Kissoon N
Department of Pediatrics, University of Florida, Jacksonville.
Crit Care Clin. 1992 Jan;8(1):37-57.
The aim of critical care transport services is the provision of care prior to and during transportation, similar to that offered in the tertiary care intensive care unit. This can only be achieved by a well prepared and equipped team dedicated to provision of this care. Appreciation of the disease conditions and adverse physiologic events likely to be encountered is necessary for the success of the team. Patient demographics and diseases in various geographic areas have been reported in the past few years. But, at the present time, team composition, responsibilities, and training requirements have not been well defined. In addition, there are no validated scoring systems to assist in team composition, triage of patients, or in the meaningful evaluation of mortality statistics. Within the next few years, one can expect to see genuine attempts made to address some of these issues.
重症护理转运服务的目标是在转运前及转运过程中提供护理,这与三级护理重症监护病房所提供的护理类似。这只有通过一支准备充分且装备齐全、致力于提供此类护理的团队才能实现。团队要取得成功,就必须了解可能遇到的疾病状况和不良生理事件。过去几年已有关于不同地理区域患者人口统计学特征和疾病的报道。但是,目前团队的组成、职责和培训要求尚未明确界定。此外,尚无经过验证的评分系统可协助团队组成、患者分诊或对死亡率统计数据进行有意义的评估。在未来几年内,有望看到为解决其中一些问题而做出的切实努力。