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复苏手术室:围手术期创伤护士的工作重点

The resuscitation OR: priorities for the perioperative trauma nurse.

作者信息

O'Connell W D

出版信息

Todays OR Nurse. 1992 Dec;14(12):9-12.

PMID:1481256
Abstract
  1. Bypassing the emergency department for resuscitation of the most severely injured patients has long been advocated. Rapid transport systems combined with the instant availability of OR facilities and trained trauma teams markedly decreased morbidity and mortality among these patients. 2. In many institutions, the resuscitation operating room is in the OR suite; others have built an operating room in the emergency department. The most radical approach is a self-contained trauma facility, complete with operating rooms, separate from the emergency department. 3. Awareness of priorities, continuous assessment and revision of priorities, defined roles, and multidisciplinary cooperation are important. Reduction of inventory and simplification of instrumentation are essential for a fast response.
摘要
  1. 长期以来,人们一直主张绕过急诊科对重伤患者进行复苏。快速转运系统与手术室设施的即时可用以及训练有素的创伤团队相结合,显著降低了这些患者的发病率和死亡率。2. 在许多机构中,复苏手术室位于手术室区域;其他机构则在急诊科设立了手术室。最激进的方法是建立一个独立的创伤救治设施,配备手术室,与急诊科分开。3. 明确优先事项、持续评估和调整优先事项、明确职责以及多学科合作非常重要。减少库存和简化器械对于快速反应至关重要。

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