The basic technical requirements of ICU physicians should include the following aspects: the ability of cardiopulmonary resuscitation; respiratory support (endotracheal intubation, mechanical ventilation, etc.); continuous electrocardiographic monitoring; the ability to recognize and deal with cardiac arrhythmia and invasive hemodynamic monitoring; the ability to do emergency cardiac pacing; the ability to make a rapid response to a variety of laboratory results and immediately give feedback; the ability to support the function of multiple stolen organs; the ability to make a rapid response to the results of the laboratory and immediately give feedback; the ability to make a rapid response to the results of the laboratory and immediately give feedback. The ability to support the function of the booty; the ability to perform total parenteral nutrition; the ability to microinfusion; the ability to master a variety of monitoring techniques, as well as a variety of operating techniques; the ability to transport the patient in the process of life support (oxygen, ventilator, cardiac monitoring ability); the ability to emergency treatment of various medical specialties diseases.
The Chinese translation of the ICU is not yet uniform, the mainland is generally translated as "custody ward" or "intensive care unit", while in Hong Kong is translated as "intensive care unit In Hong Kong, it is translated as "Intensive Care Ward". From the original text, the word "Intensive" seems to have no doubt, but the meaning of "Care" can be scrutinized, which includes the two meanings of "nursing" and "treatment". "Care" with modern conceptual interpretation may be translated as "guardianship". Therefore, some people think that ICU is more accurate to be translated as "intensive care and treatment ward". As a matter of fact, ICU is also characterized by the implementation of extensive and close monitoring of physiological functions, and judgment and treatment accordingly. Regardless of how it is named, the basic purpose of the ICU is to provide higher quality care for critically ill patients. Since ICU is engaged in the most dynamic and at the forefront of medical development of critical care medicine, it has a great pioneering potential, and is able to push forward from theory to clinic and do many things that are difficult to do in ordinary wards. On the other hand, however, no matter how "special" ICU is, it is after all based on medical development, and the meaning of "strengthening" is actually just to condense the existing methods and means, so it is not possible to go beyond the development of the times to do things that medicine has not been able to do so far. Fully understand this point can regulate the behavior of the ICU, but also to relieve some people's doubts and misunderstandings.
ICU is the abbreviation of English Intensive Care Unit, meaning Intensive Care Unit. Intensive medical care is with the development of medical and nursing profession, the birth of new medical equipment and the improvement of the hospital management system and the emergence of a set of modern medical care technology as one of the forms of medical organization and management. Small and medium-sized hospitals are a ward, and large hospitals are a special department, where critically ill patients are centralized and given the best protection in terms of manpower, material resources and technology with a view to obtaining good treatment results.
ICU has a history of more than 30 years in the world, has become a hospital center for the rescue of critically ill patients. how the level of supervision of the ICU, whether the equipment is advanced, has become an important symbol to measure the level of a hospital. China's ICU started late, began in the early 80's, at present domestic hospitals with ICU is not common, but has been paid attention to, it is estimated that the development is very fast. ICU is divided into comprehensive and ICU specialized ICU (such as burns ICU, cardiovascular surgery ICU, neonatal ICU, etc.) CCU is a kind of specialized ICU, the first C is the abbreviation of coronary heart disease, it is a kind of specialized ICU, and the first C is the abbreviation of coronary heart disease. disease is the abbreviation of coronary heart disease, is specialized in severe coronary heart disease and set up.
The ICU has a central monitoring station that directly observes all monitored beds. Each bed occupies a wide area, and the beds are separated by glass or cloth curtains. ICU is mainly admitted to: ① severe trauma, major surgery and must be continuous close monitoring of vital indicators and supporters; ② the need for cardiopulmonary resuscitation; ③ an organ (including the heart, brain, lungs, liver, kidneys) failure or multi-organ failure; ④ severe shock, sepsis, and toxicity of the patient; ⑤ before and after the transplantation of organs need to monitor and strengthen the treatment of the person. Those who need to be supervised and strengthened before and after organ transplantation. After the condition improves, they are transferred back to the general ward. ICU equipment must be equipped with bedside monitors, central monitors, multifunctional respiratory therapy machines, anesthesia machines, electrocardiographs, defibrillators, pacemakers, infusion pumps, micro-injectors, tracheal intubation and tracheotomy required first aid equipment. In hospitals with better conditions, they are also equipped with blood gas analyzers, microelectronic computers, electroencephalographs, ultrasound machines, bedside wire transfer machines, hemodialyzers, intra-arterial balloon counterpulsators, blood and urine analyzers, blood biochemistry analyzers, and so on. Since ICU is under modern medical equipment for the supervision and treatment of patients with quite critical conditions, the personnel working in ICU must have solid theoretical knowledge of medical fundamentals, rich clinical experience, strong adaptability, and be able to master the operation of complex instruments.
The ICU can provide early and accurate diagnosis, emergency and appropriate treatment for critically ill patients. Therefore, ICU ward is undoubtedly an excellent battlefield for critically ill patients struggling on the death line.