院前 - 急诊 - 重症一体化救治模式在多发伤创伤患者中的应用效果

Abstract: Objective To explore the effect of the integrated pre-hospital-emergency-critical care treatment mode in patients with multiple trauma. Methods A total of 88 patients with multiple trauma admitted to Wushan County People’s Hospital from January 2022 to December 2024 were selected and divided into two groups using a random number table method. The control group (44 cases) received conventional treatment, while the observation group (44 cases) received the integrated pre-hospital-emergency-critical care treatment mode. The treatment effect, treatment time, incidence of complications during intervention, and patients’ satisfaction with rescue after intervention were compared between the two groups. Results After intervention, the incidences of shock, death, and complications in the observation group were lower than those in the control group; the duration of stay in the emergency intensive care unit (EICU) and total hospitalization time were shorter than those in the control group (P＜0.05). In addition, the pre-hospital emergency time, emergency treatment time, and time from admission to surgery in the observation group were shorter than those in the control group (P＜0.05). At 72 hours after intervention, the levels of interleukin-6 (IL-6) and tumor necrosis factor-α (TNF-α) in the observation group were lower than those in the control group, while the level of interleukin-8 (IL-8) was higher than that in the control group (P＜0.05). Moreover, the satisfaction rate with rescue in the observation group was higher than that in the control group (P＜0.05). Conclusion The application of the integrated pre-hospital-emergency-critical care treatment mode in emergency patients with multiple trauma can shorten treatment time, improve treatment effect, reduce inflammatory levels, effectively lower the incidence of complications during intervention, and achieve high patient satisfaction, which is worthy of promotion.