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首页> 外文期刊>Annals of Emergency Medicine: Journal of the American College of Emergency Physicians and the University Association for Emergency Medicine >Don't hyperventilate over triage respiratory rates
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Don't hyperventilate over triage respiratory rates

机译：切勿过度使用分类呼吸频率

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Are triage respiratory rates inaccurate? Absolutely. In this month's Annals, Bianchi et al compared standard nurse-recorded triage respiratory rates with those measured by a research assistant during 60 seconds and those obtained by a commercial respiratory rate sensor (BioHarness; Zephyr Technology, Corp, Annapolis, MD). Tachypnea (>20 breaths/ min) was missed 77% of the time. This statistic is alarming because emergency physicians fundamentally rely on triage vital signs to help assess their patients. With tachypnea being missed three fourths of the time, we must be receiving false reassurance for substantial numbers of patients. Tachypnea is an integral diagnostic element of systemic inflammatory response syndrome and a key component of pneumonia scores (eg, Pneumonia Severity Index, CURB 65); accordingly, erroneous triage respiratory rates should result in misclassifications of patients. Is there any evidence this is really a problem? During your last shift, how many patients were harmed because their triage respiratory rate was inaccurate?
机译：分诊呼吸频率是否不正确？绝对。在本月的《 Annals》中，Bianchi等人将标准护士记录的分诊呼吸速率与研究助理在60秒内测量的分流呼吸速率以及由商业呼吸速率传感器（BioHarness; Zephyr Technology，Corp，Annapolis，MD）获得的速率进行了比较。 77％的时间错过了呼吸急促（> 20次呼吸/分钟）。这一统计数字令人震惊，因为急诊医师从根本上依靠分流生命体征来帮助评估患者。由于呼吸急促被错失了四分之三的时间，我们必须为大量患者提供虚假的保证。快速呼吸是系统性炎症反应综合征不可或缺的诊断要素，也是肺炎评分的关键组成部分（例如，肺炎严重程度指数，CURB 65）;因此，错误的分诊呼吸频率应导致患者分类错误。有没有证据表明这确实是一个问题？在您的上一个班次中，有多少患者因分诊呼吸频率不正确而受到伤害？

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