Molyneux E M
College of Medicine, University of Malawi, Blantyre, Malawi.
Ann Trop Paediatr. 2010;30(3):165-76. doi: 10.1179/146532810X12703902516482.
Emergency care has been neglected in many resource-constrained countries and yet 50% of paediatric admissions die in the 1st 24 hours of admission. Carers may know how to manage clinical problems but there might not be a system in place to provide timely and appropriate care. This article reviews the needs--staffing, materials and physical layout--of a receiving hospital unit and describes how to set up a system of patient flow and care that prioritises and provides timely care, so that when a patient arrives in hospital the system does not fail them.
在许多资源有限的国家，急诊护理一直被忽视，然而50%的儿科住院患者在入院后的头24小时内死亡。护理人员可能知道如何处理临床问题，但可能没有一个系统来提供及时和适当的护理。本文回顾了接收医院科室的需求——人员配备、物资和物理布局——并描述了如何建立一个患者流程和护理系统，该系统能够确定优先顺序并提供及时护理，以便当患者入院时该系统不会让他们失望。
