PELOD 是否衡量器官功能障碍……器官功能是否是死亡的有效替代指标？
Does PELOD measure organ dysfunction...and is organ function a valid surrogate for death?
出版信息
Intensive Care Med. 2010 Jan;36(1):4-7. doi: 10.1007/s00134-009-1712-0. Epub 2009 Nov 10.
BACKGROUND
In December 2007, the European Society of Intensive Care Medicine established a Task Force to develop standard operating procedures (SOPs) for operating intensive care units (ICU) during an influenza epidemic or mass disaster.
PURPOSE
To provide direction for health care professionals in the preparation and management of emergency ICU situations during an influenza epidemic or mass disaster, standardize activities, and promote coordination and communication among the medical teams.
METHODS
Based on a literature review and contributions of content experts, a list of essential categories for managing emergency situations in the ICU were identified. Based on three cycles of a modified Delphi process, consensus was achieved regarding the categories. A primary author along with an expert group drafted SOPs for each category.
RESULTS
Based on the Delphi cycles, the following key topics were found to be important for emergency preparedness: triage, infrastructure, essential equipment, manpower, protection of staff and patients, medical procedures, hospital policy, coordination and collaboration with interface units, registration and reporting, administrative policies and education.
CONCLUSIONS
The draft SOPs serve as benchmarks for emergency preparedness and response of ICUs to emergencies or outbreak of pandemics.
背景
2007 年 12 月，欧洲危重病医学会成立了一个工作组，以制定在流感大流行或大规模灾害期间运作重症监护病房（ICU）的标准作业程序（SOP）。
目的
为应对流感大流行或大规模灾害期间紧急 ICU 情况的医疗保健专业人员提供指导，规范活动，并促进医疗团队之间的协调和沟通。
方法
根据文献回顾和内容专家的贡献，确定了管理 ICU 紧急情况的基本类别清单。基于三轮改良 Delphi 流程，就各分类达成了共识。主要作者和专家组为每个类别起草了 SOP。
结果
根据 Delphi 周期，以下关键主题被认为对紧急准备很重要：分诊、基础设施、基本设备、人力、医护人员和患者的防护、医疗程序、医院政策、与接口单位的协调与合作、登记和报告、行政政策和教育。
结论
草案 SOP 可作为 ICU 应对紧急情况或大流行爆发的应急准备和应对基准。
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