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題 名 | 臺灣院內心跳停止急救小組之標準運作模式=A Standardized Approach to In-Hospital Cardiac Arrest Resuscitation Team Activation Model in Taiwan |
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作 者 | 陳永福; 周明仁; 蔡宗博; 陳家玉; | 書刊名 | 中華民國重症醫學雜誌 |
卷 期 | 5:1 2003.01[民92.01] |
頁 次 | 頁17-23 |
分類號 | 415.22 |
關鍵詞 | 院內心跳停止; 急救小組; 臺灣運作模式; In-hospital cardiac arrest; Resuscitation team; Activation model in Taiwan; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:在我國緊急醫療網及醫院評鑑推行多年之後,CPR及ACLS普及與成果已不斷提升。但發生在醫院内非急診與ICU之突發心跳停止急救模式,各院做法不盡相同。本文係初探目前國内各醫學中心院内急救小組的運作模式,並收集國内外相關資料供同業參考。 方法:透過電話訪問方式,預先準備問題,由各醫學中心急診人之一說明,内容包括急救小組名稱、求救訊號、組織概況、啟動機制、成立時間、小組組長、急診醫師負責範圍等。 結果:國内十七家醫學中心有一半無特殊小組名稱,另半數取名也各不同。十六家使用全院廣播,八家使用999代碼,其他代碼也各具特色,如9595及7979等。在組織上,少部分有規章,以分層分科分區(41.2%)居多,由值班醫師維負責小組長居多。麻醉醫師協助為主,急診及ICU醫師參與病房急救少。在記錄上多數無特殊記錄表,只有四家有特定表格,並有兩家做分析檢討及成果發表。 結論:急救小組最好能給一個正式名稱,以方便區別管理。組織章程最好能盡早明訂,並列為全體員工職訓内容。求救啟動模式最好能訂出一套標準,涵蓋各種可能發生的對象,以提早防範。國内急救小組ICU醫師主導性很少,建議加強ICU醫師在院内急救的角色。規劃一份簡便填寫的急救記錄,定期回顧檢閱急救成果及小組運作的流暢,在品質與功能上持續進步。 |
英文摘要 | Background: Cardiopulmonary resuscitation (CPR) and advanced cardiac life support ACLS) has advanced and witnessed continued improvement after years of emergency medical service systems and hospital accreditation implementation. In-hospital cardiac arrest that occurs outside of the emergency department and intensive care units has different resuscitation procedures. The purpose of this report is to study the operative model of in-hospital resuscitation teams in every medical center and also to collect related material for reference for similar working personnel. Methods: through simple telephone visits, the prepared questions were answered by one of the members of the emergency department in every medical center. The questions consist of team name, calling code, regulation structure, operating model, duration of setup, team leader, and the role of the emergency physician. Results: Almost half of the resuscitation teams didn't have a definite name. Sixty (94%) of them are notified through general broadcasting within the hospital. Also included are the telephones and paging system, the code of 999 used very frequently, and other codes can be specified, such as 9595 or 7979, etc. Only a small number of teams had formed regulation structure. The obligation was often assumed to a different floor, department, and area (41.2%). The on duty doctor assumes team leader responsibility. The anaesthesiologist usually just takes a role of supporting, the emergency physician and critical intensive care doctor rarely join the resuscitation problem in the ward. By actual records, only four (23.5%) hospitals have as special form for recording resuscitation events and results and only two hospitals have generated a study report. Conclusion: A definite name for the resuscitation team will make it easier for identification and management. The operating procedures need to be clearly documented early and put into the employee initial training program. There must be identified a set of call criteria that include all possible victims, with the aim of early prevention of cardiac arrest. In Taiwan, the critical intensive care doctor takes less of a leading role then the internist for the in-hospital cardiac arrest resuscitation team. In the future, we suggest that the critical care physician have a greater role in the resuscitation process. A simple resuscitation record must be prepared, with timely review of the results and the protocol, to facilitate progressive improvement in quality and function. |
本系統中英文摘要資訊取自各篇刊載內容。