定量酸碱：急救医师的简化方法

IF 1.3 4区医学 Q3 EMERGENCY MEDICINE

Journal of Emergency Medicine Pub Date : 2025-07-15 DOI:10.1016/j.jemermed.2025.07.021

Rory Spiegel MD , David Gordon MD , Shane Kappler MD , Max Hockstein MD

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引用次数: 0

摘要

背景：对酸碱生理学的深刻理解通常缺乏急诊临床医生的技能。获得对酸碱的全面理解所需的计算被认为过于复杂和耗时，使得它们在急诊科混乱的环境中不切实际。目的：使急诊科医生更容易接近和接近酸碱。我们提出了一种简化的定量酸碱方法，允许临床医生通过最少的计算，通常只使用基本的化学谱，就能对最复杂的酸碱异常有一个大致的了解。结论使用简化的定量酸碱模型，急诊医师可以更好地了解患者的酸碱生理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Quantitative Acid-Base: A Simplified Approach for the Emergency Physician

Background

A deep understanding regarding acid-base physiology has been generally absent from what is considered the skill set of Emergency clinicians. The calculations needed to obtain a solid comprehension of acid-base are thought to be too complex and time consuming, making them impractical for the chaotic environment of the Emergency Department.

Objectives

Make acid-base more approachable and accessible for the Emergency Physician.

Discussion

We present a simplified approach to quantitative acid-base, allowing clinicians to gain a general understanding of even the most complex acid-base abnormalities with minimal calculations and often with only the use of a basic chemistry profile.

Conclusions

With the utilization of a simplified quantitative acid-base model Emergency Physicians can gain a better understanding of their patients’ acid-base physiology.

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine