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首页> 外文期刊>Emergency medicine clinics of North America >Alterations of consciousness in the emergency department. Foreword.
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Alterations of consciousness in the emergency department. Foreword.

机译：急诊科的意识改变。前言。

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摘要

You know that awesome feeling, the one you get when you walk up to the rack (now computer tracking board) to find out who your next patient is? What disease process are you up against next? How can you use your detective skills to solve the next mystery, whether you are Inspector Clouseau or Inspector Gadget? That investigation might be one of the best parts of emergency medicine, unless the patient happens to have altered mental status, perhaps the most dreaded chief complaint. Now I could be wrong, but i do not recall hearing any of my colleagues or residents screaming for joy when they pick up that chart. What I do know is that altered mental status is an all too common presenting complaint in emergency departments (EDs) across the globe and for an astounding 25% of patients more than 70 years old. I believe that much of emergency physicians' angst stems from uncertainty about these patients' presentations, our insecure diagnoses, and our tentative treatment plans. It is therefore vital that we have a firm grasp on all the different causes, presentations, and treatment options for any patient with altered mental status. After reading this issue of Emergency Medicine Clinics of North America, you will have a firmer grasp of this once fearful, now manageable, chief complaint.
机译：您知道那种令人敬畏的感觉，当您走到机架（现在是计算机跟踪板）以了解下一个病人是谁时，会得到那种感觉。接下来您要面对什么疾病？无论您是Clouseau检查员还是Gadget检查员，如何利用侦探技巧解决下一个谜团？除非患者碰巧改变了心理状况，这也许是最令人恐惧的首要诉求，否则，这项检查可能是急诊医学的最佳部分之一。现在我可能是错的，但我不记得听到任何同事或居民在拿起这张表时都为他们的喜悦而尖叫。我所知道的是，精神状态的改变在全球急诊科（ED）中非常普遍，主要表现为令人震惊的70％以上的70岁以上患者。我相信，许多急诊医师的焦虑源于这些患者的诊治，我们不安全的诊断以及我们的暂定治疗计划的不确定性。因此，至关重要的是，对于任何精神状态改变的患者，要牢牢掌握所有不同的原因，表现和治疗选择。阅读了本期《北美急诊医学诊所》后，您将对这个曾经令人恐惧，现在可以控制的主要投诉有更深刻的了解。

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