Cardiac Intensive Care Unit, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK
Department of Primary Care and Public Health, Imperial College London, London, UK.
Postgrad Med J. 2021 Mar;97(1145):188-191. doi: 10.1136/postgradmedj-2020-138100. Epub 2020 Jun 24.
Approximately 4% of patients with coronavirus disease 2019 (COVID-19) will require admission to an intensive care unit (ICU). Governments have cancelled elective procedures, ordered new ventilators and built new hospitals to meet this unprecedented challenge. However, intensive care ultimately relies on human resources. To enhance surge capacity, many junior doctors have been redeployed to ICU despite a relative lack of training and experience. The COVID-19 pandemic poses additional challenges to new ICU recruits, from the practicalities of using personal protective equipment to higher risks of burnout and moral injury. In this article, we describe lessons for junior doctors responsible for managing patients who are critically ill with COVID-19 based on our experiences at an urban teaching hospital.
约 4%的 2019 冠状病毒病（COVID-19）患者需要入住重症监护病房（ICU）。各国政府已经取消了选择性手术，订购了新的呼吸机并建造了新的医院来应对这一前所未有的挑战。然而，重症监护最终依赖于人力资源。为了增强应急能力，许多初级医生尽管相对缺乏培训和经验，还是被重新调配到 ICU。COVID-19 大流行给新的 ICU 新兵带来了额外的挑战，从使用个人防护设备的实际问题到倦怠和道德伤害的更高风险。在本文中，我们根据一家城市教学医院的经验，为负责管理 COVID-19 重症患者的初级医生描述了一些经验教训。
