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首页> 外文期刊>Journal of paediatrics and child health >Paediatric emergency and acute care in resource poor settings
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Paediatric emergency and acute care in resource poor settings

机译：资源匮乏地区的儿科急诊和急诊

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Acute care of seriously ill children is a global public health issue, and there is much scope for improving quality of care in hospitals at all levels in many developing countries. We describe the current state of paediatric emergency and acute care in the least developed regions of low and middle income countries and identify gaps and requirements for improving quality. Approaches are needed which span the continuum of care: from triage and emergency treatment, the diagnostic process, identification of co-morbidities, treatment, monitoring and supportive care, discharge planning and follow-up. Improvements require support and training for health workers and quality processes. Effective training is that which is ongoing, combining good technical training in under-graduate courses and continuing professional development. Quality processes combine evidence-based guidelines, essential medicines, appropriate technology, appropriate financing of services, standards and assessment tools and training resources. While initial emergency treatment is based on common clinical syndromes, early differentiation is required for specific treatment, and this can usually be carried out clinically without expensive tests. While global strategies are important, it is what happens locally that makes a difference and is too often neglected. In rural areas in the poorest countries in the world, public doctors and nurses who provide emergency and acute care for children are revered by their communities and demonstrate daily that much can be carried out with little.
机译：重症儿童的急性护理是全球公共卫生问题，在许多发展中国家，各级医院在改善护理质量方面还有很大的余地。我们描述了中低收入国家最不发达地区的儿科急诊和急救的现状，并指出了差距和提高质量的要求。需要涵盖整个护理连续性的方法：从分诊和急诊治疗，诊断过程，确定合并症，治疗，监测和支持性护理，出院计划和随访。改善需要对卫生工作者和质量流程的支持和培训。有效的培训是持续进行的培训，结合了本科课程的良好技术培训和持续的专业发展。质量过程结合了循证指南，基本药物，适当的技术，适当的服务资金，标准和评估工具以及培训资源。虽然最初的紧急治疗是基于常见的临床症状，但是对于特定的治疗，需要尽早区分，并且通常可以在临床上进行而无需昂贵的测试。尽管全球战略很重要，但局部发生的事情却会有所作为，而且常常被忽视。在世界上最贫穷的国家的农村地区，为儿童提供急诊和急诊护理的公共医生和护士受到他们所在社区的推崇，并且每天都在做事很少。

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