The Ten Commandments Of Pediatric Emergency Medicine
The Journal of Emergency Medicine,
Vol. 27, No. 2, pp. 193–194, 2004
1. 小孩不是大人的縮小版
Children are not small adults
2. 生病和受傷的小孩會行為退化
Ill and injured children regress
要多花些時間，不要有太高的期待
3. 兒科必須同時治療兩位「病人」 （家屬和小孩）
The “patient” might be the one holding the child
4. 把小朋友當一回事
Kids are the real deal
小孩不喜歡來醫院
一般情況下，小朋友不會裝病
5. 實驗檢查和x-ray不能取代完整的病史和理學檢查
Laboratory tests and x-rays seldom beat a good history and physical examination
6. 人多好辦事
Many hands make light work
procedure 前做充分的準備，把事做對，一次做好
7. 確認、確認、再確認
Check and double-check. Then, check again
過敏史、藥物、劑量、左右
8. 小孩也會覺得痛，給予止痛劑
Children feel pain just like you do—treat it
9. 安排回診
Close the loop
10. 你是小孩的代言人
Above all, you are the child’s advocate
兒科急診十誡是急診十誡的補充加強版
急診十誡裡的原則依然適用
The Ten Commandments of Pediatric Emergency Medicine are designed to supplement and augment the Ten Commandments of Emergency Medicine, not to replace them.
The original commandments still hold.
沒有留言:
張貼留言