Emergency Department, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Emerg Med J. 2011 Apr;28(4):347-68. doi: 10.1136/emj.2010.091553.
The Guidelines in Emergency Medicine Network (GEMNet) has been created to promote best medical practice in a range of conditions presenting to emergency departments (EDs) in the UK. This guideline presents a summary of the best available evidence to guide the management of adult patients who present to the ED following an overdose of tricyclic antidepressant agents (TCA). The document has been developed following discussion among emergency physicians to decide which topics would benefit from the development of clinical guidelines. The document is intended as a guideline for use in the ED by emergency physicians and is based on the review of the best existing evidence for the diagnostic tools and treatments used in this setting. The document is summarised as a clinical decision support guideline that has been presented as an easy to follow algorithm. The intention is for each guideline to be updated and reviewed as further evidence becomes available. The formal revision date has been set at 5 years from publication, although the guideline is subject to continuous informal review.
《急症医学网络指南》(GEMNet)的制定旨在促进英国各急症部门(ED)处理一系列病症时的最佳医疗实践。本指南总结了现有最佳证据,以指导因三环类抗抑郁药(TCA)过量而到急症室就诊的成年患者的管理。该文件是在急诊医生讨论后制定的,以确定哪些主题将受益于临床指南的制定。该文件旨在供急诊医生在急症室使用,是根据对该环境中使用的诊断工具和治疗方法的最佳现有证据进行审查的基础上制定的。该文件概述为临床决策支持指南,已呈现为易于遵循的算法。每个指南的目的是随着更多证据的出现而进行更新和审查。正式修订日期设定为出版后 5 年,但该指南会持续进行非正式审查。