Articles: critical-care.
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Critical care clinics · Jul 1993
ReviewRegionalization and categorization of critical care services.
Regionalized systems of care match the medical needs of individual patients to available resources. Hospitals are categorized based on their personnel and technologic resources. Triage guidelines, based on severity of disease, are developed to link patient types to hospital categorization levels. Regionalization requires major planning, publicity, and educational efforts to implement an ongoing coordination and continuous quality improvement to function.
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Critical care clinics · Jul 1993
ReviewAdmission, discharge, and triage in critical care. Principles and practice.
This article reviews the practices of admission, discharge, and triage to or from a special care unit and how they differ based on unit type and patient load. The need to solve the excess patient/insufficient resources dilemma is also addressed.
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Critical care clinics · Jul 1993
ReviewCritical care management in the 1990s. Making collaborative practice work.
The creation of a partnership, the hallmark of true collaborative practice, is an ongoing, dynamic process. It demands commitment, energy, and creativity. It is learned and therefore must be role modeled. ⋯ We must continue to broaden our collaborative efforts to extend from the patient care arena into the realms of education, research, and administration. It is up to each of us and each of our colleagues to work every day toward a more collaborative practice environment. By empowering each other, we can put into place a collaboration which "works jointly with others in intellectual endeavors" rather than one which merely "cooperates with an enemy force."
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Critical care clinics · Jul 1993
Review Historical ArticleOrganization and management of critical care systems in unconventional situations.
Critical care medicine is a field of medicine using the highest concentration of expensive diagnostic and life-support technology for the benefit of a single individual. Conventional use of this resource and specialty is clearly understood, despite the fact that it is not necessarily comparable among different institutions. Some of the major issues in using critical care as a medical tool during extraordinary stress on the hospital, and the potential for using it in unconventional environments outside an established institution, have been reviewed. It is clear that the expertise and multidisciplinary approach can be of great use in disaster response, and a national effort toward integrating critical care into overall medical response is in progress.
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Vestn. Khir. Im. I. I. Grek. · Jul 1993
Comparative Study[The intensive therapy of acute respiratory failure in severe combined trauma with a closed chest injury].
The authors present a program of rational improvement of intensive therapy of acute respiratory insufficiency responsible for the development of normal compensatory processes of external ventilation. The main components of intensive therapy are: rational analgesia (continuous subpleural blockades), elimination of obstruction of respiratory pathways by sessions of independent respiration with oxygen mixture with positive pressure at the end of breathing out with phytoncides, moderate hemodilution, early recovery of enteral coming of fluid, prevention and treatment of respiratory infection. The use of the proposed intensive therapy in 41 patients improved the function of external ventilation and made the amount of pulmonary complications 4 times less.