Mermiri Maria, Mavrovounis Georgios, Chatzis Dimitrios, Mpoutsikos Ioannis, Tsaroucha Aristea, Dova Maria, Angelopoulou Zacharoula, Ragias Dimitrios, Chalkias Athanasios, Pantazopoulos Ioannis
Department of Emergency Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece.
Medical School, European University of Cyprus, Nicosia, Cyprus.
Acute Crit Care. 2021 Feb;36(1):22-28. doi: 10.4266/acc.2020.00521. Epub 2021 Jan 28.
Critical emergency medicine is the medical field concerned with management of critically ill patients in the emergency department (ED). Increased ED stay due to intensive care unit (ICU) overcrowding has a negative impact on patient care and outcome. It has been proposed that implementation of critical care services in the ED can negate this effect. Two main Critical Emergency Medicine models have been proposed, the "resource intensivist" and "ED-ICU" models. The resource intensivist model is based on constant presence of an intensivist in the traditional ED setting, while the ED-ICU model encompasses the notion of a separate ED-based unit, with monitoring and therapeutic capabilities similar to those of an ICU. Critical emergency medicine has the potential to improve patient care and outcome; however, establishment of evidence-based protocols and a multidisciplinary approach in patient management are of major importance.
危重症急诊医学是涉及急诊科危重症患者管理的医学领域。由于重症监护病房（ICU）过度拥挤导致急诊科留观时间延长，这对患者护理及预后产生负面影响。有人提出在急诊科实施重症监护服务可消除这种影响。目前已提出两种主要的危重症急诊医学模式，即“资源强化型”和“急诊ICU型”模式。资源强化型模式基于在传统急诊科环境中始终有一名重症医学专家在场，而急诊ICU型模式则包含设立一个独立的基于急诊科的单元，其具备与ICU相似的监测和治疗能力。危重症急诊医学有改善患者护理及预后的潜力；然而，制定基于证据的方案以及采用多学科方法进行患者管理至关重要。
