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Availability and quality of procedural sedation and analgesia in emergency departments without emergency physicians: A national survey in the Netherlands

引用

World Journal of Emergency Medicine 2020年第2期11卷 69-73页

作者： Maybritt IKuypers Adinda Klijn nieke emullaart-jansen Frans BPlötz Amsterdam University Medical Center Amsterdamthe Netherlands Emergency Department DijklanderziekenhuisHoornthe Netherlands Department of Pediatrics Tergooi HospitalBlaricumthe Netherlands

BACKGROUND: Emergency physicians have been successful in implementing procedural sedation and analgesia(PSA) to treat emergency department(ED) patients who need to undergo painful ***, 25% of the EDs in the Netherlands are not staffed by emergency *** aim of this study was to investigate PSA availability and quality in EDs without emergency ***: We performed an exploratory cross-sectional study amongst ED nurses and physicians in all 13 EDs without emergency physicians in the *** were gathered using a standardized ***: The response rate was 34.3%(148/432).Of the respondents, 84/148(56.8%) provided adult PSA and 30/148(20.3%) provided paediatric *** reasons for not providing PSA were insufficient numbers of trained staff to support PSA in the ED and insufficient training and *** providers agreed significantly stronger when reflecting their PSA competencies in adults compared to paediatric ***: The key to improve pain management in the ED-setting may lay in investing in continuous training of ED health care professionals and/or acquiring professionals who are both qualified in PSA and available in the ED.

关键词： Procedural sedation and analgesia Emergency departments Emergency physicians

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