คนฉุกเฉินตามทันมั้ย อ.ศรีทัย สีทิพย์

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The document discusses characteristics of an emergency room (ER) and awards given to Chinese nurses. It covers topics like emergency medical services (EMS), triage levels in an ER from 1 to 5, treatments like rapid sequence intubation (RSI), and creating a mass casualty plan and patient evacuation plan. It also mentions tests like PCT that can help determine conditions like ear pain or hypoxia.

Health & Medicine Business

The Chinese nurses asked me..
• Best service award ?
• Best Knowledge
management (KM) award ?
• Best CPR award ?
• Best Trauma management
award?

Triage levels
1- Resuscitation (R)
2- Emergent (E)
3- Urgent (U)
4- Less urgent (L)
5- Non urgent (N)
The Canadian E.D. Triage and Acuity Scale

3
-
(Mass
casualty plan)
-
(Patients
evacuation Plan)

This document discusses the role of nurse practitioners (NPs) in emergency departments. It notes that NPs have practiced in emergency settings for over 4 decades and currently care for 13% of emergency department patients. With growing physician shortages and more insured patients under healthcare reform, NPs are well-positioned to help meet increasing demand as part of new models of emergency care that emphasize rapid triage, exams and disposition. The document also outlines educational and certification requirements for emergency NP practice as well as factors involved in successfully integrating NPs into emergency departments.

Emergency care for elderlytaem

นวัตกรรมแพทย์taem

ผลงานนวัตกรรมเพื่อความปลอดภัยในการทำงานในโรงพยาบาล56Dpc Phitsanulok

ACTEP2014 Agenda

taem

นวัตกรรมการพยาบาลฉุกเฉิน อ.สุนันทา สิริเวชพันธ์

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This document discusses strategies for developing an innovative mobile eye care service business. It outlines plans to create and market products like a mobile eye care unit, spider light device, ambulance equipment holders, and a nasal tube removal tool. It presents a SWOT analysis and discusses marketing strategies to promote the business through various channels. Financial projections in the form of an income statement estimate revenues and profits will steadily increase over five years as the business expands.

This document summarizes guidelines for treatment of diabetic ketoacidosis (DKA) and hyperglycemic hyperosmolar state (HHS) from the American Diabetes Association (ADA) and Joint British Diabetes Societies Inpatient (JBDS IP). Key points include: 1) Bedside beta-hydroxybutyrate testing is now the best way to monitor treatment response in DKA. 2) For DKA, guidelines recommend fixed rate insulin infusion of 0.1 unit/kg/hr without a priming dose and adjustments to meet metabolic targets. 3) For HHS, the goal of initial therapy is to expand intravascular volume and restore perfusion by replacing approximately 50

ACTEP2014: What is simulation

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This document discusses simulation in medical education. It defines simulation as presenting problems authentically to allow trainees to respond as they would in real situations while receiving feedback. Simulation provides controlled, safe practice opportunities and helps develop clinical skills. Factors driving increased simulation use include problems with clinical teaching, new medical technologies, assessing competence, improving patient safety, and enabling deliberate practice. Effective simulation provides feedback, repetitive practice of varying difficulty, integration into the curriculum, and clearly defined learning outcomes.

ACTEP2014: Upcoming trend of lung ultrasound

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This document discusses the use of point-of-care ultrasound in emergency and critical care settings. It provides an overview of using ultrasound to diagnose pneumothorax, pulmonary edema, and other conditions. Examples are given of ultrasound findings for a pneumothorax including the lack of lung sliding and presence of a lung point. Signs of pulmonary edema on ultrasound include A-lines and B-lines. The document emphasizes that ultrasound is a rapid, noninvasive tool that can help clinicians diagnose and treat patients, but should be used along with medical history, exams, and clinical judgment.

ACTEP2014: The routine to research R2R concept your way out of a research dea...

taem

ACTEP2014: Therapeutic hypothermia for ACTEP 2014

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This document discusses therapeutic hypothermia after cardiac arrest and suggests starting it in the emergency department. It defines therapeutic hypothermia and reviews studies showing improved neurological outcomes when mild hypothermia is induced after cardiac arrest. The benefits of therapeutic hypothermia are explained. Methods for inducing hypothermia in the emergency department are presented, including cold intravenous fluids and surface cooling techniques. The document recommends inducing therapeutic hypothermia for comatose cardiac arrest patients with initial rhythms of ventricular fibrillation or pulseless ventricular tachycardia.

ACTEP2014: Sepsis marker in clinical use

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This document discusses sepsis markers and their clinical use. It summarizes several biomarkers that show potential for diagnosing and monitoring sepsis, including procalcitonin (PCT), C-reactive protein (CRP), and soluble CD14 subtype (sCD14-ST). sCD14-ST shows diagnostic value in distinguishing infection from SIRS and sepsis from severe sepsis. Studies found sCD14-ST levels correlated with severity of illness and organ dysfunction in sepsis patients. The document reviews several clinical trials and studies that evaluated these biomarkers for diagnosing and predicting outcomes in sepsis, abdominal infections, febrile neutropenia, and burns.

ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...

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ACTEP2014: Sepsis management has anything change

taem

This document discusses sepsis management and what has changed. It begins with an introduction to the pathophysiology of sepsis, severe sepsis, and septic shock. It then discusses early goal directed therapy (EGDT) and landmark studies like Rivers 2001 that promoted protocolized resuscitation to targets like central venous pressure, mean arterial pressure, ScvO2, and transfusion thresholds. However, later large trials like ProCESS 2014 found no difference in mortality between EGDT, standard therapy, and usual care. Targets like CVP are not accurate predictors of fluid responsiveness. Studies also found no difference in outcomes between higher and lower blood pressure or hemoglobin transfusion thresholds. There remains uncertainty around optimal fluid type, vas

ACTEP2014: Patient safety & risk management

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ACTEP2014: How to set up guideline for MCI

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