2000, Number 3
<< Back Next >>
Cir Cir 2000; 68 (3)
The role of the intensive care unit with the traumatized patient
Porras-Ramírez G, Estrada-Natoli F, Martínez-Zubieta R
Language: Spanish
References: 18
Page: 120-123
PDF size: 56.55 Kb.
ABSTRACT
The purpose of this paper is three-fold: A. To seek understanding between emergency care physicians and physicians in intensive care units (ICU), and to integrate a team with the same principles and common protocols in trauma patients B. To reflect briefly on the bioethic problems involved in an ICU C. Suggest the creation of a emergency and trauma committee, an ethics committee or an optimal care committee to standardize criteria at the national level in order to make decisions in ICUs. Because it is in these units that many traumatized patients who survive the first 48 h after an accident die or have complications.
Patient selection using triage and predictive systems of evaluation are mentioned, as well as the ethical problems faced on a daily basis.
REFERENCES
Parke TR, Henry J, Grant PT et al. Increased survival after serious injury in patients admitted directly to critical care areas from the accident and emergency department. Injury 1998; 29: 697-703.
Ruchholtz S, Nast-Kolb D, Waydhas C et al. Cost analysis of clinical treatment of polytrauma patients. Chirurgie 1995; 66: 684-692.
Swiontkowski MF, Chapman JR. Cost and effectiveness issues in care of injured patients. Clin Orthop 1995; 318: 17-24.
Niskanen M, Ruokonen E, Takala J et al. Quality of life after prolonged intensive care. Crit Care Med 1999; 27: 1132-1139.
Velázquez Mata G, Rivera Fernández R, Perez Aragón A et al. Analysis of quality of life in polytraumatized patients two years after discharge from an intensive care unit. J Trauma 1996; 41: 326-332.
Wilson RF. Accidental and surgical trauma. In: Shoemaker WC, Ayres S, Grenvick A et al. editors. Textbook of Critical Care. Philadelphia, Saunders, 1989: 1230-1270.
Nelson M, Waldrop RD, Jones J et al. Critical care provided in an urban emergency department. Am J Emerg Med 1998; 16: 56-59.
American College of Critical Care Medicine Society of Critical Care Medicine. Fundamental Critical Care Support. Guidelines for ICU admission and discharge criteria. 1998: 290-292.
Secretaría de Salud. Norma Oficial Mexicana, NOM-168 SSA 1-1998. para la elaboración, integración y uso del expediente clínico. Diario Oficial de la Federación, 7 dic. 1998.
Colegio Americano de Cirujanos. Comité de Trauma. Curso avanzado de apoyo vital en trauma, manual del estudiante. Trauma Craneoencefálico. 1997: 193-229.
Trauma Org. Neurotrauma: Neuromonitoring for traumatic brain injury. Med Line http://www.trauma.org/neuro/neuromonitor.html. trauma.org 5:1 2000.
Los Angeles County + University of Southern California. Trauma Surgery and Critical Care. Trauma ICU protocols. Clinical evaluation of “brain death”. Med Line http://www.usc.edu/hsc/medicine/surgery/trauma-protocols/icu-11-braindeth.htm. 1997.
Mathis M. Personal needs of family members of critically ill patients with and without acute brain injury. J Neurosurg Nurs 1984; 16: 796.
Velasco-Suárez M. El consentimiento informado como deber bioético del cirujano. Gac Med Mex 1997; 133: 225-229.
Kiffj, Raheja R, Puri V. Survival following cardiopulmonary resuscitation in hospitalized patients. Continuing problems of decision making. Crit Care Med 1987; 15: 41.
Singer P. Practical ethics. Cambridge University Press; 1993.
Wilson RF. Critical care systems. In: Moore EE, Mattox KL, Feliciano DV, editors. Trauma. New York Appleton & Lange N.Y., 1988. 872-74.
Villazón-Sahagún A. Concepto y proyección de los cuidados intensivos. Cirugía y Ciruj 1978; 46: 227-242.