How to safely extubate a patient in the emergency department: a user's guide to critical care

Sara H. Gray; John A. Ross; Robert S. Green

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How to safely extubate a patient in the emergency department: a user's guide to critical care

机译：如何在急诊室安全拔管患者：重症监护用户指南

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A 35-year-old male is found unconscious at the bottom ofa staircase. His Glasgow Coma Scale (GCS) score is 3,and he is intubated by the paramedics for failure to protecthis airway. On assessment in the emergency department(ED), the GCS score remains 3, but his examination andinvestigations (including a normal head computed tomographic [CT] scan) are unremarkable except for a serumethanol of 97 mmol/L. Five hours later, he remainsintubated in the ED but is starting to wake up. Should youextubate him or sedate him to keep him intubated? Howdo you ensure the optimal outcome for this patient?

机译：楼梯底部发现一名35岁的男性昏迷。他的格拉斯哥昏迷量表（GCS）得分为3，并且因无法保护其气道而被护理人员插管。经急诊科评估，GCS得分仍为3，但他的检查和检查（包括正常的头部计算机断层扫描[CT]扫描）除血清乙醇浓度为97 mmol / L以外，均无异常。五小时后，他仍插在急诊室，但开始醒来。您应该拔管还是让他保持插管状态？您如何确保该患者的最佳结果？

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来源
《Canadian Journal of Emergency Medicine》 |2013年第5期|共4页
作者
Sara H. Gray; John A. Ross; Robert S. Green;
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中图分类组织疗法（器官疗法）;
关键词
emergency departmentextubationpatient safety;

机译：急诊科拔管病人安全;

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1. Trauma patients can be safely extubated in the emergency department. [J] . Weingart SD, Menaker J, Truong H, The Journal of Emergency Medicine . 2011,第2期

机译：创伤患者可以在急诊室安全拔管。
2. Design and Rationale of a Randomized Trial of a Care Transition Strategy in Patients With Acute Heart Failure Discharged From the Emergency Department GUIDED-HF (Get With the Guidelines in Emergency Department Patients With Heart Failure) [J] . Fermann Gregory J., Levy Phillip D., Pang Peter, Circulation. Heart failure . 2017,第2期

机译：急性心力衰竭急性心力衰竭患者护理过渡策略的随机试验的设计与理由（在急诊部患者心力衰竭患者指导下）
3. A descriptive study of heavy emergency department users at an academic emergency department reveals heavy ED users have better access to care than average users. [J] . Blank FS, Li H, Henneman PL, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association . 2005,第2期

机译：对学术急诊室急诊科重症患者的描述性研究显示，急诊科重症患者比普通患者享有更好的医疗服务。
4. Banner Health/Arizona State University Partnership in Redesigning Emergency Department Care Delivery Focusing on Patient Safety [C] . Twila Burdick, Jeffery Cochran, Steve Kisiel, Society for Health Systems Annual Conference . 2007

机译：横幅健康/亚利桑那州立大学在重新设计急诊室护理送货上专注于患者安全的伙伴关系
5. Improving access to care for the uninsured: The effects of the Voices of Detroit Initiative collaborative approach on redirecting low income, self -pay emergency department users to primary care [D] . Taueg, Cynthia 2006

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6. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial [O] . Vicky Stergiopoulos, Agnes Gozdzik, Jason Tan de Bibiana, 2016

机译：简短的病例管理与急诊科频繁使用者的常规护理：医院急诊科的协调就医机会（CATCH-ED）随机对照试验
7. Brief case management versus usual care for frequent users of emergency departments: the Coordinated Access to Care from Hospital Emergency Departments (CATCH-ED) randomized controlled trial [O] . Vicky Stergiopoulos, Agnes Gozdzik, Jason Tan de Bibiana, 2016

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How to safely extubate a patient in the emergency department: a user's guide to critical care

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