夜间紧急情况处理手册（为儿科血液肿瘤 fellows 编写）：我们应该聊天吗？

English | 2024 | ISBN: 1032749636 | 163 pages | True PDF | 8.71 MB

Being on call as a pediatric resident or a pediatric hematology-oncology fellow can cause great anxiety. In addition to the relatively common patient with chemotherapy-related fever and neutropenia, there is the anticipation of problems that a trainee may have read about but not yet actually seen - the adolescent newly presenting with a white blood cell count of 600,000/mm3, the 2 year old spitting up blood with a platelet count of 2,000/ mm3 and a hemoglobin of 5g/dL, the child who comes to the ER with difficulty walking and is found to have a paraspinal mass on MRI. Most issues can wait until the next day when more senior practitioners are around, but some are true medical emergencies and just can’t. This manual is intended as a one-stop solution for such frantic moments - a quick resource to bridge the hours between the start of night call and morning rounds that focuses on what needs to be done immediately to avoid hurting a patient. It offers succinct guidelines and algorithms to address the emergencies most likely to come up overnight. For those tempted to turn to AI for quick solutions, there are some salutary lessons from responses AI has given when asked about such emergencies.

作为儿科住院医师或血液肿瘤专科医生，值夜班可能会造成极大的焦虑。除了化疗相关发热和中性粒细胞减少症这样的常见患者外，还有即将出现的问题——一名白细胞计数为60万/mm³的青少年、一个血小板计数为2,000/ mm³且Hb为5g/dL的两岁儿童以及MRI发现脊柱旁肿块的患儿。大多数问题都可以等到明天更有经验的同行到来时再处理，但有些确实是真正的医疗紧急情况，不得不立即解决。本书旨在作为此类急迫时刻的一站式解决方案——一个专注于在夜班开始和晨间查房之间的时间内采取什么措施以避免伤害患者的手册。它提供简明的指南和算法来应对夜间最有可能出现的紧急情况。对于那些想求助于人工智能寻求快速解决方案的人来说，有一些来自AI在遇到此类紧急情况时所作回答中的有益教训。

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