复苏室中危及生命的伤员所面临的挑战。

B. Lenjani, A. Dogjani, N. Arslani, Ilirian Lenjani
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引用次数: 0

摘要

简介:危及生命的伤员是急诊科(ED)的一个重要问题。这些伤员需要及时救治,因为他们的生命取决于此,较长时间的等待可能导致器官衰竭、不可逆转的损伤和不良的生存结果。本研究的目的是对危及生命的创伤伤员进行评估、流行病学、管理、诊断、治疗、系统化以及取得的成果,在提高存活率的同时降低发病率、残疾率和死亡率。材料和方法。在这项回顾性研究中,我们对 2021 年 1 月至 12 月期间在 DE 接受治疗的危重创伤患者的数据进行了研究和分析 结果。在研究期间,我们分析了 75,899 名急诊科患者。其中,627 例(占 0.83%)为严重外伤,并作为危及生命的创伤性急诊入住抢救室。发病年龄为男性 507 例,占 80.87%;女性 120 例,占 19.13%;16 岁以上 46 例,占 6.67%。病人入院的主要问题是伤者出现意识障碍、休克、心脏和呼吸衰竭以及全身性问题。结论在研究期间,我们分析了 75 899 名急诊室病人。其中,627 例(占 0.83%)伤势严重,因创伤而被送入抢救室,成为危及生命的创伤性急诊患者。发病年龄为男性 507 例,占 80.87%;女性 120 例,占 19.13%;16 岁以上 46 例,占 6.67%。收治病人的主要问题是伤者意识障碍、休克、心脏和呼吸衰竭,以及系统性问题。此外,这些危重伤员需要在复苏室的 DE 中得到有组织、有条理的护理,需要受过 BLS、BTLS、PHTLS 和 ATLS 必修课程培训的医务人员、护士和辅助人员,需要实施和制定标准化算法,以便对危重伤员进行有组织的护理。关键词DE、创伤、危及生命的医疗紧急情况、心肺复苏、监测、管理、
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Challenges with Life-Threatening Injuries in the Room of Reanimation.
Introduction: Patients with life-threatening injuries are a significant concern in the emergency department (ED). These injured people require timely care, as their lives depend on it, and a longer wait can result in organ failure, irreversible damage, and poor survival outcomes. The purpose of this research is the evaluation, epidemiology, management, diagnosis, treatment, systematization, and the results obtained for the injured in life-threatening cases with trauma, reducing morbidity, disability, and mortality while increasing survival. Material and Methods. In this retrospective study, we researched and analyzed the data of patients with critical traumatic injuries in DE treated from January-December 2021 Results. During the study period, we analyzed 75,899 ED patients. Of these, 627 cases, or 0.83%, were severely injured and traumatically admitted as a life-threatening traumatic medical emergency in the resuscitation room. Attacked age were males 507 cases or 80.87% and females 120 cases 19.13% and over 16 were 46 cases or 6.67%. The main problem in the admission of the sick was the injured with disorders of consciousness, shock, cardiac, and respiratory failure, as well as issues at the systemic level. Conclusion. During the study period, we analyzed 75,899 ED patients. Of these, 627 cases, or 0.83%, were severely injured and traumatically admitted as a life-threatening traumatic medical emergency in the resuscitation room. Attacked age were males 507 cases or 80.87% and females 120 cases 19.13% and over 16 were 46 cases or 6.67%. The main problem in the admission of the sick was the injured with disorders of consciousness, shock, cardiac, and respiratory failure, as well as issues at the systemic level. Also, these critically injured require structured and well-organized care in the DE in the resuscitation room, with educated medical staff, nurses, and support staff trained with the mandatory BLS, BTLS, PHTLS, and ATLS courses, implementing and developing the algorithms standardized for structured care of the critically injured. Keywords: DE, traumatic, life-threatening medical emergency, CPR. monitoring, management,  
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