tailieunhanh - Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Bench-to-bedside review: Resuscitation in the emergency department. | Critical Care April 2005 Vol 9 No 2 Rady Review Bench-to-bedside review Resuscitation in the emergency department Mohamed Y Rady Associate Professor of Critical Care Medicine Mayo College of Medicine Mayo Clinic Hospital Phoenix Arizona USA Corresponding author Mohamed Y Rady editorial@ Published online 20 October 2004 This article is online at http content 9 2 170 2004 BioMed Central Ltd Critical Care 2005 9 170-176 DOI cc2986 Abstract Over the past decade the practice of acute resuscitation and its monitoring have undergone significant changes. Utilization of noninvasive mechanical ventilation goal-directed therapy restricted fluid volume blood transfusion and minimally invasive technology for monitoring tissue oxygenation have changed the practice of acute resuscitation. Early diagnosis and definitive treatment of the underlying cause of shock remains the mainstay for survival after successful resuscitation. Patient-centered outcome end-points in addition to survival are being utilized to appraise the effectiveness of treatment. Application of medical ethics to the ever changing practice of acute resuscitation has also become a societal expectation. Introduction Resuscitation from circulatory and respiratory failure represents the mainstay of emergency and critical care practice. Resuscitation alone will not ensure patient survival unless definitive treatment for the primary cause of the circulatory and or respiratory failure is delivered in a timely manner. This review highlights some of the recent advances in the practice of resuscitation by emergency medicine physicians in the emergency department ED . Advances in the resuscitation of cardiopulmonary arrest are not discussed here. Diagnosis of life-threatening illness Life-threatening illness can be defined as an acute illness for which delay or incorrect treatment will ultimately result in catastrophic morbidity or death. The commonest presentation is cardiovascular instability

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