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Critical emergency medicine and the resuscitative care unit

机译:关键的急诊药和复苏护理单位

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Critical emergency medicine is the medical field concerned with management of critically ill patients in the emergency department (ED). Increased ED stay due to intensive care unit (ICU) overcrowding has a negative impact on patient care and outcome. It has been proposed that implementation of critical care services in the ED can negate this effect. Two main Critical Emergency Medicine models have been proposed, the “resource intensivist” and “ED-ICU” models. The resource intensivist model is based on constant presence of an intensivist in the traditional ED setting, while the ED-ICU model encompasses the notion of a separate ED-based unit, with monitoring and therapeutic capabilities similar to those of an ICU. Critical emergency medicine has the potential to improve patient care and outcome; however, establishment of evidence-based protocols and a multidisciplinary approach in patient management are of major importance.
机译:危急急诊医学是急诊患者在急诊部门(ED)中患者的管理。 由于重症监护病房(ICU),ED延长延长(ICU)过度拥挤对患者护理和结果产生负面影响。 已经提出,在ED中实施关键护理服务可以否定这种效果。 已经提出了两种主要的关键急诊药模型,“资源强度”和“ED-ICU”模型。 资源强度模型基于传统ED设置中的强度的恒定存在,而ED-ICU模型包括基于ED的单位的概念,其监测和治疗能力类似于ICU的监控和治疗功能。 关键的急诊药物有可能改善患者的护理和结果; 但是,在患者管理中建立基于证据的议定书和多学科方法是重大的重视。

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