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1、EmergencyRoomYiPingZhaoDepartmentofVascularSurgeryRenJiHospitalHowEmergencyRoomsWorkYouwilllearnaboutthenormalflowoftrafficinanemergencyroomthepeopleinvolvedthespecialtechniquesusedtorespondtolife-or-deathsituationsEmergencyRoomPatientsCaraccidentsSportsinjuriesBrokenbonesa
2、ndcutsfromaccidentsandfallsBurnsUncontrolledbleedingHeartattacks,chestpainDifficultybreathing,asthmaattacks,pneumoniaStrokes,lossoffunctionand/ornumbnessinarmsorlegsLossofvision,hearingUnconsciousnessEmergencyRoomPatientsConfusion,alteredlevelofconsciousness,faintingSuicida
3、lorhomicidalthoughtsOverdosesSevereabdominalpain,persistentvomitingFoodpoisoningBloodwhenvomiting,coughing,urinating,orinbowelmovementsSevereallergicreactionsfrominsectbites,foodsormedicationsComplicationsfromdiseases,highfeversUnderstandingtheERMazeTheclassicemergencyrooms
4、ceneinvolvesanambulancescreechingtoahalt,agurneyhurtlingthroughthehallwayandsomepeoplefranticallyworkingtosaveaperson'slifewithonlysecondstospare.Thisdoeshappenandisnotuncommon,Themajorityofcasesseeninatypicalemergencydepartmentaren'tquitethisdramatic.TriageWhenyouarriveatt
5、heER,yourfirststopistriage.Thisistheplacewhereeachpatient'sconditionisprioritizedintothreegeneralcategories:ImmediatelylifethreateningUrgent,butnotimmediatelylifethreateningLessurgentTriageThetriagenurserecordspatientsvitalsigns(temperature,pulse,respiratoryrateandbloodpres
6、sure).Shealsogetsabriefhistoryofpatientscurrentmedicalcomplaints,pastmedicalproblems,medicationsandallergies.RegistrationThisstepisnecessarytodevelopamedicalrecordsothatpatientsmedicalhistory,labtests,X-rays,etc.,willallbelocatedononechartthatcanbereferencedatanytime.Ifthep
7、atient'sconditionislife-threateningorifthepatientarrivesbyambulance,thisstepmaybecompletedlateratthebedside.ExaminationRoomPatientsareseenbyanERnursewhoobtainsmoredetailedinformationaboutpatients.Oncethenursehasfinishedhertasks,thenextvisitorisanERphysician.Hegetsamoredetai
8、ledmedicalhistoryaboutyourpresentillness,pastmedicalproblems,familyhistory,socialh
