J Clin Monit Comput - Exploration of key stakeholders' preferences for pre-hospital physiologic monitoring by emergency rescue services.

Tópicos

{ monitor(1329) mobil(1314) devic(1160) }
{ care(1570) inform(1187) nurs(1089) }
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{ time(1939) patient(1703) rate(768) }
{ model(2220) cell(1177) simul(1124) }
{ patient(1821) servic(1111) care(1106) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
{ medic(1828) order(1363) alert(1069) }
{ high(1669) rate(1365) level(1280) }
{ can(774) often(719) complex(702) }
{ studi(2440) review(1878) systemat(933) }
{ clinic(1479) use(1117) guidelin(835) }
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{ method(984) reconstruct(947) comput(926) }
{ model(2341) predict(2261) use(1141) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ use(2086) technolog(871) perceiv(783) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ model(3404) distribut(989) bayesian(671) }
{ sequenc(1873) structur(1644) protein(1328) }
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{ patient(2315) diseas(1263) diabet(1191) }
{ framework(1458) process(801) describ(734) }
{ data(1714) softwar(1251) tool(1186) }
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{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ general(901) number(790) one(736) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
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{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ process(1125) use(805) approach(778) }
{ activ(1452) weight(1219) physic(1104) }

Resumo

To gather preferences for novel pre-hospital physiologic monitoring technologies from emergency rescue services. Qualitative semi-structured interviews and focus groups were conducted with three groups from UK Search and Rescue (SAR); (1) Extractors (e.g. SAR teams), (2) Transporters (personnel primarily responsible for casualty transport), and (3) Treaters (e.g. Emergency Department doctors). Three themes were defined; SAR casualty management, novel physiologic monitor potential, and physiologic monitor physical properties. Some SAR groups already employed physiologic monitoring but there was no consensus on which monitor(s) to carry or what to monitor and how frequently. Existing monitors also tended to be bulky and heavy and could be unreliable in an unstable environment or if the casualty was cold. Those performing monitoring tended to have only basic first-aid training, and their workload was often high particularly if there was more than one casualty. The potential benefits of employing a novel monitor were strategic and clinical; an opportunity for transmitting data off-scene in order to facilitate monitoring or generate advice (i.e. telemedicine) was also voiced. A range of more intuitive, physical properties was also raised (e.g. small/compact, lightweight). SAR-specific technology should be simple to operate by those with less medical training, which means that clinical data interpretation and presentation should be carefully considered. It would be beneficial if novel monitors carried out a majority of the interpretation, allowing rescuers to proceed with their priority task of removing the casualty to safety.

Resumo Limpo

gather prefer novel prehospit physiolog monitor technolog emerg rescu servic qualit semistructur interview focus group conduct three group uk search rescu sar extractor eg sar team transport personnel primarili respons casualti transport treater eg emerg depart doctor three theme defin sar casualti manag novel physiolog monitor potenti physiolog monitor physic properti sar group alreadi employ physiolog monitor consensus monitor carri monitor frequent exist monitor also tend bulki heavi unreli unstabl environ casualti cold perform monitor tend basic firstaid train workload often high particular one casualti potenti benefit employ novel monitor strateg clinic opportun transmit data offscen order facilit monitor generat advic ie telemedicin also voic rang intuit physic properti also rais eg smallcompact lightweight sarspecif technolog simpl oper less medic train mean clinic data interpret present care consid benefici novel monitor carri major interpret allow rescuer proceed prioriti task remov casualti safeti

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