• Emerg. Med. Clin. North Am. · Feb 1996

    Review

    Triage of critically ill patients: an overview of interventions.

    • M Y Rady.
    • Department of Critical Care Medicine and Anesthesiology, Cleveland Clinic Foundation, Ohio, USA.
    • Emerg. Med. Clin. North Am. 1996 Feb 1;14(1):13-33.

    AbstractThe recognition of tissue hypoxia or cumulative oxygen debt is of fundamental importance for triage and resuscitation of critically ill patients during the ¿golden hour¿ in the emergency department (ED). The measurement of central venous blood oxygen saturation, plasma lactate concentration, cardiac output, systemic oxygen transport and use, and non-vital organ oxygenation and function can enhance the detection of systemic and regional hypoperfusion and tissue hypoxia. Systemic and organ-specific oxygenation indices may guide the choice of therapy to optimize resuscitation of the macrocirculation and microcirculation in critically ill ED patients.

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