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A model protocol for emergency medical services management of asthma exacerbations.

机译：哮喘急性发作的紧急医疗服务管理的模型协议。

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Emergency medical services (EMS) is an important part of the continuum of asthma management. The magnitude of the EMS responsibility is very large, with millions of patients with asthma treated each year by EMS personnel. In response to inconsistencies between the 1997 National Asthma Education and Prevention Program asthma guidelines and a variety of existing EMS protocols on the management of asthma exacerbations, the Centers for Disease Control and Prevention convened a workgroup in 2004 to discuss the various opportunities and challenges ahead. At the meeting, and over the ensuing year, the workgroup created a model protocol that was derived from the National Asthma Education and Prevention Program guidelines. The model protocol is available in both text and algorithm format and offers guidance for EMS systems to develop and implement treatment protocols in their local areas. The workgroup recommendations emphasize flexibility, simplicity, and low-risk practices. By integrating these recommendations into existing protocols, we believe that EMS systems could improve prehospital care for patients with asthma. Demonstration projects are needed to carefully examine the implementation process and the actual impact of the model protocol on various outcomes. The workgroup also encourages more research on EMS management of asthma exacerbations. In the meantime, improved collaboration between EMS and national asthma organizations is an immediate priority and will continue to advance future discussions on how to improve asthma management in the prehospital setting. The workgroup hopes that state and local EMS systems will see the value of the model protocol and encourage its use. Key words: asthma; status asthmaticus; emergency medical services; ambulance; clinical protocols.
机译：紧急医疗服务（EMS）是哮喘管理连续性的重要组成部分。 EMS责任的范围非常大，每年都有数以百万计的EMS患者治疗哮喘患者。为应对1997年国家哮喘教育和预防计划哮喘指南与有关哮喘恶化管理的各种现有EMS协议之间的矛盾，疾病控制与预防中心于2004年召集了一个工作组，讨论了未来的各种机遇和挑战。在会议上以及随后的一年中，工作组创建了一个示范协议，该协议是根据《国家哮喘教育和预防计划指南》制定的。模型协议有文本格式和算法格式，并为EMS系统在其本地开发和实施治疗协议提供指导。工作组的建议强调灵活性，简单性和低风险做法。通过将这些建议整合到现有协议中，我们相信EMS系统可以改善哮喘患者的院前护理。需要演示项目来仔细检查实施过程以及模型协议对各种结果的实际影响。该工作组还鼓励对哮喘急性发作的EMS管理进行更多研究。同时，EMS和国家哮喘组织之间加强合作是当务之急，并将继续推进关于如何改善院前环境中哮喘管理的未来讨论。工作组希望州和地方EMS系统将看到模型协议的价值并鼓励其使用。关键字：哮喘;哮喘状态紧急医疗服务;救护车;临床方案。

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