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[急诊科的初级评估]

[Primary assessment in the emergency department].

作者信息

Gräff Ingo, Pin Martin

机构信息

Abteilung Klinische Akut- und Notfallmedizin, Universitätsklinikum Bonn.

Zentrale Interdisziplinäre Notaufnahme, Florence-Nightingale-Krankenhaus Düsseldorf.

出版信息

Dtsch Med Wochenschr. 2021 Nov;146(23):1543-1546. doi: 10.1055/a-1059-1698. Epub 2021 Nov 26.

DOI:10.1055/a-1059-1698
PMID:34826841
Abstract

First goal in an emergency department must be the immediate recognition of patients at risk. The primary success of therapy depends mainly on whether a critical risk is identified immediately upon arrival at the central emergency department and appropriate therapy is initiated. In order to identify critical patients among the many patients with a wide range of diseases and, nurse-assisted initial assessment systems can help. The assessment thus represents a complex decision-making process to identify critically ill patients in times of high patient volume and limited resources.

摘要

急诊科的首要目标必须是立即识别有风险的患者。治疗的主要成功与否主要取决于在患者抵达中央急诊科时是否能立即识别出关键风险,并启动适当的治疗。为了在众多患有各种疾病的患者中识别出重症患者,护士辅助的初始评估系统会有所帮助。因此,这种评估是一个复杂的决策过程,旨在在患者数量众多且资源有限的情况下识别重症患者。

相似文献

1
[Primary assessment in the emergency department].[急诊科的初级评估]
Dtsch Med Wochenschr. 2021 Nov;146(23):1543-1546. doi: 10.1055/a-1059-1698. Epub 2021 Nov 26.
2
Rapid triage performed by nurses: Signs and symptoms associated with identifying critically ill patients in the emergency department.护士进行的快速分诊:与在急诊室识别危重症患者相关的体征和症状。
Int J Nurs Pract. 2022 Feb;28(1):e13001. doi: 10.1111/ijn.13001. Epub 2021 Aug 28.
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Prehospital Application of the Canadian Triage and Acuity Scale by Emergency Medical Services.紧急医疗服务机构对加拿大分诊与 acuity 量表的院前应用 。 (注:这里“acuity”结合语境可能是指“急症程度”之类的意思,但按照要求未做额外解释,直接保留原文词汇)
CJEM. 2017 Jan;19(1):26-31. doi: 10.1017/cem.2016.345. Epub 2016 Aug 10.
4
Does the Manchester triage system detect the critically ill?曼彻斯特分诊系统能检测出危重症患者吗?
J Accid Emerg Med. 1999 May;16(3):179-81. doi: 10.1136/emj.16.3.179.
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Patient-tailored triage decisions by anaesthesiologist-staffed prehospital critical care teams: a retrospective descriptive study.由配备麻醉医生的院前重症护理团队做出的针对患者的分诊决策:一项回顾性描述性研究。
BMJ Open. 2018 Jul 18;8(7):e019813. doi: 10.1136/bmjopen-2017-019813.
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Recognizing critically ill children with a modified pediatric early warning score at the emergency department, a feasibility study.在急诊科使用改良儿科早期预警评分识别危重症患儿的可行性研究。
Eur J Pediatr. 2019 Feb;178(2):229-234. doi: 10.1007/s00431-018-3285-9. Epub 2018 Nov 9.
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[Triage--a method for the best possible care in the emergency department].[分诊——急诊科实现最佳护理的一种方法]
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Impact of an Emergency Triage Assessment and Treatment (ETAT)-based triage process in the paediatric emergency department of a Guatemalan public hospital.基于紧急分诊评估与治疗(ETAT)的分诊流程对危地马拉一家公立医院儿科急诊科的影响。
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Quantitative Analysis of the Content of EMS Handoff of Critically Ill and Injured Patients to the Emergency Department.危重伤病患者急诊医疗服务交接内容的定量分析
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Nurse-administered early warning score system can be used for emergency department triage.护士实施的早期预警评分系统可用于急诊科分诊。
Dan Med Bull. 2011 Jun;58(6):A4221.

引用本文的文献

1
Frequency, demographics, diagnoses and consultation patterns associated with low-acuity attendances in German emergency departments: a retrospective routine healthcare data analysis from the INDEED project.德国急诊科低急症就诊的频率、人口统计学特征、诊断及会诊模式:一项来自INDEED项目的回顾性常规医疗数据分析
BMJ Open. 2024 Dec 20;14(12):e084986. doi: 10.1136/bmjopen-2024-084986.
2
[Patients treated by general practitioners in a university emergency department before and after implementation of a triage system].[分诊系统实施前后在大学急诊科由全科医生治疗的患者]
Med Klin Intensivmed Notfmed. 2023 Jun;118(5):382-388. doi: 10.1007/s00063-022-00950-4. Epub 2022 Sep 7.