急诊科 VIP 患者的护理：分诊、治疗和伦理。

The care of VIPs in the emergency department: Triage, treatment and ethics.

机构信息

Ruth and Harry Roman Emergency Department, Department of Emergency Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, United States of America.

Department of Emergency Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, United States of America.

出版信息

Am J Emerg Med. 2018 Oct;36(10):1881-1885. doi: 10.1016/j.ajem.2018.07.009. Epub 2018 Jul 4.

DOI:10.1016/j.ajem.2018.07.009

PMID:30238911

Abstract

People identified as Very Important Persons (VIPs) often present or are referred to the Emergency Department (ED). Celebrities are a small subset of this group, but many others are included. Triage of these patients, including occasional prioritization, creates practical and ethical challenges. Treatment also provides challenges with the risks of over testing, overtreatment, over consultation, and over or under admission to the hospital. This article presents a practical and ethical framework for addressing the care of VIPs in the ED.

摘要

被认定为非常重要人士（VIP）的人经常到急诊部（ED）就诊或被转至该部门。名人是这一群体的一小部分，但也包括许多其他人。对这些患者进行分诊，包括偶尔的优先排序，会带来实际和伦理方面的挑战。治疗还会带来过度检查、过度治疗、过度或不足的咨询以及过度或不足的住院等风险。本文提出了一个实用和伦理框架，以解决 ED 中 VIP 的护理问题。