Bench-to-bedside review: Resuscitation in the emergency department.
Over the past decade the practice of acute resuscitation and its monitoring have undergone significant changes. Utilization of noninvasive mechanical ventilation, goal-directed therapy, restricted fluid volume, blood transfusion and minimally invasive technology for monitoring tissue oxygenation have changed the practice of acute resuscitation. Early diagnosis and definitive treatment of the underlying cause of shock remains the mainstay for survival after successful resuscitation. Patient-centered outcome end-points, in addition to survival, are being utilized to appraise the effectiveness of treatment. Application of medical ethics to the ever changing practice of acute resuscitation has also become a societal expectation.
Rady
Mohamed Y
MY
Mayo College of Medicine, Mayo Clinic Hospital, Phoenix, Arizona, USA. editorial@ccforum.com
D000367:Age Factors; D000368:Aged; D001803:Blood Transfusion; D016638:Critical Illness; D004636:Emergency Service, Hospital; D005440:Fluid Therapy; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008991:Monitoring, Physiologic; D010100:Oxygen / Q000378:metabolism; D018802:Patient-Centered Care; D016032:Randomized Controlled Trials as Topic; D012121:Respiration, Artificial; D012151:Resuscitation / Q000941:ethics / Q000379:methods*; D012307:Risk Factors; D012769:Shock / Q000503:physiopathology / Q000628:therapy*; D012772:Shock, Septic / Q000503:physiopathology / Q000628:therapy; D013997:Time Factors; D016896:Treatment Outcome
D010100:Oxygen