Articles: critical-care.
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Clinical anesthesia · Jan 1976
Transportation and emergency care. Emergency assessment and management.
An organized approach for the management of the multiply injured patient has been presented. Adequate equipment and ancillary facilities support patient care. The principles of airway management, treatment of shock, and specific organ injuries have been described. More than one surgical discipline may work on a patient simultaneously; however, one physician, preferably the trauma surgeon or general surgeon, is in charge and coordinates the consultative care.
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Critical care medicine · Nov 1975
Comparative StudyThe therapeutic intervention scoring system. An application to acutely ill cancer patients.
The Therapeutic Intervention Scoring System (TISS) has been introduced (Cullen DJ, Civetta JM, Briggs BA, et al: Therapeutic intervention scoring system: A method for quantitative comparison of patient care. Crit Care Med 2:57-60, 1974) at the Massachusetts General Hospital as a means of quantifying the medical and nursing care required by critically ill patients. The method has been instituted in the Intensive Care Unit of Memorial Cancer Center to evaluate its applicability to patients who develop life-threatening complications of their disease or its treatment. ⋯ This average compares closely with that of postcardiac surgery patients (31.8 points), the group that required the most care of all patients in the initial study. The results indicate the usefulness of this sytem in evaluating severity of illness, predicting survival, and assessing cost benefits. It has proven to be a simple and accurate method of assessment when simple and accurate method of assessment when applied to this patient population, but certain modifications seem warranted and have been suggested herein.