Wachipatala ndi Wotsitsimutsa Meyi 2020

MUDZAKHALA KUKHALA KUKHALA KUKHALA KULIMBIKITSA KULIMBIKITSA KULIMBIKITSA (FAST SPEED) MUTHA KULIPIRA

Chaka chatha chinali chopambana, tikuthokoza chifukwa cha luso lathu labwino, ndipo chaka chino, tikukonzekera kutengera gawo lina. Tawonjezerapo mamembala ena atsopano omwe azibweretsa malingaliro osangalatsa, ndipo padzakhala mutu wofala masiku awiriwa kuti aliyense amvetsetse ndikuwongolera mbali zoyipa / zamanja zomwe zimanyalanyazidwa, zopangidwa pakati mitu ina ikuluikulu yomwe omvera chaka chatha komanso komiti yasayansi adasankha. Uku ndikusintha kwachidziwikire kwamachitidwe azachipatala omwe, ophatikizidwa ndi POCUS, amasinthadi masewera osiyanasiyana. Yembekezerani kuchoka masiku awiriwa ndi cholembera chimodzi chokwanira pa lamba wanu.

Kufunika kwa kuyambiranso kwamadzimadzi kwakhala kukuwonekera m'zaka zapitazi - tenga ntchito yayikulu yomwe Manu Malbrain akuchita ku IFAD (International Fluid Academy) omwe adangokhala ndi msonkhano wawo. Kuchiza madzi ngati mankhwala omwe akuyenera kukhala cholinga chathu.

Kuphatikiza apo tasankha mitu ingapo yofunika, ndi lingaliro logawana nzeru ndi maluso othandiza pazochita zamankhwala, kapenanso kuti tipeze chidwi pamitu yakutaya magazi yomwe, ngakhale siyofalikira masiku ano, ili ndi lonjezo lakukonzekera bwino kwa kubwezeretsanso. Chimodzi mwazofunikira ndikugwiritsa ntchito puloteni ya pulmonary artery catheter, yomwe kugwiritsa ntchito kwake, ngakhale kuti sikunali kovomerezeka, kunapitilira m'malo ambiri momwe azachipatala amatha kugwiritsa ntchito bwino chida chowunikira. Tikumva kuti takonzeka kubwereranso pakati pobwezeretsanso anthu apamwamba. Kwa ena, itha kukhala nkhani yotsitsimutsa ndikukonzanso, komanso kwa m'badwo watsopano, nthawi yabwino kuphunzira.

MISONKHANO YOPEREKA Misonkhano YAM'MBUYO YOTSATIRA

Pali 4 a iwo, onse pa Meyi 20:

1. Njira Yachipatala (tsiku lathunthu)
2. Bokosi Lazida la Resuscitationist (theka la tsiku AM)
3. Resus TEE (tsiku lathunthu)
4. Jiu-Jitsu wa MDs (theka la tsiku PM)

Chifukwa chake, kusintha pang'ono pang'ono. Pulogalamu ya Wachipatala Angle tsopano amapeza maphunziro asanakonzekere, atangoyang'ana pamitu yothandiza kwambiri, yogwiritsidwa ntchito komanso yofunikira kwambiri kwa odwala wodwalayo, kuphatikiza zokambirana zolimba za POCUS kuti agwire nawo ntchito komanso kutenga nawo mbali pazoyeserera zamaphunziro. Kwa fayilo ya pulogalamu yonse ya The Hospitalist Course onani apa.