Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Early recognition and treatment of non-traumatic shock in a community hospital. | Available online at http content 10 2 307 University of Pittsburgh Department of Critical Care Medicine Evidence-Based Medicine Journal Club EBM Journal Club Section Editor Eric B. Milbrandt MD MPH Journal club critique Early recognition and treatment of non-traumatic shock in a community hospital Jason R. Justice1 and Marie R. Baldisseri2 1 Clinical Fellow Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA 2 Associate Professor Department of Critical Care Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA Published online 1 March 2006 This article is online at http content 10 2 307 2006 BioMed Central Ltd Critical Care 2006 10 307 DOI 101186 cc4864 Expanded Abstract Citation Sebat F Johnson D Musthafa AA Watnik M Moore S Henry K Saari M A multidisciplinary community hospital program for early and rapid resuscitation of shock in nontrauma patients. Chest 2005 127 1729-1743. 1 Objective To determine the effect of a community hospital-wide program enabling nurses and prehospital personnel to mobilize institutional resources for the treatment of patients with nontraumatic shock. The hypothesis was that a systems-based approach to early recognition and treatment of shock decreases hospital mortality. Methods Design and setting Prospective historically-controlled single-center study in a 180-bed community hospital. Subjects Patients in shock who were candidates for aggressive therapy. Interventions From January 1998 to May 2000 patients in shock received standard therapy control group . During the month of June 2000 intensive education of all healthcare providers pre-hospital personnel nurses and physicians took place. From July 2000 through June 2001 patients in shock protocol group were managed with a hospital-wide shock program. The program used a systems-based team approach that consisted of five components staff education to enhance early recognition and
