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基于掌上超声e-FAST方案创伤院前应急救援标准化流程的应用研究

田时静 冉胜强 刘畅 陈晓迎

现代医药卫生2025,Vol.41Issue(8):1793-1796,1803,5.
现代医药卫生2025,Vol.41Issue(8):1793-1796,1803,5.DOI:10.3969/j.issn.1009-5519.2025.08.004

基于掌上超声e-FAST方案创伤院前应急救援标准化流程的应用研究

Application research on standardized process of pre-hospital emergency medical rescue for trauma based on handheld ultrasound e-FAST solution

田时静 1冉胜强 2刘畅 1陈晓迎1

作者信息

  • 1. 重庆医科大学附属第一医院重症医学科,重庆 400016
  • 2. 重庆市红十字会医院/江北区人民医院骨科,重庆 400020
  • 折叠

摘要

Abstract

Objective To explore the application value of the standardized process of pre-hospital emer-gency medical rescue for trauma based on the handheld ultrasound(e-FAST)protocol.Methods The trauma patients who underwent pre-hospital emergency care in our hospital from January 2024-November 2024 were selected as the research objects,and the patients were prospectively divided into the traditional treatment group and the standardized process group.The general data,rescue time and prognosis of the two groups were compared.Results There was no significant difference in general information between the two groups.In the standardized process group,30 cases(83.33%)cases were tested by e-FAST technology,14 cases(46.67%)cases were diagnosed by emergency ultrasound at the scene,16 cases(53.33%)were diagnosed by ultrasound during transport,and 90.00%(27/30)cases were consistent with the final clear diagnosis at the hospital.In the standardized process group,the definite diagnosis time was[60.00(45.00,90.00)min]vs.[90.00(70.00,120.00)min],and the targeted treatment time was[25.00(20.00,30.00)min]vs.[60.00(40.00,120.00)min],and the operation time was[120.00(70.00,160.00)min]vs.[150.00(120.00,225.00)min],the total hospital stay was shortened by[10.00(8.00,12.50)days]vs.[13.00(12.00,18.00)days],and the differences were statistically significant(P<0.05).Conclusion The standardized process of pre-hospital e-mergency medical rescue based on the handheld ultrasound e-FAST program was used to shorten the time of trauma diagnosis,initiation of treatment and operation earlier than that of traditional treatment plan,and shorten the total length of hospital stay of patients.

关键词

超声检查/扩大创伤重点超声评估法/创伤和损伤/院前急救

Key words

Ultrasound/e-FAST/Trauma/Pre-hospital Emergency Medical Rescue

分类

医药卫生

引用本文复制引用

田时静,冉胜强,刘畅,陈晓迎..基于掌上超声e-FAST方案创伤院前应急救援标准化流程的应用研究[J].现代医药卫生,2025,41(8):1793-1796,1803,5.

基金项目

重庆市卫生健康委员会医学科研项目(2024WSJK065). (2024WSJK065)

现代医药卫生

1009-5519

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