Reina G
Autonomous First Aid, Reception and Temporary Observation Service of the Azienda per i Servizi Sanitari n.1 Triestina, Italy.
Eur J Emerg Med. 1996 Sep;3(3):175-8. doi: 10.1097/00063110-199609000-00006.
Modern emergency medicine requires the use of temporary observation (TO) to direct diagnostic and therapeutic decisions. The position of TO in the hospital structure has been well defined in the legal sense, inasmuch as it provides the preparatory stage for the final specialized medical treatment the patient will receive after admission. TO has become indispensable in emergency medicine to provide prompt treatment of critically ill patients and to clarify as rapidly as possible uncertain cases to avoid unnecessary admissions and transfers. To operate effectively, the service of TO must be provided well-trained staff, suitable physical facilities and support services, and access to rapid specialty consultations within the emergency room environment.
现代急诊医学需要运用临时观察(TO)来指导诊断和治疗决策。从法律意义上讲,TO在医院结构中的地位已得到明确界定,因为它为患者入院后将接受的最终专科治疗提供了准备阶段。在急诊医学中,TO已变得不可或缺,它能为危重症患者提供及时治疗,并尽快明确不确定的病例,以避免不必要的入院和转诊。为有效运作,TO服务必须配备训练有素的工作人员、合适的物理设施和支持服务,并能在急诊室环境中获得快速的专科会诊。