The prehospital management of ambulance-attended adults who fell: A scoping review

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-03-01 DOI:10.1016/j.auec.2022.07.006

Paige Marie Watkins , Stacey Masters , Anne-Marie Hill , Hideo Tohira , Deon Brink , Judith Finn , Peter Buzzacott

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引用次数: 3

Abstract

Background

The ageing population is requiring more ambulance attendances for falls. This scoping review aimed to map and synthesise the evidence for the prehospital management of Emergency Medical Services (EMS) attended adult patients who fall.

Methods

The Joanna Briggs Institute methods for scoping reviews were used. Six databases were searched (Medline, Scopus, CINAHL, Cochrane, EMBASE, ProQuest), 1st August 2021. Included sources reported: ambulance attended (context), adults who fell (population), injuries, interventions or disposition data (concept). Data were narratively synthesised.

Results

One-hundred and fifteen research sources met the inclusion criteria. Detailed information describing prehospital delivered EMS interventions, transport decisions and alternative care pathways was limited. Overall, adults< 65 years were less likely than older adults to be attended repeatedly and/or not transported. Being male, falling from height and sustaining severe injuries were associated with transport to major trauma centres. Older females, falling from standing/low height with minor injuries were less likely to be transported to major trauma centres.

Conclusion

The relationship between patient characteristics, falls and resulting injuries were well described in the literature. Other evidence about EMS management in prehospital settings was limited. Further research regarding prehospital interventions, transport decisions and alternative care pathways in the prehospital setting is recommended.

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在救护车救护下跌倒的成年人的院前管理:一项范围审查

背景老龄化的人口需要更多的救护车来照顾跌倒的人。这项范围界定审查旨在绘制和综合急诊医疗服务（EMS）护理的成年跌倒患者院前管理的证据。方法采用乔安娜·布里格斯研究所的范围界定审查方法。2021年8月1日，检索了六个数据库（Medline、Scopus、CINAHL、Cochrane、EMBASE、ProQuest）。报告的来源包括：救护车（背景）、跌倒的成年人（人群）、受伤、干预措施或处置数据（概念）。数据是叙述性合成的。结果115个研究来源符合入选标准。描述院前EMS干预、运输决策和替代护理途径的详细信息有限。总体而言，成年人<；与老年人相比，65岁的人不太可能被反复护理和/或不被运送。作为男性，从高处坠落和严重受伤与被送往主要创伤中心有关。年龄较大的女性从站立/低位坠落，受轻伤，被送往主要创伤中心的可能性较小。结论文献中充分描述了患者特征、跌倒和由此造成的损伤之间的关系。关于院前环境中EMS管理的其他证据有限。建议对院前干预、交通决策和院前环境中的替代护理途径进行进一步研究。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.