急診十誡

The Ten Commandments of Emergency Medicine

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The 10 Commandments of Emergency Medicine

急診十誡


1.    Secure the ABCs.
       穩定 ABC (呼吸道、呼吸、循環)

2.    Consider or give naloxone, glucose and thiamine.
       (意識不清病患) 考慮給予 naloxone , glucose 及 thiamine

3.    Get a pregnancy test.
       (年輕女性腹痛) 做懷孕試驗

4.    Assume the worst-rule out serious disease.
       假定最糟的狀況，排除致命的診斷

5.    Do not send unstable patients to radiology.
       勿送不穩定病患到放射檢查室

6.    Look for the common red flags.
       尋找常見的警示

7.    Trust no one, believe nothing (not even yourself)
       check lab results and rethink clinical decisions.
       勿輕信任何人、任何事 (包括你自己)
       確認檢驗報告，重新做臨床診斷

8.    Learn from your mistakes.
       從錯誤中學習

9.    Do unto others as you would your family (and that includes coworkers).
       視病猶親

10.  When in doubt, err on the side of the patient.
       當猶豫不決時，以病患的利益為優先考量

Remember, malpractice is usually a result of violating one of the ten commandments!
切記！醫療過失常始因於違反急診十誡！

summarized from Dr. Slovis's article in Annals of Emergency Medicine 10 Oct. 1991.


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