[急诊科心血管急症监测]。

Deutsche medizinische Wochenschrift (1946) Pub Date : 2024-08-01 Epub Date: 2024-08-15 DOI:10.1055/a-2105-9849
Christian Jung, Michael Bernhard
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引用次数: 0

摘要

在急诊科,潜在或确诊患有心血管疾病的患者占患者总人数的很大一部分。在诊断和急性治疗之前和期间,对这些患者进行心血管监测往往是一项跨学科和跨专业的挑战。部分原因是急诊科的监测空间有限。因此,确定心血管监测的不同适应症至关重要。尽管监测资源有限,但确保患者的高度安全至关重要。正确的方法对预后具有重要意义。对于需要长时间监护的患者,尤其是使用侵入性系统的患者,除了适当的人员配备和医疗设备外,严密的人员监护也至关重要。对这类患者而言,首要目标是确保迅速转移到合适的目的地病房。根据联邦联合委员会关于医院分阶段急救护理的指令,在一小时内提供重症监护床位以进行进一步护理是目标。通常情况下,在急诊室就诊之初,尚未确定明确的诊断--这就需要以症状为导向进行相应的考虑。本综述文章重点介绍监测的实际实施和模式,以及在急诊科心血管诊断中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Monitoring of cardiovascular emergencies in the emergency department].

In the emergency department, patients with potential or confirmed cardiovascular diseases constitute a significant portion of the overall patient population. Monitoring for cardiovascular surveillance of these patients, until and during the diagnostics and acute therapy often presents an interdisciplinary and interprofessional challenge. This is partly due to the limited number of monitoring spaces in emergency departments. Therefore, it is crucial to establish a differentiated indication for cardiovascular monitoring. Despite limited monitoring resources, ensuring high patient safety is paramount. The correct approach holds significant prognostic importance. For patients requiring extended monitoring, especially using invasive systems, close personnel monitoring is essential, in addition to appropriate staffing and medical equipment. The overarching goal for such patients is to ensure prompt transfer to a suitable destination unit. The provision of an intensive care bed for further care within one hour is aimed for according to the directive of the Federal Joint Committee on staged emergency care in hospitals. Often, at the beginning of the emergency department visit, a definitive diagnosis is not yet established - this is addressed accordingly with symptom-oriented considerations. The present review article focuses on the practical Implementation and modalities of monitoring, as well as its application in a selection of cardiovascular diagnoses in the emergency department.

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