一个基于证据的热中风管理算法在急诊室
1Adult-Gerontology Nurse Practitioner Program, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Davis); and Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia (Dr Evans).
Advanced emergency nursing journal
|January 29, 2024
概括
炎热病和死亡人数的增加需要更好的紧急护理. 一项系统性审查开发了一种基于证据的热中风管理算法,以改善患者的治疗结果和降低死亡率.
科学领域:
- 环境健康 环境健康
- 紧急医疗 紧急医疗
- 公共卫生 公共卫生
背景情况:
- 由于极端的热浪,全国范围内与热有关的疾病和死亡人数正在增加.
- 根据CDC的数据,热病是美国与天气有关的死亡的主要原因.
- 有效的急救部门管理协议对于减轻热中风的严重程度至关重要.
研究的目的:
- 批评和描述热中风管理系统审查的研究结果.
- 开发一个基于证据的算法,用于急诊室热中风护理.
- 改善热中风识别,快速冷却和支持性干预.
主要方法:
- 对热中风管理的现有文献进行系统审查.
- 对专注于急诊室干预的研究进行分析.
- 基于综合证据的临床算法的开发.
主要成果:
- 确定用于热中风识别和管理的关键干预措施.
- 强调快速冷却在减少发病率和死亡率方面的关键作用.
- 为支持性护理制定基于证据的指导方针.
结论:
- 基于证据的算法可以增强紧急部门的热中风管理.
- 及时和有效的冷却对于改善患者存活率至关重要.
- 标准化协议可以减少热中风相关的死亡率和长期健康后果.
相关概念视频
Methods of reducing fever
664
The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
Pharmacological Methods of Reducing Fever:
664
Decreased Body Temperature
618
A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
618
Increased Body Temperature
670
A body temperature above 38°C (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in...
670
Homeostatic Imbalances in Body Temperature
127
Hyperthermia occurs when the body's temperature becomes unusually high, often due to heat exposure, intense physical activity, or certain illnesses. This condition can create a dangerous cycle where elevated body temperature increases the metabolic rate, generating more heat and potentially leading to organ failure and brain damage. A severe form of hyperthermia, called heat stroke, can raise body temperature to life-threatening levels. Fever, on the other hand, is a controlled form of...
127
Acute Respiratory Failure-V
140
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
140
Factors Affecting Body Temperature
4.2K
As a nurse, it is vital to understand the factors affecting body temperature to monitor variations and effectively evaluate deviations from regular.
Factors may include:
Factors may include:
4.2K


