tailieunhanh - Báo cáo y học: "Recommendations for the intra-hospital transport of critically ill patients"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Recommendations for the intra-hospital transport of critically ill patients. | Fanara et al. Critical Care 2010 14 R87 http content 14 3 R87 c CRITICAL CARE RESEARCH Open Access Recommendations for the intra-hospital transport of critically ill patients Benoit Fanara Cyril Manzon Olivier Barbot Thibaut Desmettre and Gilles Capellier Abstract Introduction This study was conducted to provide Intensive Care Units and Emergency Departments with a set of practical procedures check-lists for managing critically-ill adult patients in order to avoid complications during intrahospital transport IHT . Methods Digital research was carried out via the MEDLINE EMBASE CINAHL and HEALTHSTAR databases using the following key words transferring transport intrahospital or intra-hospital and critically ill patient. The reference bibliographies of each of the selected articles between 1998 and 2009 were also studied. Results This review focuses on the analysis and overcoming of IHT-related risks the associated adverse events and their nature and incidence. The suggested preventive measures are also reviewed. A check-list for quick execution of IHT is then put forward and justified. Conclusions Despite improvements in IHT practices significant risks are still involved. Basic training good clinical sense and a risk-benefit analysis are currently the only deciding factors. A critically ill patient prepared and accompanied by an inexperienced team is a risky combination. The development of adapted equipment and the widespread use of check-lists and proper training programmes would increase the safety of IHT and reduce the risks in the long-term. Further investigation is required in order to evaluate the protective role of such preventive measures. Introduction For over 200 years from the first Napoleonic wars to the latest international conflicts in Iraq and Afghanistan military medicine on the battlefield has acted as a catalyst for the development of civilian healthcare. Evacuation and care techniques established when treating the wounded have led to .