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Transfer of intra-aortic balloon pump-dependent patients by paramedics.

机译：护理人员转移主动脉内球囊泵依赖性患者。

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摘要

This prospective case series describes the experience of a specially trained critical care paramedic transfer program that transports intra-aortic balloon pump (IABP)-dependent patients to definitive cardiac surgical care without additional medical escorts. Paramedics complete a standard ambulance patient care report and a quality management report for each IABP-dependent patient transported. All patient care reports were routinely screened for calls involving IABP-dependent patients to ensure all calls were captured. Demographic, patient care, adverse event, and transfer-related data were collected prospectively. The program manager and medical director independently examined all reports for quality of care and occurrence of adverse events. Missing data were obtained from paramedic crews and referring facilities. The IABP program transported 29 patients during its first 24 months. The mean patient age was 63.4 +/- 10.4 years, and the majority were male (25 of 29; 86.2%). The most common indications for IABP insertion were bridge to definitive surgical care (17; 58.6%) and cardiogenic shock (13; 44.8%). The mean out-of-hospital time was 39.9 +/- 26.1 minutes. There were 22 complications in 11 patients. Paramedics successfully managed all complications. There was no persistent life-threatening patient-related complication or IABP-related malfunction, and no patient died during transport. This case series demonstrates that specially trained critical care paramedics can safely IABP-dependent patients to definitive cardiac surgical care without additional medical escorts. Key words: intra-aortic balloon pumping; paramedics; emergency medical services; patient transfer; cardiogenic shock.
机译：该前瞻性案例系列介绍了经过特殊培训的重症监护护理人员转移计划的经验，该计划将依赖主动脉内球囊泵（IABP）的患者转移到最终的心脏外科手术治疗，而无需其他医疗护送。医护人员为每位依赖IABP的患者填写标准的救护车患者护理报告和质量管理报告。常规筛选所有患者护理报告中涉及IABP依赖患者的电话，以确保捕获所有电话。前瞻性地收集了人口统计学，患者护理，不良事件和与转移相关的数据。计划经理和医疗主管独立检查了所有报告的护理质量和不良事件的发生。缺少的数据是从护理人员和转诊设施获得的。 IABP计划在最初的24个月中运送了29名患者。平均患者年龄为63.4 +/- 10.4岁，大多数为男性（29岁中的25岁; 86.2％）。 IABP插入的最常见指征是进行最终外科治疗的桥梁（17; 58.6％）和心源性休克（13; 44.8％）。院外平均时间为39.9 +/- 26.1分钟。 11例患者中有22例并发症。护理人员成功地处理了所有并发症。没有持续威胁生命的患者相关并发症或IABP相关故障，也没有患者在运输过程中死亡。该案例系列表明，经过特殊培训的重症监护护理人员可以在没有其他医疗陪伴的情况下安全地对依赖IABP的患者进行明确的心脏外科手术治疗。关键字：主动脉内球囊抽吸;护理人员紧急医疗服务;病人转移心源性休克。

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