DR –Noha Elsayed 2014- 2015 Critical Care Critical Care.
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Transcript of DR –Noha Elsayed 2014- 2015 Critical Care Critical Care.
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DR –Noha Elsayed 2014- 2015
Critical Care
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Is a complex ,detailed health care that is provided to patients experiencing acute life threatening conditions.
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Is a list of all possible diagnoses, aside from the projected diagnosis that could be causing a patient’s symptoms.
The clinician by using diagnostic testing & treatment excludes or includes each DD
What is Differential diagnosis???(DD)
How it is used in the critical care transport setting???
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1. Limits morbidity & mortality.2. Targeting treatment to underlying problems can be more
effective than treating symptoms alone without knowing their causes.
Advantages of critical care assessment:
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Scene transport: Acknowledge & recognize the care provided before critical care
transport professional (CCTP) arrival & assess, treat, package & transport the patient to definitive care.
Scene transport versus Interfacility transport
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Although, Paramedics may be accustomed to
providing care & transporting based only on a brief focused exam & limited diagnostic information …………………..
Medical nursing, CCTPs need more comprehensive
assessment & sophisticated treatments until the patient arrives at a definitive care facility
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: Interfacility transport
Unlike Scene transport, voluminous patient information is available in interfacility transport
CCTPs should take the time to review all available data &
patient information before arrival CCTPs should gain a comprehensive, overall picture of the
patient as much as possible before initiating transport (Including, performing any procedures or diagnostic tests to reduce the adverse effects that may occur during transport)
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Anticipated transport time is a critical .
variable in differentiating “Need to know” from “Helpful to know” information.
The longer the transfer, the more information may be necessary to provide appropriate assessment & intervention.
Hospital medical record may not contain all the data. It typically includes several special sections based on the patient’s diagnostic & medical care needs.
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Admission orders Operative notes Post – operative notes Consultation notes Lab reports Medication & Administration records Nurses, Notes & Flow sheets Lab reports
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Numerous scoring system & patient status descriptions have been developed & are in use in hospital & pre-hospital settings (EX: Stable,
Unstable, Mild distress, Moderate Distress).
GCS scale is one of the pre-hospital scoring systems that is useful & that facilitate communication between providers & receiving facility.
Glas gow coma (GCS)
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Depends on multiple variables:1. Physical location of the patient.2. Care in progress on arrival, temperature, weather conditions
& type of CCTP transport vehicle.3. The most important components of patient packaging is: Expediency: Delays are not in the best interests of the patient Credibility of CCTPs Reputation of CCT service
Considerations of patient packaging for transports
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