基本急救和危重病护理：全球卫生系统的重点。

Essential Emergency and Critical Care: A Priority for Health Systems Globally.

机构信息

Department of Accident and Emergency, University of Port Harcourt Teaching Hospital, Along East West Road, Alakahia, Port Harcourt, Rivers State 23401, Nigeria.

Department of Anaesthesia, University of Ghana Medical School, College of Health Sciences, Guggisberg Avenue, Korle Bu, GA-029-4296 Accra, Ghana; Department of Anaesthesia, Korle Bu Teaching Hospital, Guggisberg Avenue, Korle Bu, GA-029-4296 Accra, Ghana; Ghana Infectious Disease Centre, Kwabenya, Ga East, Municipal Hospital, GE-255-9501 (PQ47+FGV), Accra, Ghana; University of Ghana Medical Centre, Indian Ocean Link, University of Ghana, GA-337-6980 (JRJ7+WJP) Accra, Ghana.

出版信息

Crit Care Clin. 2022 Oct;38(4):639-656. doi: 10.1016/j.ccc.2022.06.008.

DOI:10.1016/j.ccc.2022.06.008

PMID:36162903

Abstract

Critical illness is a state of ill health with vital organ dysfunction, a high risk of imminent death if care is not provided, and the potential for reversibility. An estimated 45 million adults become critically ill each year. While some are treated in emergency departments or intensive care units, most are cared for in general hospital wards. We outline a priority for health systems globally: the first-tier care that all critically ill patients should receive in all parts of all hospitals: Essential Emergency and Critical Care. We describe its relation to other specialties and care and opportunities for implementation.

摘要

危重病是一种健康状况不佳的状态，其特点是重要器官功能障碍，如果不提供治疗，患者即将面临死亡的高风险，而且可能具有可逆性。据估计，每年有 4500 万成年人患重病。虽然有些人在急诊科或重症监护病房接受治疗，但大多数人在综合医院病房接受治疗。我们为全球卫生系统制定了一个优先事项：所有危重病患者在所有医院的所有部位都应接受的第一层治疗：基本的急诊和重症监护。我们描述了它与其他专业和护理的关系以及实施的机会。