Department of Emergency Medicine, Sidra Medical and Research Center, Doha, Qatar.
Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Int J Clin Pharm. 2021 Aug;43(4):1128-1132. doi: 10.1007/s11096-021-01262-x. Epub 2021 Apr 13.
This commentary outlines how the clinical pharmacist can support the safe administration of emergency medications in trauma anesthesia for seriously injured children. Promoting the professional development of the clinical pharmacist provided an opportunity to strengthen a key step in our trauma care pathway. We describe the implementation of this process in a new hospital, which was to become the designated children's trauma center for an entire country. Although the literature documents the use of pharmacists in emergency intubation, ours was a unique set of circumstances, where empowering the pharmacist in frontline clinical care provided additional quality assurance for rapid sequence induction and intubation in trauma. Medical simulation was a core part of socializing the advanced clinical practice role of pharmacy within the trauma team. It was our experience that the pharmacist helps to promote confidence and decision making among other members of the trauma team.
本评论概述了临床药师如何支持严重创伤儿童麻醉中急救药物的安全管理。促进临床药师的专业发展为加强我们创伤护理路径中的一个关键步骤提供了机会。我们描述了在一家新医院实施这一过程的情况,该医院将成为一个国家指定的儿童创伤中心。尽管文献记录了药剂师在紧急插管中的使用,但我们的情况是独特的,在前线临床护理中赋予药剂师权力,为创伤中快速序贯诱导和插管提供了额外的质量保证。医疗模拟是在创伤团队中使药剂师的高级临床实践角色社会化的核心部分。我们的经验是,药剂师有助于增强创伤团队其他成员的信心和决策能力。