Prehospital venous catheter insertion by paramedics is not associated with prolonged length of stay at the scene in patients with external injuries and illnesses（Kobe City Fire Department Database Verification）

DOI
  • Fujinami Yoshihisa
    Department of Emergency Medicine, Kakogawa Central City Hospital
  • Sugiyama Jun
    Department of Disaster and Emergency Medicine, Graduate School of Medicine, Kobe University
  • Sato Keiji
    Department of Emergency Medicine, Kakogawa Central City Hospital
  • Kirita Manabu
    Department of Emergency Medicine, Kakogawa Central City Hospital
  • Inoue Shigeaki
    Department of Disaster and Emergency Medicine, Graduate School of Medicine, Kobe University
  • Kotani Joji
    Department of Disaster and Emergency Medicine, Graduate School of Medicine, Kobe University

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Other Title
  • 外因傷病者において救急救命士による病院前静脈路確保と現場滞在時間の延長は関連しない（神戸市消防局データベースの検証）

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Abstract

<p>The success rate of the procedure and time spent at the scene were calculated for cases in which prehospital intravenous catheter insertion was considered for shock patients from the Kobe City Fire Department database. The success rate was 80% for those with exogeneous illness and 70% for those with endogenous illness, and was significantly higher for those with exogenous illness. In addition, the time spent at the scene was not prolonged in patients with exogenous illness when comparing the success rate with the failure rate. In Kobe, prehospital care intervened more frequently in cases of exogenous shock, whereas most of the injuries and illnesses that required paramedics to respond before arrival at the hospital were of internal origin. Since the results and problems are expected to be diverse depending on regional characteristics, data should be actively presented for each region.</p>

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