降阶梯思维.ppt

降阶梯思维在急诊的临床应用 2017-4-10 2 2 急危重症患者抢救中心疑难病人会诊中心慢性病人康复中心临终病人关怀中心待住院患者侯床中心醉酒患者的暴力发泄中心三无人员的收留中心各种检查的必查中心 What is Emergency Medicine? What is Emergency Medicine? 3 What is Emergency Medicine? What is Emergency Medicine? ??急诊医学急诊医学( (非院前、突发公共卫生事件、灾害救援等) 非院前、突发公共卫生事件、灾害救援等) 是研究和处理各类疾病是研究和处理各类疾病急性发病阶段的病因、病理和抢救治疗的专业。在临床实践中往往要求急诊急性发病阶段的病因、病理和抢救治疗的专业。在临床实践中往往要求急诊医生能够医生能够在最短的时间内,用最快的速度、判断明确病人的病情,稳定患者在最短的时间内,用最快的速度、判断明确病人的病情,稳定患者的生命体征,为后续专科治疗赢得宝贵时间。的生命体征,为后续专科治疗赢得宝贵时间。??急诊患者特点: 急诊患者特点: 病情急、脾气急、病情重、资料少、时间紧、风险大病情急、脾气急、病情重、资料少、时间紧、风险大?? A specialty devoted to A specialty devoted to initial evaluation, resuscitation & stabilization initial evaluation, resuscitation & stabilization of patients of patients presenting to the emergency department (ED) presenting to the emergency department (ED) ?? EP EP ’’ s render s render life saving treatment life saving treatment in an exciting, fast-paced environment in an exciting, fast-paced environment ?? EP EP ’’ s evaluate patients of all ages with a wide range of medical & surgical conditions s evaluate patients of all ages with a wide range of medical & surgical conditions –– variety! variety! ?? EP EP ’’ s have the privilege of caring for patients of diverse socioeconomic, racial, and s have the privilege of caring for patients of diverse socioeconomic, racial, and ethnic backgrounds ethnic backgrounds –– variety! variety! 4 This is Emergency Medicine!! This is Emergency Medicine!! 5 内科外科妇科儿科…………… 0时刻急诊急诊 0时刻=? 发病、急性加重、被发现的时刻发病、急性加重、被发现的时刻 6 Duties of the EP Duties of the EP ?? The EP's primary duties The EP's primary duties : : ?? Resuscitate & stabilize emergent Resuscitate & stabilize emergent patients patients ?? Ensure that all life-threatening Ensure that all life-threatening causes of a patient's condition are causes of a patient's condition are considered considered . . ?? Admit pts to hospital for further Admit pts to hospital for further evaluation if all life-threatening evaluation if all life-threatening