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社区医院对儿科急诊的管理:对儿科急诊医疗服务的启示

Community hospital management of pediatric emergencies: implications for pediatric emergency medical services.

作者信息

Sacchetti A, Carraccio C, Warden T, Gazak S

出版信息

Am J Emerg Med. 1986 Jan;4(1):10-3. doi: 10.1016/0735-6757(86)90241-x.

DOI:10.1016/0735-6757(86)90241-x
PMID:3947425
Abstract

The ability of emergency physicians in a general community hospital to manage pediatric patients was evaluated. Essential diagnostic and therapeutic procedures performed in the emergency department on pediatric patients transferred for admission to a tertiary care center were compared with those initially performed on the same patients by the pediatricians and residents of the tertiary care center. The overall care rendered by the emergency physicians correlated well with that of the referral center. Ninety one per cent of diagnostic studies and 96% of therapeutic interventions were performed in the emergency department. Implications for the care of seriously ill pediatric patients by emergency physicians and the role of community hospital emergency departments in pediatric emergency medical services (EMS) systems are discussed.

摘要

对一家普通社区医院的急诊医生处理儿科患者的能力进行了评估。将转往三级护理中心住院的儿科患者在急诊科进行的基本诊断和治疗程序,与三级护理中心的儿科医生和住院医师对同一患者最初进行的程序进行了比较。急诊医生提供的整体护理与转诊中心的护理相关性良好。91%的诊断研究和96%的治疗干预是在急诊科进行的。讨论了急诊医生对重症儿科患者的护理意义以及社区医院急诊科在儿科急诊医疗服务(EMS)系统中的作用。

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