Office of Interprofessional Education and Practice, School of Nursing, The University of North Carolina at Chapel Hill, CB# 7460, Carrington Hall, Chapel Hill, NC 27599-7470, USA.
Department of Neurosurgery, Duke University Health System, Duke Regional Hospital, 3643 North Roxboro Road, Durham, NC 27704, USA.
Nurs Clin North Am. 2019 Sep;54(3):325-333. doi: 10.1016/j.cnur.2019.04.002. Epub 2019 Jun 6.
The neurologic patient presenting to the emergency department is especially complex, with the goal of care being to prevent secondary injury while maximizing oxygenation and perfusion to the brain. To maximize the outcomes for the neurologic patient, the interprofessional team in the ED must be vigilant to ensure that patient transitions occur smoothly. Proactive measures are taken as soon as possible to prevent secondary injury and not delay access to care or services. This article provides an overview of strategies used to assist the ED care team in managing a smooth transition to the next level of care.
神经内科患者到急诊科就诊尤其复杂，其治疗目标是在最大程度提高大脑氧合和灌注的同时，防止继发性损伤。为了使神经内科患者获得最佳的治疗效果，急诊科的多学科团队必须保持警惕，确保患者平稳过渡。应尽快采取主动措施，防止继发性损伤，避免延误获得治疗或服务的机会。本文介绍了有助于急诊科医护团队顺利转至下一级治疗的策略概述。
