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Báo cáo khoa học: " Expanding intensive care medicine beyond the intensive care unit"
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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Expanding intensive care medicine beyond the intensive care unit. | Available online http ccforum.eom content 8 1 9 Commentary Expanding intensive care medicine beyond the intensive care unit Ken Hillman Professor of Intensive Care University of New South Wales Liverpool Hospital Sydney Australia Correspondence Ken Hillman Published online 13 October 2003 Critical Care 2004 8 9-10 DOI 10.1186 cc2394 This article is online at http ccforum.com content 8 1 9 2004 BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Intensive care medicine probably requires the artificial boundaries of an intensive care unit to nurture and legitimize the specialty. The next major step in intensive care medicine is to explore ways of optimizing the outcome of seriously ill patients by recognizing and resuscitating them at an earlier stage. Some of these ways include better education of existing staff earlier consultation and automatic calling by intensive care staff to abnormalities identifying at-risk patients. Some of these interventions are currently being evaluated and results should soon indicate their relative effectiveness. Keywords critical care intensive care medical emergency team outreach teams seriously ill Introduction An article presented in this issue of Critical Care 1 provides an excellent review of the problem of dealing with seriously ill hospital patients when they are not in an intensive care environment. Many studies have now demonstrated that current care for hospital patients in general wards is inadequate 2-4 . If we as intensivists are to be involved in the care of the seriously ill outside the four walls of the intensive care unit ICU then how best do we reach out The problem The article by Bright and coworkers 1 defines the problem of being seriously ill in the general wards of a hospital. Hospitals are called upon to manage increasing numbers of seriously ill patients as we perform more complex operations and keep people alive longer with various procedures and drugs 5 . The current hospital system does not