Document Detail

Prehospital guidelines for use of hypertonic saline are not followed systematically.
MedLine Citation:
PMID:  22459722     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: Hypertonic saline (HS) was introduced in our physician-based mobile emergency care unit (MECU) in September 2006 for patients with severe traumatic brain injury and hypotension. HS has, however, rarely been used and we sought to identify barriers to its implementation.
MATERIAL AND METHODS: We conducted a survey based on a questionnaire administered to all 40 anaesthesiologists employed at the MECU in Copenhagen as per August 2010.
RESULTS: A total of 31 anaesthesiologists (84%) returned the questionnaire. Three physicians were excluded because of leave. Almost half of the physicians considered the evidence for use of HS insufficient, and 29% found that guidelines were lacking. Noticeable barriers were inadequate familiarity with and unawareness of the guideline. Some believed that they may have failed to use HS because the option did not occur to them during the relevant incidents. Many physicians stated that training at the MECU should be more thorough and that instructions were missing.
CONCLUSION: Barriers to the implementation of HS were lack of familiarity with the guideline and disagreement regarding the evidence supporting its use. Possible solutions to these implementation issues include additional instructions and internal MECU meetings
FUNDING: not relevant.
Julie Hejselbaek; Jacob Steinmetz; Lars Simon Rasmussen
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Danish medical journal     Volume:  59     ISSN:  2245-1919     ISO Abbreviation:  Dan Med J     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-03-30     Completed Date:  2012-08-02     Revised Date:  2012-09-06    
Medline Journal Info:
Nlm Unique ID:  101576205     Medline TA:  Dan Med J     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  A4417     Citation Subset:  IM    
Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, Denmark.
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MeSH Terms
Emergency Medical Services / methods*,  statistics & numerical data
Health Care Surveys
Health Knowledge, Attitudes, Practice
Health Status Indicators
Physician's Practice Patterns / statistics & numerical data*
Physicians / statistics & numerical data*
Saline Solution, Hypertonic / administration & dosage*
Reg. No./Substance:
0/Saline Solution, Hypertonic

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