Objective To improve the efficiency and safety of long-distance transport of the critically ill.Methods A total of 378 critically ill pa tients requiring long-distance transport to the hospital were divided into a control group (n=186) and an observation group (n=192) according to chronological order.The control group was traditionally transported,while the observation group received optimized transport:building a management team for long-distance transport,formulating transport process and patient hand off checklist,as well as detailing the responsibility of work staffs before,during and after the transport.Results All patients were transported safely to target hospitals or wards.The waiting time for consultation,time for equipment preparation,as well as time for intra hospital transfer and hand off were siglificantly shortened in the observation group than the control group (P＜0.01 for all).Satisfaction of patients and the ward nurses was significantly improved in the ob servation group than the control group (P＜0.01 for both).Conclusion Refinement of long-distance transport of the critically ill could improve work efficiency and ensure patient safety.

目的:比较山莨菪碱、间苯三酚单独和联合双氯酚酸钠治疗肾绞痛的镇痛效果。方法:收集4种镇痛方法的病例,通过视觉模拟评分量表对患者进行疼痛评分后进行比较,记录不良反应。结果:4种镇痛方法的镇痛效果差异无统计学意义(P>0.05),使用间苯三酚的2组不良反应明显少于使用山莨菪碱组(P<0.05)。结论:4种镇痛方法在镇痛效果上无明显差异,但使用间苯三酚的2组可明显减少患者的不良反应。

目前我国存在多种院前急救模式~([1]).为了能够更好地完成院前急救的急、救、转三方面的任务,即以最快的速度到达患者身边,并进行针对性的救治,然后再迅速转运到医疗机构,武汉大学中南医院于2007年10月借鉴法国院前急救模式,组建了依托于综合医院急救科,专业化的,用于医院间陆路急救转运急危重患者228例,取得良好效果,现报道如下。

目的 探讨救护车急救转运途中患者的护理问题及特点,以提高院前急救护理水平.方法 回顾性分析228例救护车陆路急救转运患者的病种特点,及针对其采取的护理措施.结果 急救转运患者228例,226例被平安转送至目的 地.5例出现心跳呼吸骤停,其中3例经现场抢救复苏成功后转运,2例抢救无效死亡.结论 急救转运病人病情重、病种杂、护理工作难度大、强度大、涉及护理问题多,需加强院前急救护理技能训练及急救车日常管理和维护,建立医患之间的沟通,以提高救治成功率.