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首页> 外文期刊>Prehospital emergency care >Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols.
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Hospital follow-up of patients categorized as not needing an ambulance using a set of emergency medical technician protocols.

机译：使用一组紧急医疗技术人员规程，对医院分类为不需要救护车的患者进行随访。

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OBJECTIVE: Using hospital outcomes, this study evaluated emergency medical technicians' (EMTs') ability to safely apply protocols to assign transport options. METHODS: Protocols were developed that categorized patients as: 1) needs ambulance; 2) may go to emergency department (ED) by alternative means; 3) contact primary care provider (PCP); or 4) treat and release. After education on application of the protocols, EMTs categorized patients at the scene prior to transport but did not change current practice. Hospital charts were reviewed to determine outcome of patients whom EMTs categorized as not needing an ambulance. Category 2 patients were assumed to need the ambulance if they were admitted to a monitored bed or intensive care unit. Category 3 and 4 patients were assumed to need the ED if they were admitted. RESULTS: The EMTs categorized 1,300 study patients: 1,023 (79%) ambulance transport, 200 (15%) alternative means, 63 (5%) contact PCP, and 14 (1%) treat and release. Hospital data were obtained for 140 (51%) patients categorized as not needing ambulance transport. Thirteen of 140 (9%) patients who transporting EMTs determined did not need the ambulance were considered to be undertriaged: five in category 2, six in category 3, and one in category 4. Six of 13 (46%) undertriaged patients had dementia or a psychiatric disorder as one of their presenting complaints. CONCLUSION: These protocols led to a 9% undertriage rate. Patients with psychiatric complaints and dementia were at high risk for undertriage.
机译：目的：利用医院的结果，本研究评估了紧急医疗技术人员（EMT）的安全应用方案来分配运输方案的能力。方法：制定了将患者归类为以下方案：1）需要救护车; 2）可以通过其他方式去急诊室（ED）; 3）联系初级保健提供者（PCP）;或4）治疗并释放。在对方案的应用进行了教育之后，EMT在运输之前对患者进行了现场分类，但并未改变当前的做法。复查了医院图表，以确定EMT分类为不需要救护车的患者的结局。如果将第2类患者入场监护病床或重症监护病房，则需要救护车。如果入院，则认为3类和4类患者需要ED。结果：EMT对1300名研究患者进行了分类：1,023（79％）名救护车运输，200（15％）种替代方法，63（5％）种接触PCP和14种（1％）治疗并释放。获得了分类为不需要救护车运输的140名患者（51％）的医院数据。在确定不需要转运救护车的140名EMT患者中，有13名（9％）被认为是三岁以下人群：2类中有5名，3类中有6名，4类中有1名。或精神疾病作为他们提出的投诉之一。结论：这些协议导致9％的不足率。患有精神病主诉和痴呆症的患者发生未成年人的风险很高。

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