Emergency and critical care medicine(ECCM) system Pre-hospital care(self-help, help from bystanders ambulance personnel via transport) life support in Emergency department, operation room and Icu EM physician is based in the ED, intensivist remained in cU
Emergency and critical care medicine (ECCM) system ◼ Pre-hospital care (self-help, help from bystanders, ambulance personnel via transport) ◼ life support in Emergency department , operation room and ICU ◼ EM physician is based in the ED, intensivist remained in ICU
History of CCM In 1940'S: physician sitting at the bedside through the long night 1st ICU opened in Europe in 1950's In 1970: set up society of CCM in USA Since 1991: teaching of CCM in China In 2001: set up committee of CCM in Shanghai
History of CCM ◼ In 1940’s: physician sitting at the bedside through the long night ◼ 1st ICU opened in Europe in 1950’s ◼ In 1970： set up society of CCM in USA ◼ Since 1991: teaching of CCM in China ◼ In 2001: set up committee of CCM in Shanghai
Intensive Care Unit (ICU)
Intensive Care Unit (ICU)
What is cu Multidisciplinary multi-professional medical/nursing field A very high nurse to patient ratio (3-4: 1) The availability of invasive monitoring The use of mechanical and pharmacological life sustaining therapies (mechanical ventilation, vasopressors continuous dialysis, defibrillation, pacemaker)
What is ICU ? ◼ Multidisciplinary multi-professional medical/nursing field ◼ A very high nurse to patient ratio (3-4:1) ◼ The availability of invasive monitoring ◼ The use of mechanical and pharmacological life sustaining therapies (mechanical ventilation, vasopressors, continuous dialysis, defibrillation, pacemaker)
Service in ICU Elementary service Bedside monitor system ■ Treatment equipment Experiment instrument
Service in ICU ◼ Elementary service ◼ Bedside monitor system ◼ Treatment equipment ◼ Experiment instrument