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Critical emergency medicine and the resuscitative care unit

Acute and Critical Care 2021년 36권 1호 p.22 ~ 28
Mermiri Maria, Mavrovounis Georgios, Chatzis Dimitrios, Mpoutsikos Ioannis, Tsaroucha Aristea, Dova Maria, Angelopoulou Zacharoula, Ragias Dimitrios, Chalkias Athanasios, Pantazopoulos Ioannis,
소속 상세정보
 ( Mermiri Maria ) - University of Thessaly Faculty of Medicine Department of Emergency Medicine
 ( Mavrovounis Georgios ) - University of Thessaly Faculty of Medicine Department of Emergency Medicine
 ( Chatzis Dimitrios ) - European University of Cyprus Medical School
 ( Mpoutsikos Ioannis ) - European University of Cyprus Medical School
 ( Tsaroucha Aristea ) - European University of Cyprus Medical School
 ( Dova Maria ) - European University of Cyprus Medical School
 ( Angelopoulou Zacharoula ) - University of Thessaly Faculty of Medicine Department of Anesthesiology
 ( Ragias Dimitrios ) - University of Thessaly Faculty of Medicine Department of Anesthesiology
 ( Chalkias Athanasios ) - University of Thessaly Faculty of Medicine Department of Anesthesiology
 ( Pantazopoulos Ioannis ) - University of Thessaly Faculty of Medicine Department of Emergency Medicine

Abstract


Critical emergency medicine is the medical field concerned with management of critically ill patients in the emergency department (ED). Increased ED stay due to intensive care unit (ICU) overcrowding has a negative impact on patient care and outcome. It has been proposed that implementation of critical care services in the ED can negate this effect. Two main Critical Emergency Medicine models have been proposed, the “resource intensivist” and “ED-ICU” models. The resource intensivist model is based on constant presence of an intensivist in the traditional ED setting, while the ED-ICU model encompasses the notion of a separate ED-based unit, with monitoring and therapeutic capabilities similar to those of an ICU. Critical emergency medicine has the potential to improve patient care and outcome; however, establishment of evidence-based protocols and a multidisciplinary approach in patient management are of major importance.

키워드

critical care; emergency department; emergency service; intensive care unit; postgraduate training

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