航空医疗队与救护车、急救医疗队和医院在管理机械通气病人方面的互动

S. A. Gumenyuk, G. V. Sheptunov, V. I. Potapov
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引用次数: 0

摘要

的相关性。急性呼吸衰竭(ARF)和急性心肺衰竭(ACPF)是不可避免的,并且往往是任何危重情况下的主要综合征,特别是在多器官衰竭综合征作为先前无法治愈的疾病过程中的常规阶段时。即使对这类患者采取全套重症监护措施,也不一定能达到预期的效果。根据不同作者的说法,随着急性呼吸窘迫综合征的发展,死亡率达到80%。目的是确定紧急医疗服务-灾害医学航空医疗队的作用,以确保无论患者身在何处,都能及时为需要的患者提供高科技方法。分析了莫斯科市卫生局紧急医疗科学与实践中心航空医疗队在紧急情况下与ARF和ACPF一起对病人和受害者进行医疗后送的活动。结果和讨论。分析了航空医疗队在对ARF和ACPF患者进行医疗后送期间与领土灾害医学中心紧急医疗反应单位以及与医疗组织的相互作用。提出了一种优化空中医疗队医疗后送的算法和方案。对空中医疗队活动的分析显示,它们在为ARF和ACPF患者提供护理方面具有优势。
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Interaction of aviation medical teams with ambulance, emergency medical care teams and hospitals in the management of mechanically ventilated patients
Relevance. Acute respiratory failure (ARF) and acute cardiopulmonary failure (ACPF) are unavoidable, and often – the leading syndromes in any critical condition, especially in case of multiple organ failure syndrome as a regular stage in the course of previously incurable conditions. Even a full range of intensive care measures in this category of patients does not always give the desired result. According to various authors, with the development of acute respiratory distress syndrome, the mortality rate reaches 80 %.Intention is to determine the role of the aviation medical teams of the emergency medical service-disaster medicine in ensuring the timely availability of high-tech methods for patients who need them, regardless of the patient’s location.Methodology. Activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for the medical evacuation of patients and victims in emergency situations with ARF and ACPF were analyzed.Results and Discussion. There were analyzed interactions of aviation medical teams with the emergency medical response units of the territorial center for disaster medicine and with medical organizations during the medical evacuation of patients with ARF and ACPF. An algorithm and a scheme of interaction between air medical teams are proposed to optimize medical evacuation of these patients.Conclusion. An analysis of the activities of air medical teams revealed their advantages in providing care for patients with ARF and ACPF.
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