危重病医学演示幻灯片.pptVIP

Critical Care Medicine Dr. Huang Peizhi Zhongshan Hospital of Fudan Universit What is critical care medicine？ Multidisciplinary healthcare specialty cares for patients with acute, life-threatening illness or injury which including continuum of life support from the scene through discharge Coordinated care systems, analysis of treatment options, protocols, guidelines for the care of individual patients Monitoring and therapy Intensive care medicine in Europe What is critical illness ? A condition where life cannot be sustained without invasive therapeutic interventions Characterized by acute loss of physiologic reserve Cardiac arrest, shock, sepsis, severe trauma, coma Dysfunction of one or more organ systems : hemodynamic insufficiency, respiratory failure , abnormalities of fluid and electrolytes Characters of CCM (1) life support from site of accident to injury during transportation and management in emergency department (ED) and to surgical intervation in operating room or in intensive care unit (ICU) Require emergency medicine and Intensive care medicine Characters of CCM (2) Team action by physicians with various specialty backgrounds Added expertise in resuscitation No focus of interest to a single body system, but wide variety of illness Intensivist - ability to provide effective critical care is in all cases Emergency and critical care medicine (ECCM) system Pre-hospital care (self-help, help from bystanders, ambulance personnel via transport) life support in Emergency department , operation room and ICU EM physician is based in the ED, intensivist remained in ICU History of CCM In 1940’s: physician sitting at the bedside through the long night 1st ICU opened in Europe in 1950’s In 1970： set up society of CCM in USA Since 1991: teaching of CCM in China In 2001: set up committee of CCM in Shanghai  Intensive Care Unit (