• Aucun résultat trouvé

Prospective study of an advanced nurse triage for a target pathology at the admission in the emergency department

N/A
N/A
Protected

Academic year: 2021

Partager "Prospective study of an advanced nurse triage for a target pathology at the admission in the emergency department"

Copied!
1
0
0

Texte intégral

(1)

Prospec(ve  study  of  an  advanced  nurse  triage  for  a  target  

pathology  at  the  admission  in  the  emergency  department.

 

Jobé  J,  Vandercleyen  C,  Ghuysen  A,  D’Orio  V.  

Emergency  department,  University  hospital,  Liège,  Belgium.  

Introduc(on  

Since  their  crea,on,  emergency  departments  are  faced  with  a  con,nuous  

increasing  of  their  frequenta,on.  This  creates,  by  moment,  severe  satura,on  of   these  departments’  resources.  Triage  nurse  introduced  to  diminue  this  conges,on   doesn’t  resolve  the  problem  completely.  The  solu,on  could  be  the  establishment   of  an  advanced  nurse  triage  for  pa,ents  at  admission.  

In  the  emergency  department  of  our  ins,tu,on,  we  study  the  efficiency  of  an   advanced  nurse  triage  for  pa,ent  admi@ed  with  chest  pain  (Acute  coronary   syndrome  symptomatology).  

Material  et  methods  

Our  study  is  a  prospec,ve,  interven,onal,  randomized  controlled  trial,  performed   on  58  pa,ents,  including  27  in  the  study  group  and  31  in  the  control  group.  We   analyzed  if    the  advanced  triage  nurse  could  improve  the  management  of  chest   pain  in  terms  of  ,me.  

The  design  of  the  study  was  approved  by  our  ins,tu,on’s  human  subject  ethical   review  commi@ee.  

An  algorithm  based  on  permanent  orders  inspired  from  PIT  protocols  was  designed   to  allow  the  realiza,on  of  this  par,cular  advanced  triage  by  a  nurse.  

Results  

The  results  of  our  study  highlight  four  main  parameters  who  significantly   differen,ated  in  posi,ve  way  the  management  based  on  advanced  triage  

compared  with  conven,onal  triage  :  first  nurse  and/or  medical  contact,  the  ,me   required  to  the  realiza,on  of  ECG,  the  ,me  required  to  obtain  results  of  fast   cardiac  enzymes  analysis,  as  well  as  the  ,me  spent  in  emergencies  department.   Conclusion  

With  such  results,  we  can  reasonably  consider  that  the  advanced  triage  nurse  is  a   tool  for  future  efficient  and  necessary  in  emergency  departments.  

Société  belge  de  médecine  d’urgence  et  de  catastrophe.   Symposium  belge  des  médecins  de  l’urgences.  

Références

Documents relatifs

4.3 Correlation assumptions in the combination of differential results at 8 TeV An additional complication in the combination of differential measurements, with respect to

examined, sep.. ساردلما تددعت و ،اهتعيبط و اهموهفم لوح ةفلتمخ تايرسفت تفرع امك ،تاونسلا برع ةيجرالخا ةراجتلا تروطت اءادتبا ،ىرخآ لىا ةسردم نم

Students who cannot access certifying upper secondary VET or general education programmes directly after compulsory school may first take a transitional programme (light grey bar

Healthcare providers need to pay particular attention to the relational and informational dimensions of the experience according to the stage of the healthcare process and patients'

Cette étude des EAB suit deux axes, qui, selon nous, sont essentiels pour ces entreprises : le territoire, et l’aptitude à la négociation commerciale.. En effet, le territoire,

random variables, Wasserstein distance, Concentration inequalities, Quantization, Markov chains, ρ-mixing sequences, Mc Kean-Vlasov particles system.. Introduction

The higher number of genes in the wheat 3B core gene set compared to other grass species most likely holds true at the whole genome level, as confirmed by the prediction of 44,523

L’archive ouverte pluridisciplinaire HAL, est destinée au dépôt et à la diffusion de documents scientifiques de niveau recherche, publiés ou non, émanant des