Toback Seth L
Urgent Care Center, Washington, PA, USA.
Am Fam Physician. 2007 Jun 1;75(11):1679-84.
Most primary care physicians report at least one emergency presenting to their office per year. Asthma, anaphylaxis, shock, seizures, and cardiac arrest are among the most common adult and childhood emergencies in the office setting. Most offices are not fully prepared for these medical emergencies. Practices can initiate a preparedness program by purchasing emergency equipment and medications that reflect the spectrum of anticipated emergencies in their patient populations, the practitioners' skills, and the distance to the nearest emergency department. Physicians and staff should make every effort to maintain current certification in basic or advanced lifesaving courses. Offices may also wish to create a written emergency protocol that outlines the steps to be followed in the event of a medical office emergency. By preparing for medical emergencies with the correct equipment, education, and protocols, offices can greatly decrease the risk of an unfavorable outcome.
大多数初级保健医生报告称，每年至少有一例急症患者前往他们的诊所就诊。哮喘、过敏反应、休克、癫痫发作和心脏骤停是诊所环境中最常见的成人和儿童急症。大多数诊所并未完全为这些医疗急症做好准备。医疗机构可以通过购买应急设备和药品来启动应急准备计划，这些设备和药品应反映其患者群体中预期急症的范围、从业者的技能以及到最近急诊科的距离。医生和工作人员应尽一切努力维持基础或高级救生课程的现行认证。诊所也不妨制定一份书面应急方案，概述在医疗诊所发生紧急情况时应遵循的步骤。通过使用正确的设备、教育和方案为医疗急症做好准备，诊所可以大大降低出现不良后果的风险。
