烧创伤ICU运行模式及一线医生培训实践.docVIP

烧创伤ICU运行模式及一线医生培训实践 　　摘要：目的 分析烧创伤重症监护室（ICU）运行模式与一线医生培训方式及效果。方法 回顾性分析2011～2013年间烧创伤ICU运行模式，总结分析一线医生诊治病种及针对性培训情况和效果。结果 采取急诊科接诊、抢救室急救、烧创伤ICU进一步处理、急诊手术的一体化运行模式。由烧伤科医生承担危重烧伤、创伤、多发伤急诊救治工作，针对烧伤科一线医生在创伤急救中存在的不足，展开相关理论与实践培训，成功培养了一批烧创伤急救人才，使救治过程更加流畅，一体化各个环节衔接紧密，进一步提高了烧创伤、多发伤患者的救治水平。结论 一体化救治模式有利于提高危重烧创伤患者救治水平，由烧伤外科医生承担烧、创伤急救，经合理的理论与实践培训后，能够快速、全面胜任急救工作。 　　关键词：烧创伤ICU；一体化救治；一线医生 　　中图分类号：G642.0 文献标识码：A 　　Abstract：Objective Analyze the operation mode of？burn？intensive care unit （ICU） and the methods and effects of frontline doctors’ training.Methods Retrospectively analyze the operation mode of burn ICU， summarize and analyze the situation and effects of training and diagnosing the illness of frontline doctors from 2011 to 2013.Results Adopted the integrated operation mode of emergency department receiving， resuscitation room treating， burn ICU further processing and emergent surgery. Burn specialists were responsible for the treatment of severe burn， trauma and multiple injuries， and frontline burn specialists got related theoretical and practical training in view of present stage deficiency of emergency treatment， a group of talented burn specialists have been successfully trained，which offer ensurance to a highly effective treatment processing and improve the treatment of severe burn， trauma and multiple injuries further.Conclusion The integrated treatment mode will be conducive to improving the treatment of severe burn patients. Burn surgery specialists can do a competent job on emergency medical treatment rapidly and extensively after reasonable theoretical and practical training. 　　Key words：Burn and trauma ICU；Integrated treatment mode；Frontline doctor 　　烧、创伤重症患者的系统性急救是整个治疗过程中的重要环节。目前，国内大多数医院采用急诊接诊、诊断～多科室会诊～手术及其它治疗模式，少数医院采用创伤院前急救～急诊急救～急诊ICU～确定手术～体化模式，全程由专业的急诊外科医生负责[1-2]。我中心自2011年成立烧创伤ICU，由烧伤科医生承担危重创伤、多发伤患者的急诊救治工作。采取急诊科接诊、抢救室急救、烧创伤ICU进一步伤情评估与生命体征稳定、急诊手术的一体化运行模式，接诊时及时反馈患者病情，抢救室提前做好应急准备，后将重症患者收治至烧创伤ICU。烧伤科医生全局把关，抗休克、维持呼吸道通畅、抗感染，同时，针对不同伤情相应专科进行会诊。一线医生在整个救治过程中发挥着举足轻重的作用