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題 名 | 從救護出勤記錄表看臺北縣、市之到院前救護=Comparison of EMTs Performance between Taipei City and Taipei County by Prehospital Care Duty Notes |
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作 者 | 劉中賢; 張珩; | 書刊名 | 中華民國急診醫學會醫誌 |
卷 期 | 1:2 1999.08[民88.08] |
頁 次 | 頁151-164 |
分類號 | 412.79 |
關鍵詞 | 救護記錄表; 緊急醫療救護; 急救技術員; 臺北縣市; Prehospital care records; Emergency medical services systems; Emergency medical technician; Taipei city; Taipei county; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究之主要目的是藉由審核救護記錄表,來了解急救技術員平時實際執勤時的情形,並比較臺北縣、市急救技術員執行救護勤務時,在「評估」及「處置」病人的能力以及記錄上有無差異。 所審核的救護記錄表共576份,是從位於北市士林區,鄰近北縣、市交界的一所區域醫院,於民國八十七年八至十月間所收到的。因北縣的急救技術員有58.6%為一人出勤,其餘的為二人出勤(技術員人力嚴重不足),故我們分別比較(A)北市組與北縣(二人)組及(B)北縣(一人)組與北縣(二人)組及(C)北市組與北縣(一人)組之差異。 比較的結果,在「評估」病患的能力及「處置」病人的能力及記錄兩大項方面,北市(二人)組皆優於北縣(二人)組及北縣(一人)組,在統計上有明顯的差距。而北縣(二人)在此兩項的評估稍優於北縣(一人),但在統計上沒有明顯的差距。臺北縣因轄區面積較北市大,醫院數目較少又較分散,送醫時間較長,易延誤病情,更需要完備的緊急救護系統,及有經驗的急救技術員之救援,但北縣的急救技術員在人數及能力方面,均較北市缺乏,而人力不足導致工作負擔過重,也相對降低工作品質。 而急救處置方面,最常被忽略的為面罩、鼻管給氧、維持呼吸道及包紮止血等,都是初步評估項目(airway, breathing, circulation)中所需的處置,顯示急救技術員在最基本的評估處置訓練還是需要再加強。 在臺北縣、市的急救技術員執勤能力比較方面,因為本研究為單一醫院的經驗,若要更準確的比較其差異,則需要更大的樣本數及更廣泛的取樣。 |
英文摘要 | The purpose of this study is to investigate and compare the performance of EMTs between Taipei city and Taipei county by assessing their prehospital care records. The data werer collected from a single local hospital near the border between Taipei city and Taipei County during August to October 1998. There are 576 notes assessed. There were 58.6% of the duties done by only 1 EMT because of the shortage of manpower in the Taipei county and the rest were done by 2 EMTs. All of the duties are done by 2 EMTs in the Taipei city. We divided them into 3 groups: (1)Taipei City (TC), (2)Taipei County with 1 EMT(T-1P), (3)Taipei County with 2 EMT(T-2P). We separately compare each group with one another. The results revealed that group (1)TC was significantly superior to group(2)T-1P and group(3)T-2P. And group(3)T-2P was slightly superior to group(2) T-1P but without significant difference. The territory of Taipei county is larger than Taipei city and there are more hospitals in Taipei city. The patients in Taipei county need more experienced EMTs to help them in prehospital care. The shortage of manpower will increase the work loading of the EMTs which then lead to the poor quality of prehospital care. The results also showed that the most common Neglected Procedures in prehospital care included oxygen supply by mask or nasal cannula, airway maintenance, dressing and stop bleeding. These are the procedures which should be performed during the primary survey (Airway, breathing and Circulation). This result showed that EMTs needed further training in basic resuscitation skills. Because this study is the experience of a Local teaching hospital, we need larger data collection and more generalized sampling in order to precisely compare the difference in the performance of EMTs between Taipei city and Taipei County. |
本系統中英文摘要資訊取自各篇刊載內容。