원문정보
Emergency department triage and medical process according to alcohol intoxication in brain hemorrhage
초록
영어
Purpose: Alcohol intoxication is frequently observed in patients with brain hemorrhage. The purpose of this study was to determine whether intoxication affects the Korean Triage and Acuity Stage (KTAS) level and the emergency medical process in emergency departments. Methods: This study was a retrospective observational study enrolled 253 brain hemorrhage patients (47 of those intoxicated) who visited the emergency medical center on public EMS ambulance from January. 1, 2017 to April, 30, 2019. Data were collected through the electronic medical record (EMR). KTAS level and time to computerized tomography (CT) were compared to evaluate whether inebriation affects care and examination processes. All data were analyzed using SPSS program. Results: Of the 47 patients intoxicated patients, 85.1% were male, and 74.5% accompanied by trauma. Initial KTAS level showed significant differences (77.2%; p=.000) when the level 3,4 was not drunk. The average time taken from triage to CT scans showed a significant difference of 24.81±23.72 (min) when the drunken state was not 58.38±56.54 (min)(p=.000). Conclusion: In patients with brain hemorrhage admitted to ED from public EMS, undertriage and delay after initial assessment were detected in inebriated patients. Careful initial evaluation and prompt medical response should be considered for patients transported by EMS.
목차
Ⅰ. 서론
1. 연구의 필요성
2. 연구의 목적
Ⅱ. 연구방법
1. 연구설계
2. 연구대상
3. 자료수집방법
4. 자료분석
Ⅲ. 연구결과
1. 환자의 일반적 특성
2. 주취 여부에 따른 병원 전 환자상태
3. 주취 여부에 따른 주 증상 및 과거병력의 차이
4. 주취 여부에 따른 KTAS level의 차이
5. 주취 여부에 따라 이송, 초기평가, CT 검사까지 걸린 시간의 차이
6. 주취 여부에 따른 진단 및 응급실 결과의 차이
7. 주취 여부와 KTAS level에 따른 이송, 초기평가, CT 검사까지 걸린 시간의 차이
Ⅳ. 고찰
Ⅴ. 결론
1. 결론
2. 제언
ORCID ID
References