• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Prehospital emergency care >Relationship of restraint use, patient injury, and assaults on ems personnel.
【24h】

Relationship of restraint use, patient injury, and assaults on ems personnel.

机译：约束使用，患者受伤以及对ems人员的攻击的关系。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective. We hypothesized that the assaults on EMS personnel by patients requiring restraints can be correlated with demographic information, patient condition, and other scene information such as presence the of law enforcement. Methods. The study was a one-year cross-sectional study of paramedic restraint use and assault on EMS personnel in an urban area. A data collection form was completed by EMS for each patient placed in restraints. Study outcome variable was "Assault on EMS personnel." Predictor variables included demographic and EMS call information, patient condition, law-enforcement related variables, and the paramedic's perception of the need for chemical restraints. To compare predictor and outcome variables, a multivariable model with odds ratios and 95% confidence intervals was used. Results. The study included 271 restrained patients over a 12-month period from April 2002 to April 2003. Seventy-seven (28%) cases were positive for assaults on EMS personnel. Multivariable analysis including 8 variables, indicated the following 6 variables were associated with assault on EMS personnel: time of day between midnight and 6 am (OR = 4.4, 95% CI = 1.6-12.7); female patient (OR for males 0.6, 95% CI = 0.3-1.0); violent patient (OR = 10.1, 95%CI = 2.3-48.2); patient injured under supervision (OR = 3.9, 95% CI = 1.1-13.8); arrested patient (OR = 4.4, 95% CI = 1.1-18.5); and perceived need for chemical restraint (OR = 2.1, 95% CI = 1.2-3.9). Conclusion. Multiple factors are correlated with assaults on EMS personnel by patients requiring restraints. By specifically targeting patients exhibiting these factors, EMS providers can help prevent injury to themselves. Patients not exhibiting these factors may be less dangerous.
机译：目的。我们假设需要约束的患者对EMS人员的袭击可以与人口统计信息，患者状况以及其他现场信息（例如执法人员在场）相关联。方法。这项研究是一项为期一年的横断面研究，涉及在城市地区对医护人员进行约束和对EMS人员的袭击。 EMS已为每位约束的患者填写了数据收集表。研究结果变量为“对EMS人员的攻击”。预测变量包括人口统计信息和EMS呼叫信息，患者状况，与执法有关的变量，以及护理人员对需要​​化学限制的看法。为了比较预测变量和结果变量，使用了具有比值比和95％置信区间的多变量模型。结果。该研究包括2002年4月至2003年4月的12个月中的271名受约束的患者。其中有77例（28％）的病例是针对EMS人员的袭击。多变量分析包括8个变量，表明以下6个变量与EMS人员的袭击有关：午夜至凌晨6点之间的时间（OR = 4.4，95％CI = 1.6-12.7）;女性患者（男性为0.6，95％CI = 0.3-1.0）;暴力患者（OR = 10.1，95％CI = 2.3-48.2）;在监督下受伤的患者（OR = 3.9，95％CI = 1.1-13.8）;被捕患者（OR = 4.4，95％CI = 1.1-18.5）;以及对化学束缚的需求（OR = 2.1，95％CI = 1.2-3.9）。结论。多种因素与需要约束的患者对EMS人员的袭击有关。通过专门针对表现出这些因素的患者，EMS提供者可以帮助防止自身受伤。没有这些因素的患者可能不太危险。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号