Medical Emergencies Part I

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课程主页: https://www.udemy.com/course/medical-emergencies-part-i/

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课程名称:医疗紧急情况第一部分 课程概述:紧急医学是专注于需要立即医疗干预的医疗状况的医学专业。它是医学的一个重要分支,赋予医生必要的知识和技能,以照顾那些面临生命威胁或紧急医疗需求的患者。紧急医学涵盖了社区紧急医疗响应的规划、监督和医疗指导,以及灾难预备工作。紧急医学专业人员为急诊科及其他医疗服务领域提供宝贵的临床、行政和领导服务。 在实践中,紧急医学面临许多挑战:必须随时随地为任何病人提供服务,即便病人通常对我们并不熟悉,但他们必须在最关心的时刻对我们的能力充满信心。患者的需求可能简单,例如需要工作请假条或午夜的处方续药;也可能复杂,包括急性疾病或伤害、慢性病的加重,或者是抑郁或自杀的求助。 成功的急诊医生应具备的品质包括智慧、敏感、谦逊、洞察力,以及在有限信息下做出决策和行动的能力,同时具有多任务处理的能力。精明的谈判能力、与不同背景和民族的人合作的能力,以及始终为患者积极辩护,都是必不可少的品质。此外,急诊医生必须是成人和儿童创伤及医疗复苏的专家,并能够与患者及其家属沟通这些事件的结果。 大多数患者不常使用急诊服务,许多人可能是首次经历这种环境。患者对环境的不熟悉、恐惧、压力、等待时间、痛苦的程序和整体的不适常常阻碍他们获得积极的体验。这些都是患者在急诊科面临的一些问题。作为综合医疗服务系统的重要组成部分,紧急医疗必须全天候可用。急诊医生负责快速评估和治疗任何医疗紧急情况,并对任何患者认为需要紧急注意的医疗条件进行初步评估和护理。 本课程将覆盖的心血管紧急情况包括急性冠状动脉综合症(急性心肌梗死)、心力衰竭、高血压危机、基础生命支持和高级生命支持。呼吸系统紧急情况包括肺栓塞、慢性阻塞性肺病加重、自发性气胸、肺炎和哮喘。

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Emergency medicine is the medical speciality concerned with the care of medical conditions requiring immediate medical intervention. Its one of the vital branches of medicine that allows doctors with the knowledge and skills required to care for people with life-threatening or urgent healthcare needs. Emergency medicine encompasses planning, oversight, and medical direction for community emergency medical response, medical control, and disaster preparedness. Emergency medicine professionals provide valuable clinical, administrative, and leadership services to the emergency department and other sectors of the health care delivery system. Many challenges result from our practice's principles: available at any time for any patient with any complaint. Patients who come to the ED are not familiar with us personally, yet must feel confident about our abilities to help them during their time of greatest concern. Their needs may be as straightforward as an excuse note for work or a prescription refill in the middle of the night, or as complex as an acute illness or injury, an exacerbation of a chronic condition, or a cry for help if depressed or suicidal. Qualities successful EPs exhibit include intelligence, sensitivity, humility, insight, proficiency in making decisions with and acting on limited information, and the ability to multitask. Being skilful negotiators, working well with individuals having different backgrounds and ethnicities, and advocating strongly for patients at all times are essential qualities. In addition to these traits, EPs must be experts in trauma and medical resuscitation of adults and children, and in sharing news with patients and family members about the outcomes of these events. The majority of patients use the ED infrequently. Many may be experiencing this setting for the first time. Patients' lack of familiarity with this environment, fear, stress, waiting times, painful procedures, and overall discomfort often preclude them from having a positive experience. These are only some of the issues that patients contend with in the ED. As emergency medical care is an essential component of a comprehensive healthcare delivery system, it must be available 24 hours a day. EPs provide rapid assessment and treatment of any patient with a medical emergency. In addition, they are responsible for the initial assessment and care of any medical condition that a patient believes requires urgent attention.Cardiovascular emergencies which will be covered include acute coronary syndrome (acute MI), heart failure, hypertensive crisis, basic life support and advanced life support. Respiratory emergencies covered include pulmonary embolism, acute exacerbation of COPD, Pneumothorax, Pneumonia and Asthma.

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