Resuscitation
Emergency correction of acute critical physiological disorders
From Wikipedia, the free encyclopedia
Resuscitation is the process of correcting physiological disorders (such as lack of breathing or heartbeat) in an acutely ill patient. It is an important part of intensive care medicine, anesthesiology, trauma surgery and emergency medicine. Well-known examples are cardiopulmonary resuscitation and mouth-to-mouth resuscitation.
Adequate resuscitation and end-organ perfusion is best indicated by urine output of 0.5-1 mL/kg/h. For the average adult male weighing ~70 kg this would mean a urine output of 35 mL/h (70 x 0.5 = 35 mL/h). Heart rate, mental status, and capillary refill may be affected by underlying disease processes and are thus less reliable markers for adequate resuscitation.
Documentation
For subsequent treatment, resuscitations have to be properly recorded. One example is trauma care.[1] Even though there is a strong expansion of electronic health records, within the healthcare industry, resuscitation documentation is still often handwritten, increasing the risk of incomplete documentation. Novel options like tablet-based solutions help to digitalize this process.[2] For improved documentation quality, future solutions have to be accepted by clinicians and well-integrated into their workflows.[3]
Variables
See also
- Advanced life support – Life-saving protocols
- Advanced cardiac life support – Emergency medical care
- Advanced trauma life support – American medical training program
- Cardiopulmonary resuscitation – Emergency procedure after sudden cardiac arrest
- Emergency Preservation and Resuscitation – Experimental emergency medicine procedure
- Fluid replacement, also known as Fluid resuscitation – Medical practice of replenishing bodily fluid
- Hs and Ts – Mnemonic
- Mouth-to-mouth resuscitation – Artificial ventilation using exhaled air from the rescuer
- Neonatal resuscitation – Emergency medical procedure
- Pediatric advanced life support – American Heart Association course