Sempowski Ian P, Brison Robert J
Department of Family Medicine, Queen's University, Kingston, Ont.
Can Fam Physician. 2002 Sep;48:1464-72.
To develop a simple stepwise approach to initial management of emergencies in family physicians' offices; to review how to prepare health care teams and equipment; and to illustrate a general approach to three of the most common office emergencies.
MEDLINE was searched from January 1980 to December 2001. Articles were selected based on their clinical relevance, quality of evidence, and date of publication. We reviewed American family medicine, pediatric, dental, and dermatologic articles, but found that the area has not been well studied from a Canadian family medicine perspective. Consensus statements by specialty professional groups were used to identify accepted emergency medical treatments.
Family medicine offices are frequently poorly equipped and inadequately prepared to deal with emergencies. Straightforward emergency response plans can be designed and tailored to an office's risk profile. A systematic team approach and effective use of skills, support staff, and equipment is important. The general approach can be modified for specific patients or conditions.
Family physicians can plan ahead and use a team approach to develop a simple stepwise response to emergency situations in the office.
制定一种针对家庭医生办公室紧急情况初始处理的简单逐步方法；回顾如何准备医疗团队和设备；并阐述处理三种最常见办公室紧急情况的一般方法。
检索了1980年1月至2001年12月的MEDLINE。根据文章的临床相关性、证据质量和发表日期进行选择。我们查阅了美国家庭医学、儿科、牙科和皮肤科的文章，但发现从加拿大家庭医学的角度来看，该领域尚未得到充分研究。专业团体的共识声明被用于确定公认的紧急医疗治疗方法。
家庭医生办公室往往设备简陋，应对紧急情况的准备不足。可以设计并根据办公室的风险状况量身定制简单直接的应急计划。系统的团队方法以及对技能、辅助人员和设备的有效利用很重要。一般方法可针对特定患者或情况进行调整。
家庭医生可以提前规划，并采用团队方法制定一种简单的逐步应对办公室紧急情况的方法。
