1、Emergency RoomYi Ping ZhaoDepartment of Vascular SurgeryRen Ji HospitalHow Emergency Rooms Work You will learn about the normal flow of traffic in an emergency room the people involved the special techniques used to respond to life-or-death situations Emergency Room Patients Car accidents Sports inj
2、uries Broken bones and cuts from accidents and falls Burns Uncontrolled bleeding Heart attacks,chest pain Difficulty breathing,asthma attacks,pneumonia Strokes,loss of function and/or numbness in arms or legs Loss of vision,hearing Unconsciousness Emergency Room Patients Confusion,altered level of c
3、onsciousness,fainting Suicidal or homicidal thoughts Overdoses Severe abdominal pain,persistent vomiting Food poisoning Blood when vomiting,coughing,urinating,or in bowel movements Severe allergic reactions from insect bites,foods or medications Complications from diseases,high fevers Understanding
4、the ER Maze The classic emergency room scene involves an ambulance screeching to a halt,a gurney hurtling through the hallway and some people frantically working to save a persons life with only seconds to spare.This does happen and is not uncommon,The majority of cases seen in a typical emergency d
5、epartment arent quite this dramatic.Triage When you arrive at the ER,your first stop is triage.This is the place where each patients condition is prioritized into three general categories:Immediately life threatening Urgent,but not immediately life threatening Less urgent Triage The triage nurse rec
6、ords patients vital signs(temperature,pulse,respiratory rate and blood pressure).She also gets a brief history of patients current medical complaints,past medical problems,medications and allergies.Registration This step is necessary to develop a medical record so that patients medical history,lab t
7、ests,X-rays,etc.,will all be located on one chart that can be referenced at any time.If the patients condition is life-threatening or if the patient arrives by ambulance,this step may be completed later at the bedside.Examination Room Patients are seen by an ER nurse who obtains more detailed inform
8、ation about patients.Once the nurse has finished her tasks,the next visitor is an ER physician.He gets a more detailed medical history about your present illness,past medical problems,family history,social history,and a complete review of all your body systems.He then formulates a list of possible c
9、auses of your symptoms.Diagnostic Tests Blood tests and a urinalysis are required.A complete blood count(CBC)A serum test A bloods clotting testDiagnosis and Treatment When the emergency physician has all the information he can obtain,he makes a determination of the most likely diagnosis from his di
10、fferential diagnosis.Alternately,he may decide that he does not have enough information to make a decision and may require more tests.At this point,appropriate consultant is needed.The ER team Emergency Physician Emergency Nurse Physician Assistant Emergency Department Technician Unit Secretary Phys
11、icians in Training Tools of the Trade Emergency Departments are stocked with a huge array of strangely named,oddly shaped,beeping and blinking equipment.Stethoscope A stethoscope lets a nurse or physician listen to heart and respiratory sounds.A stethoscope is used to take your blood pressure by lis
12、tening to the flow of blood through your arteries.Cardiac Monitor A cardiac monitor gives a visual display of the rhythm of patients heart.Some monitors also have an automatic blood pressure cuff and a pulse oximeter.Suture Tray This tray contains the sterile equipment needed to place stitches in a
13、patient with a laceration.needle holder forceps sterile towels scissors small bowls Orthopedic Equipment Most emergency departments have a generous number of orthopedic devices for many purposes plaster and/or fiberglass materials pre-made splints for specific joints knee immobilizers aluminum finge
14、r splints Velcro wrist splints shoulder slings cervical collars cast cuttersCrash Cart A crash cart is a cabinet containing equipment that physicians and nurses need when a cardiac arrest occurs.Defibrillator Endotracheal intubation equipment Central vein catheters Cardiac drugs DefibrillatorTools used in endotracheal intubationdocin/sanshengshiyuandoc88/sanshenglu 更多精品资源请访问更多精品资源请访问
