woocy的秘密基地

稻香
KEY:A

影片內容:

Professor Anne Parke demonstrates a thorough musculoskeletal exam including general inspection, active and passive movements and range of motion. Areas of common pathology are examined in depth and are supplemented with images of typical disease processes.

心臟衰竭惡化的原因:

FAILURE:

  摘要:
Intra-abdominal infections are an important cause of morbidity and mortality in the intensive care unit (ICU). Peritonitis can be classified as primary, secondary, or tertiary, the unique pathologic features reflecting the complex nature of the endogenous gut flora and the gut-associated immune system, and the alterations of these that occur in critical illness. Outcome is dependent on timely and accurate diagnosis, vigorous  resuscitation and antibiotic support, and decisive implementation of optimal source control measures, specifically the drainage of abscessesand collections of infected fluid, the debridement of necrotic infected tissue, and the use of definitive measures to prevent further contamination and to restore anatomy and function.Conclusions: Optimal management of intra-abdominal infection in the critically ill patient is based on the synthesis of evidence, an understanding of biologic principles, and clinical experience. An algorithm outlining a clinical approach to the ICU patient with complex intra-abdominal infection is presented.

對於大家來說,臨床上評估神經系統是最複雜的,但對於簡單的神經測試即可約略知道疾病原因及位置~~因此神經測試以CNI~XII最為重要!!

呼吸系統是大家在臨床上最常去評估的項目~~~~ 了解評估內容及正確的步驟是很重要的!!另外異常的呼吸判讀也很重要喔~~

按此聽異常的呼吸音簡報

血液動力學監測對於加護單位的醫護人員來說是相當重要的,因此熟悉各式監測工具的判讀也變的相當重要. 此簡報檔內容包含例行的 A-line,CVP 及 PiCCO,Swan ganz數值所代表的意義,遇到trouble shooting時該怎樣解,同時對於波形有做一番地解說!!

心臟系統是身體最重要的器官系統之一, 主宰了所有血液及養分的供應與輸送!因此對於心臟系統要做全盤的了解與認識,無論視聽扣

觸都是整體評估的元素,缺一不可,透過此影片約略可了解如何有系統地去評估!!

雖然在台灣專師(NP)是一條辛苦又艱難的道路,而專師也是這幾年來才慢慢開始發展,雖然我們現在不能像美國一樣

可以執業的範圍涵蓋較廣,但是一點一滴的累積之下相信不久的將來也能夠朝向美國制度那樣發展.因為以現行的制度來說NP和PA好