医院分诊在创伤患者中的意义。

Q2 Medicine
G De Gabriele, E Macorano, A Cristalli, A Colucci, S Di Trani, A Marzaioli, F Mele, F Introna
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引用次数: 0

摘要

背景:在急诊医学领域,如何确保患者及时得到所需护理的问题在整个欧洲已经争论了大约30年。这是因为,由于医学科学和技术的进步,现在可以比以前更准确地评估病人病情的严重程度。病例报告:作者分析了发生在意大利南部一家医院的一例特殊病例。一个持续多处受伤的病人在分诊过程中被低估,导致了一个不利的结果。分配红色而不是蓝色代码将导致介入治疗的启动,包括转移到具有必要资源的医院。这将增加受试者生存的可能性。讨论:正如本例所示,护理人员不准确的分诊估计可能会产生可怕的后果,因为随后的控制水平取决于分配给患者的初始分诊代码。这表明,无论医院规模大小,都有必要在急诊科的分诊程序上达成全国统一的共识。结论:该主题具有重大的国内和国际利益。为了大大减少由于护士有时被迫在完全不可靠的条件下工作而造成的知识错误的发生率,有必要重新制定有关获得紧急护理的参数。利用领土上的领土结构将用于处理轻微紧急情况和适当治疗需要高级护理的病人。可以建议使用当地药物来减轻急诊室的负担,因为急诊室因小急诊而日益拥挤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The significance of hospital triage in the context of trauma patients.

Background: In the field of emergency medicine, the question of how to ensure that patients receive the care they require in a timely manner has been a topic of debate for approximately 30 years throughout Europe. This is due to the fact that, as a result of advances in medical science and technology, it is now possible to assess the criticality of a patient's condition with greater accuracy than was previously possible.

Case report: Authors analyzed a peculiar case occurred in a hospital in the South of Italy. A patient who had sustained multiple injuries underwent an understate in triage procedure, resulting in an unfavorable outcome. The assignment of a Code Red rather than a Code Blue would have resulted in the initiation of interventional care, including transfer to a hospital with the necessary resources for the subject's condition. This would have increased the likelihood of survival for the subject.

Discussion: As illustrated by the presented case, inaccurate triage estimation by nursing staff can have dire consequences, as subsequent control levels are contingent upon the initial triage code assigned to a patient. This exemplifies the necessity for a unified national consensus on triage procedures in emergency departments, irrespective of hospital size.

Conclusion: The subject matter is of significant national and international interest. A reformulation of the parameters governing access to emergency care would be necessary in order to significantly reduce the incidence of knowledge-based errors attributable to nurses who are sometimes compelled to work in conditions that are wholly unreliable3. The use of territorial structures located on the territory would be used to manage minor emergencies and appropriately treat patients in need of advanced care. It is possible to propose using local medicine to lessen the burden of emergency rooms, which are increasingly overcrowded with minor emergencies.

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来源期刊
Clinica Terapeutica
Clinica Terapeutica PHARMACOLOGY & PHARMACY-
CiteScore
2.50
自引率
0.00%
发文量
124
审稿时长
6-12 weeks
期刊介绍: La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.
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