摘要
短暂性意识丧失(transient loss of consciousness,TLOC)的病因复杂,在急诊科很难区分晕厥与非晕厥性TLOC。2024年,欧洲急诊医学会晕厥小组发布了急诊科晕厥核心管理流程的共识声明,创建了以TLOC开始的结构化管理急诊科晕厥患者的扩展事件流程链,并提供了将通用流程转化为临床实际使用流程的示例。该共识提出了急诊科晕厥的核心管理流程,建立了疑似晕厥患者的一般检查和护理共识,并为急诊科最初表现为TLOC的患者提供了充分和系统的管理规则。本文就该共识进行解读,以期为国内急诊科晕厥患者管理提供参考和借鉴。
Objective The etiology of transient loss of consciousness(TLOC)is complex,making it challenging to differentiate between syncopal and non-syncopal TLOC in the emergency department(ED).The syncope group of the European Society for Emergency Medicine(EUSEM)issued a consensus statement on core management process for syncope in the ED in 2024,creating an extended event process chain(eEPC)for the structured management of ED syncope patients initially present with TLOC,and providing examples of how generic procedures can be translated into clinical practice.This consensus proposed a core management pathway for syncope in the ED,established standardized protocols for the general evaluation and care consensus of patients with suspected syncope,and provided sufficient and systematic management rules for the initial management of patients presenting with TLOC in the ED.This article interpreted the consensus in order to provide reference for the management of syncope patients in domestic ED.
作者
赵娅
周雁荣
吴前胜
邓朋
刘湘萍
梅凌寒
ZHAO Ya;ZHOU Yanrong;WU Qiansheng;DENG Peng;LIU Xiangping;MEI Linghan(Department of Nursing,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China;Department of Cardiovascular Surgery,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China;Department of Emergency,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei,China)
出处
《护士进修杂志》
2025年第19期2042-2047,共6页
Journal of Nurses Training
基金
华中科技大学同济医学院附属同济医院科研基金护理专项重点项目(编号:2023C09)。
关键词
急诊科
晕厥
短暂性意识丧失
扩展事件流程链
共识
解读
emergency department
syncope
transient loss of consciousness
extended event process chain
consensus
interpretation
