干旱区生态环境知识资源中心(Arid): Prescribing in the prehospital environment: a review of the pharmaceutical Module 501 on UK Military Exercise SAIF SAREEA 3. Can such analysis assist with the scaling of healthcare assets?

Arid

DOI	10.1136/jramc-2019-001363
	Prescribing in the prehospital environment: a review of the pharmaceutical Module 501 on UK Military Exercise SAIF SAREEA 3. Can such analysis assist with the scaling of healthcare assets?
	Davies, L. G.; Thompson, D. C.; Gillett, R.; Smith, M. B.
通讯作者	Smith, MB (corresponding author), British Army, 5 Armoured Med Regiment, Catterick Garrison DL9 4AS, England.
来源期刊	BMJ MILITARY HEALTH
ISSN	2633-3767
EISSN	2633-3775
出版年	2020
卷号	166 期号:6 页码:387-390
英文摘要	Introduction Module 501 provides core medications which are fundamental to the capability of a prehospital treatment team (PHTT). The quantities of each medication in the module inventory undergo regular review, but these do not correspond to a population at risk (PAR) figure or deployment length for which they intend to be used. This article proposes how the quantities of Module 501 drugs can be scaled for a given deployment, in this example using statistics taken from static PHTTs on Exercise Saif Sareea 3 (SS3). Methods The statistics were gathered using a custom-built search of electronic records from the Deployed Defence Medical Information Capability Programme in addition to written record-keeping, which were aligned to the weekly PAR at each PHTT location throughout their full operational capability periods. A quotient was then derived for each module item using a formula. Results Among the 10 most commonly prescribed drugs were four analgesics and three antimicrobials. 42 of the 110 studied drugs were not prescribed during SS3. Discussion The data from SS3 reflect the typical scope of disease encountered in the deployed land setting. Employing these data, the use of a formula to estimate the drug quantities needed to sustain a Strike Armoured Infantry Brigade over a 28-day period is demonstrated. Recommendations Further study of Module 501 across varied deployment environments would be valuable in evolving this approach to medicinal scaling if proven effective for the warm desert climate. It could then be applied to other modules to further inform future Strike medical planning. Limitations Several considerations when drawing deductions from the data are mentioned, including the inaccuracy of predictor variables taken from the EpiNATO-2 reports. Conclusion The proposed formula provides an evidence-based framework for scaling drug quantities for a deployment planning. This may improve patient safety and confer logistical, storage and fiscal benefits.
英文关键词	primary care pharmacology health policy epidemiology
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000608476300004
WOS类目	Medicine, General & Internal
WOS研究方向	General & Internal Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/348763
作者单位	[Davies, L. G.; Thompson, D. C.; Gillett, R.; Smith, M. B.] British Army, 5 Armoured Med Regiment, Catterick Garrison DL9 4AS, England
推荐引用方式 GB/T 7714	Davies, L. G.,Thompson, D. C.,Gillett, R.,et al. Prescribing in the prehospital environment: a review of the pharmaceutical Module 501 on UK Military Exercise SAIF SAREEA 3. Can such analysis assist with the scaling of healthcare assets?[J],2020,166(6):387-390.
APA	Davies, L. G.,Thompson, D. C.,Gillett, R.,&Smith, M. B..(2020).Prescribing in the prehospital environment: a review of the pharmaceutical Module 501 on UK Military Exercise SAIF SAREEA 3. Can such analysis assist with the scaling of healthcare assets?.BMJ MILITARY HEALTH,166(6),387-390.
MLA	Davies, L. G.,et al."Prescribing in the prehospital environment: a review of the pharmaceutical Module 501 on UK Military Exercise SAIF SAREEA 3. Can such analysis assist with the scaling of healthcare assets?".BMJ MILITARY HEALTH 166.6(2020):387-390.