背景:2004年,魁北克普朗韦省医学中心(CMPQ)建立了双语的24小时潜水紧急呼叫线和潜水医学信息服务。免费电话号码(888-835-7121)在整个加拿大都可以使用。电话和电子邮件(cmpq.cisssca@ssss。gouv.QC.ca)根据需要由CMPQ协调员或值班高压医生和其他顾问回答。我们回顾了15年的活动。
方法:对中心的电话和电子邮件查询的详细信息进行了单独审查,并汇编到数据库中。分析数据以表征接触体积和解决的问题。联系人分为五组:仅信息(INF);所需的医疗意见(MOP);紧急时期过去后的医疗问题(PUR);当前紧急但不是立即威胁生命的问题(NLT);和立即威胁生命或健康的问题(ILT)。数据表示为平均值(标准偏差)或百分比。
结果:从2004年5月至2018年12月,共进行了3,232次接触:每月19次(SD8)[每年215次(70次)]。主要关注的问题是:紧急计划(20%);技术(非医学/生理学)问题(16%);耳鼻喉科(12%);与减压疾病相关(7%)。分类为52%INF,28%MOP,13%PUR,7%NLT,和0.1%ILT,0.2%缺乏足够的细节来分类。在67%的情况下确定了感兴趣的潜水活动的性质:48%(n=1,039)专业人员;46%(n=1,008)娱乐性;1%(n=11)屏气。
结论:呼叫中心是社区的资源,提供潜水健康和安全方面的信息,并协助紧急需要。
BACKGROUND: The Centre de Médecine de Plongée du Québec (CMPQ) established a bilingual 24-hour dive emergency call line and diving medicine information service in 2004. The toll-free number (888-835-7121) works throughout Canada. Calls and emails (cmpq.cisssca@ssss.gouv.qc.ca) are answered by a CMPQ coordinator or on-call hyperbaric physicians and other consultants as needed. We reviewed 15 years of activity.
METHODS: Details of phone calls and email enquiries to the centre were reviewed individually and compiled into a database. Data were analysed to characterise contact volume and issues addressed. Contacts were categorised into five groups: information only (INF); medical opinion required (MOP); medical issue after the critical period of urgency had passed (PUR); current urgent but not immediate life-threatening issue (NLT); and immediate life- or health-threatening issue (ILT). Data presented as mean (standard deviation) or percentage.
RESULTS: A total of 3,232 contacts were made from May 2004 through December 2018: 19 (SD 8) per month [215 (70) per year]. Primary issues of concern were: emergency planning (20%); technical (not medical/physiology) questions (16%); otorhinolaryngological (12%); and decompression sickness-related (7%). Categorisation was 52% INF, 28% MOP, 13% PUR, 7% NLT, and 0.1% ILT, with 0.2% lacking sufficient detail to categorise. The nature of the diving activity of interest was determined in 67% of cases: 48% (n = 1,039) professional; 46% (n = 1,008) recreational; and 1% (n = 11) breath-hold.
CONCLUSIONS: The call centre serves as a resource to the community, providing information on health and safety for diving in addition to being available to assist with emergent needs.