Management Standard of Bone Marrow Infusion in Acute and Critical Patients

Study Overview
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Brief Summary
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As the spike in the number and severity of patients with critical patients, then quickly effective transfusion treatment demand becomes more and more serious, and the pattern of infusion pathways have traditionally used already can not adapt to this change, therefore, an urgent need to establish a set of is in line with international standards and accord with the situation of our country is simple, effective and scientific accuracy of IO management solution. In order to ensure the safety of the treatment of acute and critical patients, and in the province and even domestic experts recognized and promoted the application.

Detailed Description
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Investigate the current situation of infusion treatment for critical and critical patients in two hospitals in the province, the cognition of medical staff in critical and critical units on IO, IO training and assessment, and continuous quality improvement, etc. A comprehensive understanding of the needs of medical staff in the acute critical care unit for the refined IO management standard, including the analysis of the application of the standard in some hospitals. Clarify and refine the contents of relevant indexes of IO management standards to form a standardized, scientific, unified and simple way to quickly judge difficult vessels. Defining the appropriate infusion access, infusion tool, puncture site, infusion speed, infusion effect, patient outcome, complications, indications, contraindication, infusion risk management, relevant personnel training and assessment, and continuous quality improvement as indexes. On the basis of the standards of existing guidelines, a reasonable observation time range and the number of puncture times consistent with the first infusion puncture were established.

Official Title
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Application Value of Precision Management Standard of Bone Marrow Infusion in Acute and Critical Patients

Conditions
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Emergency Patients

Intervention / Treatment
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* Other: Investigate the current situation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1.Emergency medical staffMore than two years of critical work experience 2.Volunteer to participate in research Exclusion Criteria: Patients who have neurological disease

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Investigate the current situation|Investigate the current situation of infusion treatment for acute and critical patients in 2 hospitals in the province|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| complications in patients with intraosseous infusion | The number of complications occurred in the bone marrow cavity was calculated | one and a half years | 
| time of infufusion access establishment for patients | The time of catheterization for each bone marrow cavity puncture was recorded | one and a half years | 
| Success rate of infusion access establishment | The success rate of establishing the infusion access was calculated | one and a half years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Acute and critically ill patients, Intraosseous infusion, Management standards