Surgical critical care and other critical care specialties have their own limits, the art of Intensive care medicine or Critical care medicine has to be available within its golden window period in order to correct the pathophysiology on time and save our patients' lives. We must try to offer our best service available to help them on time otherwise time is running out and moving fast!
For example, the antibiotics administration for septic patients has been show that if you can give such drug at the earlier time, the better outcome of your patient will be. Some ICU policy even states that they will audit the giving time of antimicrobials after they just ordered, the appropriate time will be within two hours, the later time you give, the higher risk of death of your patient will become.
So, what the critical time means, it would mean that you patient is getting worse, he may show signs of organ dysfunction, if you can detect such problems at the earliest possible time, you can divert the patient's fate that can save his/her life, however, if the other way occurs, you are not sure what has happened to the patient, without effective and enough interventions you have performed, you have already delayed the best treatment that he/she really needs at that time, the running of damaging process is still going on, at the time you can notice/ recognise the real situation that might be too late to get your patient back on track.
This critical time is so important you should never have missed it, because it, the pathology, has been taking place for a while before it will show you the severe clinical presentation. You do have to carefully review a throughout history after you have managed the priority lists for your patient.
For the sake of your patient's safety, act smart and wisely at the critical time!
For example, the antibiotics administration for septic patients has been show that if you can give such drug at the earlier time, the better outcome of your patient will be. Some ICU policy even states that they will audit the giving time of antimicrobials after they just ordered, the appropriate time will be within two hours, the later time you give, the higher risk of death of your patient will become.
So, what the critical time means, it would mean that you patient is getting worse, he may show signs of organ dysfunction, if you can detect such problems at the earliest possible time, you can divert the patient's fate that can save his/her life, however, if the other way occurs, you are not sure what has happened to the patient, without effective and enough interventions you have performed, you have already delayed the best treatment that he/she really needs at that time, the running of damaging process is still going on, at the time you can notice/ recognise the real situation that might be too late to get your patient back on track.
This critical time is so important you should never have missed it, because it, the pathology, has been taking place for a while before it will show you the severe clinical presentation. You do have to carefully review a throughout history after you have managed the priority lists for your patient.
For the sake of your patient's safety, act smart and wisely at the critical time!
No comments:
Post a Comment