Vincent J L, Thijs L, Cerny V
Department of Intensive Care, Erasme University Hospital, Free University of Brussels, Belgium.
Crit Care Clin. 1997 Apr;13(2):245-54. doi: 10.1016/s0749-0704(05)70307-9.
Intensive care medicine developed in Europe following the polio epidemic in Denmark in 1952 and is now a specialty in its own right. Across Europe differences exist between countries regarding unit size, policy, staffing, and patient demographics. There is in particular a marked north/south divide, with smaller units dealing with sicker patients in the south than the north. The United Kingdom appears to be similar to the countries of Southern Europe. Guidelines for training and structure are being developed in an attempt to create more uniformity and improve communication between units.
重症监护医学于1952年丹麦发生小儿麻痹症疫情后在欧洲发展起来,如今已成为一门独立的专业学科。在整个欧洲,各国在重症监护病房规模、政策、人员配备和患者人口统计学特征方面存在差异。特别是存在明显的南北差异,南部较小的病房收治的患者病情比北部更重。英国似乎与南欧国家情况相似。目前正在制定培训和架构指南,以期实现更大程度的统一并改善各病房之间的沟通。