创伤后自发性低体温院前急救处理现状调查

Survey on Current Status of Prehospital Emergency Treatment for Spontaneous Hypothermia After Trauma

目的:调查创伤后自发性低体温院前急救处理现状。方法:选取2023年7—8月北京急救中心的123名医护人员作为研究对象,采用自制创伤后自发性低体温急救调查问卷进行调查,记录调查结果。结果:多数(95名)医护人员选择腋下测量核心体温,多数(62名)医护人员认为低体温定义为<35℃,多数医护人员认为创伤的严重程度、大的开放性创口、休克是低体温危险因素;多数医护人员对“创伤致死三联征”概念不清楚,认为低血压、低体温、无法控制的大出血是“创伤致死三联征”;108名医护人员定期对创伤患者进行体温测量;102名(82.93%)医护人员认为,救护车到达后的10 min内,应对创伤患者进行体温监测;多数(120名)医护人员选择玻璃体温计测量患者体温,96名医护人员认为回到急诊室还需对患者进行体温检查;多数(82名)医护人员选择使用棉被或棉毯作为复温设备。结论:医护人员对创伤患者院前急救处理现状不容乐观,建议医院相关部门积极引进先进的设备用于院前急救中,同时对医护人员开展关于低体温相关知识的培训,提高医护人员创伤低体温认知水平,完善创伤患者低体温的救治措施。

Objective:To survey the current status of prehospital emergency treatment for spontaneous hypothermia after trauma.Methods:A total of 123 medical staff from the Beijing Emergency Medical Center from July 2023 to August 2023 were selected as the study subjects.A self-made questionnaire for emergency of spontaneous hypothermia after trauma was used to investigate medical staff.The results of the survey were recorded.Results:A total of 95 medical staff chose axillary measurement of core body temperature,and 62 medical staff believed that hypothermia was defined as<35°C.Most of medical staff believed that trauma severity,large open wound,and shock were risk factors for hypothermia;Most of medical staff were unclear about the concept of"lethal triad of trauma",and believed that hypotension,hypothermia,and uncontrollable hemorrhage were"lethal triad of trauma";108 medical staff underwent regular temperature measurements of trauma patients;102(82.93%)medical staff believed that the body temperature of trauma patients should be monitored within 10 minutes after the ambulance arrived;The majority(120)of the medical staff chose a glass thermometer to measure the patient's temperature,and 96 medical staff believed that the patient's temperature check was required when returning to the emergency room;Most of(82)medical staff chose cotton quilt or blanket as a rewarming device.Conclusion:The current situation of prehospital emergency treatment of trauma patients by medical staff is not optimistic.It is suggested that the relevant departments of the hospital should actively introduce advanced equipment for prehospital emergency,and carry out training on hypothermia related knowledge for medical staff,so as to improve the cognitive level of trauma hypothermia and improve the treatment measures of hypothermia in trauma patients.