观察单元中神经系统疾病的护理

Care of Neurologic Conditions in an Observation Unit.

作者信息

Wheatley Matthew A, Ross Michael A

机构信息

Department of Emergency Medicine, Emory University, 49 Jesse Hill Jr Drive, Atlanta, GA 30303, USA.

出版信息

Emerg Med Clin North Am. 2017 Aug;35(3):603-623. doi: 10.1016/j.emc.2017.03.007.

DOI:10.1016/j.emc.2017.03.007

PMID:28711127

Abstract

As a group, neurologic conditions represent a substantial portion of emergency department (ED) visits. Cerebrovascular disease, headache, vertigo and seizures are all common reasons for patients to seek care in the ED. Patients being treated for each of these conditions are amenable to care in an ED observation unit (EDOU) if they require further diagnostic or therapeutic interventions beyond their ED stay. EDOUs are the ideal setting for patients who require advanced imaging such as MRIs, frequent neuro checks or specialist consultation in order to determine if they require admission or can be discharged home.

摘要

作为一个群体，神经系统疾病占急诊科就诊病例的很大一部分。脑血管疾病、头痛、眩晕和癫痫都是患者到急诊科就诊的常见原因。如果这些疾病的患者在急诊科停留期间需要进一步的诊断或治疗干预，那么他们适合在急诊科观察单元（EDOU）接受治疗。对于需要进行MRI等高级影像学检查、频繁的神经检查或专科会诊以确定是否需要住院或可以出院回家的患者来说，急诊科观察单元是理想的场所。