Effect of emergency green channel on the time-efficacy of rescue in acute craniocerebral injury patients

doi:10.3877/cma.j.issn.2095-9133.2015.06.009

Abstract

Abstract:

Objective

To explore emergency green channels for the treatment effects of patients with the acute brain injury.

Methods

100 cases of acute craniocerebral injury patients in our hospital were randomly divided into observation group and control group, 50 cases in each group: control group for the conventional first aid mode; observation group to adopt green channel fast treatment. Rescue effect was compared between two groups.

Results

In the observation group, average stay time in emergency room(16.0±3.5) min, average special examination time(17.9±2.6) min, average time from emergency to the operating room(7.2±1.1) min, and average time from admission to the operation(41.7±8.9) min were significantly shorter than those of the control group [average stay time in emergency room(23.0±5.1) min, average special examination time(25.9±3.1) min, average time from emergency to the operating room(8.3±1.8) min, and average time from admission to the operation(56.9.7±11.0) min], with statistical significance(P<0.05). 41 patients in the observation group(82%) were successfully treated, in which 4 cases(8%) had complications; in the control group 30 cases(60%) were successfully treated, in which 13 cases(26%) had complications, with statistically significant difference(P<0.05). Treatment success rate in the observation group was higher than that of the control group.

Conclusion

Implement emergency green channels can significantly shorten the reaction time of acute brain injury patients, and thus improve the success rate.

Key words: Traumatic brain injury, Emergency green channel

Shibin Yao, zhongjie He, ZhiHui Li, Hongda Zhang, Lei Deng. Effect of emergency green channel on the time-efficacy of rescue in acute craniocerebral injury patients[J]. Chinese Journal of Hygiene Rescue(Electronic Edition), 2015, 01(06): 35-37.

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References 9

1	宋杏婷．院前急救流程对创伤患者抢救时效性的影响[J]．国际护理学杂志，2014，33(2): 351-352.
2	何春梅．模拟演练对创伤院前急救时效性的影响[J]．中华现代护理杂志，2011，17(10): 1167-1168.
3	何忠杰．急救白金理论与实践[M/CD]．中华卫生应急-卫生救援，2013：48-53.
4	姚元章，孙士锦，沈康强，等．急救绿色通道对提高严重创伤救治水平的研究[J]．重庆医学，2007，36(22): 2272-2 273.
5	Liao K H, Chang C K, Chang H C, et al. Clinical practice guidelines in severe traumatic brain injury in Taiwan[J]. Surg Neurol, 2009, 72 Suppl 2: S66-S74.
6	Simonsen L L, Sonne-Holm S, Krasheninnikoff M, et al. Symptomatic heterotopic ossification after very severe traumatic brain injury in 114 patients: Incidence and risk factors[J]. Injury, 2007, 38(10): 1146-1150.
7	韦凤鸾，韦春桃，陆爱燕，等．急诊绿色通道在抢救急性重型颅脑外伤患者中的价值[J]．现代医院，2009，9(7): 41-42.
8	黄晓琴．急诊绿色通道抢救急性重型颅脑外伤300例分析[J]．中国误诊学杂志，2010，10(27): 6683.
9	曾登芬，李希西，程丽霞，等．急救绿色通道模式下204例严重创伤患者的救治[J]．创伤外科杂志，2012，14(2): 108-110.

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