Objective To explore the effect of rapid treatment procedure on acute upper gastrointestinal bleeding. Methods from July 2020 to December 2020, 109 patients with acute upper gastrointestinal bleeding received in our hospital before the establishment of emergency treatment fast channel were enrolled as the control group. From January 2021 to August 2021, 109 patients with acute upper gastrointestinal bleeding admitted to the hospital after the establishment of the treatment channel were selected as the observation group. The control group adopted the conventional rescue process, and the observation group entered the fast treatment channel. The rescue time and success rate of the two groups were compared. Results The success rate of rescue in observation group was significantly higher than that in control group, and the rescue time was significantly shorter than that in group (P <0.05).Conclusion Rapid emergency treatment channel for dangerous upper gastrointestinal bleeding has significant effect on the treatment of acute upper gastrointestinal bleeding, which can make the whole rescue process more standardized and orderly, effectively shorten the rescue time of patients and improve the success rate of rescue.

目的 探讨改良早期预警评分(MEWS)、院内安全转运及无缝对接模式联合应用于急诊科高危患者中的临床价值.方法 对照组为常规急诊转运交接护理,观察组则采用MEWS评估、院内安全转运、无缝对接的综合转运交接护理模式.结果 观察组院内转运不良事件发生率为2.63％,对照组为21.05％,P<0.05;观察组的平均转运交接时间为(26.15±2.08)min,对照组为(36.95±3.19)min,P<0.05.结论 对于急诊科高危患者采用MEWS评估、院内安全转运、无缝对接的综合转运交接护理模式,有助于提升院内转运护理的质量及效率.

目的:探讨新型冠状病毒肺炎流行期间定点医院一线临床医生应对突发公共卫生事件心理健康状况.方法:采用自制问卷、突发性公共卫生事件心理问卷、 社会支持评定量表和简易应对方式量表对四川省某市新型冠状病毒感染定点医院330名一线临床医生进行调查.使用SPSS25.0软件对数据进行非参数秩和检验和Spearman相关性分析等分析有关资料.结果:发放问卷330分,回收有效问卷300份,回收率为90.91％;一般资料表明,性别、年龄等九项均具有统计学意义(P<0.05);Spearman相关分析显示,一线临床医生应对突发公共卫生事件心理总分与社会支持中的主观支持和社会支持利用度呈负相关,而与消极应对均呈正相关.定点医院一线临床医生突发公共卫生事件心理评分为0.370(0.481),其中性别、年龄和工作年限是重要影响因素(P<0.01).结论:一线临床医生心理健康与社会支持、应对方式密切相关,在应对突发公共卫生事件时医务人员容易出现神经衰弱、强迫-焦虑、抑郁等心理问题,应当高度重视.

目的 探讨PDCA循环在急诊科规培护士带教管理中的应用效果.方法 运用PDCA的方法,按照计划、执行、检查、处理四个阶段,制定规范化培训目标和计划、落实培训措施、评价培训效果、总结培训经验.结果 通过规培,使规培护士综合素质和能力得到提升,具有扎实的基本功、较强的综合能力与人文素养,能独立胜任护理岗位工作.结论 将PDCA应用到急诊科规培护士带教管理中,使培训有目标、有计划、有实施、有监控、有反馈,提高了规培护士专业理论及操作水平,使护理规培带教质量不断提升,取得了良好的临床带教效果.

目的对急诊科护士所面临的压力进行分析,采取有效的防范对策.方法对我院急诊科工作以及曾在急诊科工作的护士发放问卷调查.结果急诊科护士的压力来源前三位的是特殊紧张的工作环境占96%、高强度的工作压力占92%、人际关系冲突占90%,来源于接受各种检查、工作待遇的压力、职业风险以及防护不利的压力占60%以上等.结论对急诊护士的职业压力进行分析,采取有效的防范对策,有利于保证护士的身心健康,树立对护理专业的自信心,提高护理质量.

<正>急诊科是医院的前沿,是急、危、重症患者的抢救场所。护生实习是培养护生观察能力、应急能力、动手能力、沟通能力的重要环节。如何在急诊科的护理教学中培养实习护生的预检分诊能力,提高病情观察能力及应急配合能力,达到教学目标,有效提高

Objective:To study the cognition status quo of ICU staff's knowledge about hands health. Methods:With a self-designed questionnaire,we solicited feed-back about hands hygiene from ICU staff and analyzed the differences. Results:The correct rate was above 95% of question-answering related with hands hygiene before/after some operations,such as before/after physical contacting with patients,before invasive nursing operation,after contacting with mucous membranes,injured skin and wound dressing,before food preparation and after touching body fluid or excrement. However,the correct rate related to hands hygiene after taking off gloves is 94.6%; after touching objects closed to the patients(including medical instruments) was 86%; before and after answering the cell phones were 78.5%/53.8% respectively. 90.3% staff are aware of washing hands before wearing gloves,and 88.1% of them remember to change gloves before moving their hands from patient's contaminated body part to clean one. The correct rates of staff's knowledge about instant hands disinfectant are 80.6%,84.9%,88.1%,55.9% respectively. Conclusion:ICU staff need to enhance the compliance of washing hands fundamentally by gaining relative knowledge about hands hygiene from more training.

长途转运作为院前急救任务的一部分,具有患者病情危急,路途远、车程长等特点,要求转运过程必须有切实可行的救治患者的措施.如何安全地把这些危重患者转运到上级医院进行救治是院前急救工作的一大课题.

对于心跳骤停的治疗,即心肺脑复苏(CPR),要求及时、有效.公认在心跳骤停后4分钟内即开始基本生命支持(BLS),在8分钟内给予高级生命支持(ALS),可获得较高的复苏成功率.这表明及时的诊断,有效的治疗手段,先进的抢救设备及争取抢救时间是挽救患者生命的重要保障.1996年1月至2003年5月我院抢救成功11例心跳骤停患者,现报告如下.