％，95％CI为14％至39％）。十四人被灼伤（占总样本的27％，95％CI为16％至41％）。其中五人入院或转入另一家医院，五人在治疗后出院，另外两人未经治疗（一名自行出院）。尚无两名烧伤患者的记录。结论：本研究的结果不能证明在紧急呼叫时将低优先级的反应分配给没有明显症状的电击受害者，因为25％的人需要住院。需要进一步研究以确定是否向MPDS添加关于烧伤和妊娠的问题是否可以安全地将非紧急反应分配给其他无症状电击患者。

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