Global Health-Health Systems & Policy, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.
Crit Care. 2018 Oct 29;22(1):284. doi: 10.1186/s13054-018-2219-2.
Critical illness results in millions of deaths each year. Care for those with critical illness is often neglected due to a lack of prioritisation, co-ordination, and coverage of timely identification and basic life-saving treatments. To improve care, we propose a new focus on essential emergency and critical care (EECC)-care that all critically ill patients should receive in all hospitals in the world. Essential emergency and critical care should be part of universal health coverage, is appropriate for all countries in the world, and is intended for patients irrespective of age, gender, underlying diagnosis, medical specialty, or location in the hospital. Essential emergency and critical care is pragmatic and low-cost and has the potential to improve care and substantially reduce preventable mortality.
危重病每年导致数百万人死亡。由于缺乏优先排序、协调以及及时识别和基本救生治疗的覆盖,对患有危重病的人的护理往往被忽视。为了改善护理,我们提出一个新的重点,即基本紧急和重症监护(EECC)——所有世界上所有医院的所有危重病患者都应该接受的护理。基本紧急和重症监护应该是全民健康覆盖的一部分,适合世界上所有国家,并且适用于无论年龄、性别、潜在诊断、医疗专业或医院位置的所有患者。基本紧急和重症监护是务实且低成本的,有可能改善护理并大幅降低可预防的死亡率。