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題 名 | 某醫學中心緊急救護小組實施計畫執行成果初探=A Preliminary Report of the Effectiveness of the Resuscitation Team |
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作 者 | 張玲華; 張秉宜; 歐陽秀芳; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 4:1 2002.01[民91.01] |
頁 次 | 頁28-35 |
分類號 | 419.53 |
關鍵詞 | 緊急救護小組; Resuscitation team; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究為敘述性之研究,目的在探討某醫學中心設立緊急救護小組之實施結果。綜合88年1月至89年6月共18個月全院呼叫緊急救護小組之資料結果得知:(一)在155件呼叫緊急救護小組支援的件數中共救治155人,其中以内科病患最多佔61.3%;(二)緊急救護小組出勤時段以夜班頻率最高,白班次之,晚班最低;(三)87%之緊急救護小組成員均能依計劃規定於5分鐘内到達現場急救傷病患,且「維持呼吸速率」、「心電圖監測及判讀」、「給予急救藥物」、「插管」、「體外心臟按摩」、「呼吸器使用」及「電擊」等為較常執行之急救處置;(四)緊急救護小組出勤平均所耗工時以醫師最長,護理員次之,麻醉人員最短。(五)成效:有36%的病患於緊急救護小組急救後生命徵象恢復穩定,且與「小組成員能於5分鐘内到達現場急救病患」有顯著相關(p<0.001)。 |
英文摘要 | A descriptive study was conducted to examine the effectiveness of the resuscitation team in a medical center. Based on the retrospective data collection from resuscitation records during an 18-month period, the findings were: (1) For total 155 incidents, medical patients accounted for the majority of the cases (61.3%). (2) The resuscitation team was called mostly during the day shift (40.6%), then were the evening shift (33.5%) and the night shift (25.8%). (3) Approximately 87% of the resuscitation team members arrived at the scene within 5 minutes; the mostly performed medical procedures included: maintaining airway and breathing, monitoring EKG and diagnosis, administrating inotropic agents, endo-tracheal intubation, cardiac massage, ventilator adoption as well as cardiac defibrillation in order. (4) The averaged time by different personnel is 22.2, 16.7 and 9 minutes spent by physicians, nurses, and anesthetists, respectively. (5) Thirty six percent of patients were successfully resuscitated, which was highly correlated to "the resuscitation team responding within 5 minutes" (p<.001). |
本系統中英文摘要資訊取自各篇刊載內容。