Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA.
Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA, USA.
Crit Care Clin. 2024 Jul;40(3):451-462. doi: 10.1016/j.ccc.2024.03.006. Epub 2024 Apr 12.
Practice of critical care in austere settings involves navigating rapidly evolving environments, where physical resources, provider availability, and healthcare capacity are constrained. Austere Critical Care focuses on maintaining the highest standard of care possible for patients while also identifying resource limitations, responding to patient surges, and adhering to proper triage practices at the austere site. This includes transferring the patient when able and necessary. This article describes the current practice of critical care medicine in the austere environment, using recent natural disasters, pandemics, and conflicts as case studies.
在艰苦环境中进行重症监护的实践涉及到在快速变化的环境中进行导航,在这种环境中,物质资源、医护人员的可用性和医疗保健能力都受到限制。艰苦环境下的重症监护专注于在确定资源限制的同时,为患者维持尽可能高的护理标准,应对患者激增,并在艰苦环境下遵守适当的分诊实践,包括在有能力和必要时转移患者。本文使用最近的自然灾害、大流行病和冲突作为案例研究,描述了艰苦环境中重症监护医学的当前实践。