背景:在皮肤科,外科,和美容程序。
目的:本研究旨在调查皮肤科医生经历紧急并发症的频率以及他们对紧急情况和基本生命支持的知识水平。
方法:在网上对240名皮肤科医生进行了横断面描述性研究,他们通过电子邮件和一个封闭的社交媒体小组向他们发送了问卷。调查仪器询问了皮肤病学期间的紧急并发症,外科,或整容手术和皮肤科医生关于紧急情况和基本生命支持的知识水平。
结果:在皮肤科医生中,53%报告了皮肤病学和外科手术期间的紧急并发症,43.2%报告了整容手术期间的紧急并发症。最常见的并发症是血管迷走性晕厥,低血压/出血,和癫痫发作。急诊并发症在专家中更为常见,那些有15年以上专业经验的人,那些在私人诊所工作的人,以及那些每周平均进行10-50次皮肤病学/外科手术和每周少于10次美容手术的人(p<0.05)。皮肤科医生的知识水平在居民中最高,具有0-4年专业经验的皮肤科医生,那些在大学医院工作的人,以及那些在基本生命支持方面接受过理论和实践培训的人。
结论:这项研究表明,皮肤科医生在皮肤科期间出现紧急并发症的频率相对较高,外科,或美容程序。尽管这些并发症似乎很常见,但大多数都是轻度的,自我限制,不会危及生命.然而,皮肤科医生应该有能力并准备在日常实践中干预医疗紧急情况。
BACKGROUND: Medical emergency complications may occur during dermatological, surgical, and cosmetic procedures.
OBJECTIVE: This study aimed to investigate the frequency of dermatologists who experienced emergency complications as well as their level of knowledge regarding emergencies and basic life support.
METHODS: The cross-sectional descriptive study was conducted online among 240 dermatologists to whom a questionnaire was sent via email and a closed social media group. The survey instrument asked about emergency complications during dermatological, surgical, or cosmetic procedures and the dermatologists\' level of knowledge regarding emergencies and basic life support.
RESULTS: Among the dermatologists, 53% reported emergency complications during dermatological and surgical procedures and 43.2% during cosmetic procedures. The most common complications were vasovagal syncope, hypotension/bleeding, and seizures. Emergency complications were more common among specialists, those with more than 15 years of professional experience, those working in their private clinics, and those performing an average of 10-50 dermatological/surgical procedures per week and fewer than 10 cosmetic procedures per week (p < 0.05). The knowledge level of dermatologists was highest among residents, dermatologists with 0-4 years of professional experience, those working in university hospitals, and those who had both theoretical and practical training in basic life support.
CONCLUSIONS: This study shows a relatively high frequency of dermatologists who experienced emergency complications during dermatological, surgical, or cosmetic procedures. Although these complications seem to be common; most of them are mild, self-limiting, and not life-threatening. Nevertheless, dermatologists should be competent and prepared to intervene in medical emergencies in daily practice.