tag:blogger.com,1999:blog-4679400986221366122024-02-20T08:37:49.165-08:00jack119.orgUnknownnoreply@blogger.comBlogger302125tag:blogger.com,1999:blog-467940098622136612.post-26060036614510912402012-08-07T22:13:00.004-07:002012-08-07T22:13:47.325-07:00食道傷害<b><span style="color: #0b5394; font-size: large;">食道傷害</span></b><br />
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<a href="http://db.tt/wWmNf70W"><img border="0" height="216" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgXN-HGNRMYKSzcMuiAjx5gagmKQDLdpLUrj7pbt4Ma5CydZKADw2qVqAp8mecDT2EBvOPAWFKH3GTL74_DzeXtYqKZcO9wbjPbQMo6bZt45kYCQLp-vNMbJvxWYwH-TGVCQRJ1wFvOh_o/s400/2012-08-08_130802.png" width="400" /></a></div>
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日期:101-08-08<br />
地點:新光醫院<br />
對象:急診醫師<br />
題目:Esophageal injuries<br />
檔案下載:<a href="http://db.tt/wWmNf70W">http://db.tt/wWmNf70W</a><br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-70955088365003713952012-07-12T06:23:00.001-07:002012-07-12T06:23:21.660-07:00做好醫病溝通,遠離醫療糾紛<div class="separator" style="clear: both; text-align: left;">
<a href="http://db.tt/puvMFfsa"><img border="0" height="275" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgtphSguOCT-fsR0i4snoYtK3d3hdjyX1L6asdDemLY4wLGBMigkCSI-i_jytz2jq4QKCB2ZOQHi-vs_Hn09jicuWxmuw7ujJ29FdkHlNagdZ-aAxSgovwcKlFhyphenhyphenz5ACBnHWKYLI0ClQqU/s400/2012-07-12_210522.png" width="400" /></a></div>
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日期:101-07-12</div>
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地點:行政院衛生署基隆醫院</div>
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對象:全體醫療人員</div>
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題目:做好醫病溝通,遠離醫療糾紛</div>
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檔案下載:<a href="http://db.tt/puvMFfsa">http://db.tt/puvMFfsa</a></div>
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-36729034509886505462012-06-18T05:37:00.003-07:002012-06-18T05:37:33.806-07:00病人爆掉了怎麼辦?<div class="separator" style="clear: both; text-align: center;">
<a href="http://db.tt/rfouWpfA" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="302" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvXUlJwXDriKKLe74jHjVHRRuy50oHrhg4xokPe9j1e8QitTilObN42ohyphenhyphenCuZ0YyRofBpiCamuTMKk7LOE7QefcHKvhZj7uG1a6XVz1vJV3W0Tq2B4bB9IhNj1jYKbZVSGERYr5rj0PKk/s400/aaa.png" width="400" /></a></div>
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日期:101-06-18<br />
地點:新光醫院急診科<br />
對象:急診科全體醫師<br />
題目:病人爆掉了怎麼辦?<br />
檔案下載:<a href="http://db.tt/rfouWpfA">http://db.tt/rfouWpfA</a><br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-73635692636432332772012-03-11T20:02:00.001-07:002016-11-12T19:29:19.915-08:00急診的英雄式治療程序<div class="separator" style="clear: both; text-align: left;">
<a href="http://dl.dropbox.com/u/10587862/lectures/heroicprocedures.pdf"><img border="0" height="243" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUSSYSaMWa7_fGf-_a6Ug02QQSmUoXQvFk14WkHSuYkQYtGz_1Qtn3G_FcbtQy6fErK74dCwYpfXlRBUerBd4wkdald8p5x9z4YpKUGCIB-6Is3coQ3knjE-eI_BgjlohLaa-tjpA4qt4/s320/heroic.jpg" width="320" /></a></div>
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<br />
日期:101-03-05<br />
地點:新光醫院急診科<br />
對象:急診科全體醫師<br />
題目:急診的英雄式治療程序<br />
檔案下載:<a href="http://tinyurl.com/7yc4wdd">http://tinyurl.com/7yc4wdd</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-3045133934489464802012-02-22T06:11:00.001-08:002012-02-22T06:11:53.978-08:00Acute kidney injury<div class="separator" style="clear: both; text-align: left;">
<a href="http://dl.dropbox.com/u/10587862/lectures/aki2012.pdf"><img border="0" height="238" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjV8PwVSybWrYYWDdsabhpYgsmsDFsXOMvMLiNcGBwaKMoKz-aldEn_eqSaTO_JaKmuSAH-AMhfBu3lUB00ErgWnOUSWYN8A4k2V5n70PcUElqbTNJEma_ZniY8zav2KETwUXsjBgugocc/s320/aki1.jpg" width="320" /></a></div>
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日期:101-02-14<br />
地點:新光醫院急診科<br />
對象:急診科全體醫師<br />
題目:Acute kidney injury<br />
檔案下載:<a href="http://tinyurl.com/6tjw5dk">http://tinyurl.com/6tjw5dk</a>Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-467940098622136612.post-43277760255970332782012-01-04T06:52:00.000-08:002012-01-04T06:55:24.047-08:00輸血<div class="separator" style="clear: both; text-align: left;">
<a href="http://dl.dropbox.com/u/10587862/lectures/bloodtransfusions.pdf"><img border="0" height="243" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgf16qAPj5cqdCkMEr83qsDaUChdZyyAdfJKuVB9hic5tr1QyWDtIeSTksiRIGOW3KAPVhZbHF6t4Y-x7dYsKwk5e_3MFLl5kjcNVv_PxjrxBiApBjkqBTZvOtk1VOfFqnglr46lD1AkO0/s320/bt.jpg" width="320" /></a></div>
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日期:101-01-04<br />
地點:新光醫院急診科<br />
對象:急診科全體醫師<br />
題目:輸血<br />
檔案下載:<a href="http://tinyurl.com/7co64bo">http://tinyurl.com/7co64bo</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-41478561950862029982011-12-06T20:58:00.001-08:002011-12-06T21:04:23.874-08:00酒醉之相關急症<div class="separator" style="clear: both; text-align: left;">
<a href="http://dl.dropbox.com/u/10587862/lectures/alcoholemergencies.pdf"><img border="0" height="211" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7y6Fa-6dcNtO3_BYMVg18y_hW6aOA0YLZe6QocyDvOTivRoHmOWp5_fE3j3h6d-zKPNo-ZvBaNsXsMH2M-OA9jh6aMGNGua0kieA1t-6UENT4bxlDBKdesm-daX7S-mU8DnBPZ6cI5R0/s320/aco.jpg" width="320" /></a></div>
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日期:100-12-07<br />
地點:新光醫院急診科<br />
對象:急診科全體醫師<br />
題目:酒醉之相關急症<br />
檔案下載:<a href="http://tinyurl.com/77l84ej">http://tinyurl.com/77l84ej</a><br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-65951206347775022292011-11-15T18:11:00.001-08:002011-11-15T18:12:21.893-08:00醫病溝通與醫療糾紛<div class="separator" style="clear: both; text-align: left;">
<a href="http://dl.dropbox.com/u/10587862/lectures/2011dprlecture.pdf"><img border="0" height="227" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiuFG31BfkXvixkoyR730T_t4BU-6SGh9ykK7XnxyC9i2g7AqR9VQ4qV7ed8Iw45JZyvbyFc77XX8IQSc6ykuYVhyphenhyphenLP0B-rdh1oL_uehOi-N7P3uiQauTJg6VIU312AVwx8er8Zz1ly6GE/s320/dpr.jpg" width="320" /></a></div>
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日期:100-11-16<br />
地點:振興醫院 全院性晨會<br />
對象:全體醫護同仁<br />
題目:醫病溝通與醫療糾紛<br />
檔案下載:<a href="http://goo.gl/Zfbs9">http://goo.gl/Zfbs9</a><br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-81838823311343234732011-11-09T04:50:00.000-08:002011-11-09T04:50:41.589-08:00精神科急症與急診暴力<div class="separator" style="clear: both; text-align: left;">
<a href="http://goo.gl/7Kpbb"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEbELztZ5M_LHy1F9koNfxLOvGIbnQS9w-zEcJQ5GqCgt5FE6Kzg5RVwui-HpRqzRMyH48OyxGWe-DetG26BKISZFitPrzjaCIGQ82JWrpkG94m30xkX2xQuLAlp6o3ID1y5xTPcFRS5Q/s320/erviol.jpg" width="320" /></a></div>
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<span style="background-color: transparent; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;">日期:100-11-08</span><br style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;" /><span style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;">地點:新光醫院急診科</span><br style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;" /><span style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;">對象:全體醫師</span><br style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;" /><span style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;">題目:</span><span style="color: #333333; font-family: Georgia, serif; font-size: x-small;"><span style="line-height: 20px;">精神科急症與急診暴力</span></span><br style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;" /><span style="background-color: white; color: #333333; font-family: Georgia, serif; font-size: 13px; line-height: 20px; text-align: left;">檔案下載:</span><span style="background-color: transparent; line-height: 20px;"><span style="color: #333333; font-family: Georgia, serif; font-size: x-small;"><a href="http://goo.gl/7Kpbb">http://goo.gl/7Kpbb</a></span></span><!--EndFragment-->Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-90481891362782303622011-10-30T02:37:00.000-07:002011-10-30T02:38:22.922-07:00Acute complications of extremity trauma<div class="separator" style="clear: both; text-align: left;">
<a href="http://tinyurl.com/4ymthpt"><img border="0" height="219" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtjubQOxmZHDchV23XqXDizNBvbumHmFMza9_rL0uKyBmnIW1lrx627YXhyYfQOpgMQS6LjJijNf66dhtO6NTqPGlwZz2LUgWTY7pHRllgx_l-1v2lPc2_tcssCE1cXydPummC6mlTJf4/s320/extremity.jpg" width="320" /></a></div>
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<span style="background-color: transparent;">日期:100-10-29</span><br />
地點:新光醫院急診部<br />
對象:全體醫師<br />
題目:Acute complications of extremity trauma<br />
檔案下載:<a href="http://tinyurl.com/4ymthpt">http://tinyurl.com/4ymthpt</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-18439420074730826652011-10-14T17:39:00.000-07:002011-10-14T17:47:33.826-07:002010 AHA Guidelines 中所強調的 4C<div class="separator" style="clear: both; text-align: left;">
<a href="http://tinyurl.com/425ezdv"><img border="0" height="268" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg8ervFkOK8A34hLn4DRepYk2rJq7PkaO01qphZJpmIbOWBksiHX1-BM61y2wYsCDks9y549bvdmHjjPhvXyeg-rD7J7Ja7zhWxd-NOXT4iDn9a5kWQhwfJZPRMsZge8wtQda366m1EduQ/s320/mc.png" width="320" /></a></div>
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2010 AHA Guidelines 中,對於 cardiac arrest 的處理,強調的 4C:</div>
<ol>
<li>Cardiovert / defibrillate </li>
<li>CCR - cardiocerebral resuscitation</li>
<li>Cooling </li>
<li>Catheterization </li>
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原文網址:</div>
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<a href="http://www.medscape.com/viewarticle/734952">http://www.medscape.com/viewarticle/734952</a></div>
<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-8254031792169710462011-10-13T03:30:00.000-07:002011-10-13T03:31:34.623-07:00您瞭解今日的中國嗎?<div class="separator" style="clear: both; text-align: left;">
<a href="http://dl.dropbox.com/u/10587862/documents/PRCChina.pdf"><img border="0" height="224" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi5ojTee1Nw6O0CzpDrIyl_Fi0o9TYUhSMaIUkpBjwpwtJ3gJAKy3EodFYYgOnB9pAovPjbMiGK-oEECqDkj72y2ilU4TCoA-phzCRNLPU1jL3hYOrSLYNaFtTSKB83BP5_rvoMOjvs7rA/s320/china.png" width="320" /> </a></div>
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<a href="http://dl.dropbox.com/u/10587862/documents/PRCChina.pdf">http://dl.dropbox.com/u/10587862/documents/PRCChina.pdf</a> </div>
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台灣的競爭力正逐漸流失當中...,您,瞭解今日的中國嗎?</div>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-58755240925944039362011-09-30T06:46:00.001-07:002011-09-30T06:46:38.831-07:00生物和化學恐怖攻擊<div class="separator" style="clear: both; text-align: left;">
<a href="http://tinyurl.com/693nt2v"><img border="0" height="235" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgJR9w3ViwFw1P0Q0544znhPi1AV-7BR45kXQUtfVWYwHzQrGSavIODekZvvBGcyOzHCdAqmAHmcP5m8-xG2IizUtJZebn4EDNsP9L-dA_rbFODhmAdE2eUlmgYN5i96eVhZyp2XDBAMmw/s320/biochemwmd.jpg" width="320" /></a></div>
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日期:100-09-07<br />
地點:新光醫院急診部<br />
對象:全體醫師<br />
題目:生物和化學恐怖攻擊<br />
檔案下載:<a href="http://tinyurl.com/693nt2v">http://tinyurl.com/693nt2v</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-89911637739820094712011-08-16T07:27:00.000-07:002011-08-16T07:34:45.326-07:00病人的義務在醫院裡,常常有長官或民眾要求醫護人員要盡其義務,
<br />但,我們卻鮮少有人會注意,其實病人也有要盡其義務!
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<br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://dl.dropbox.com/u/10587862/lectures/patientduty.pdf"><img style="cursor:pointer; cursor:hand;width: 400px; height: 267px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjhiQCEuJWyEl3jlEwgECHZgq_Q1r1aLTP4Z17W0-mWSRmOw0h6GJdqsss6gpimpvJGjgH_8-AS_R5dJc6YUtyJBwZZULF3sBnDnXGwtBKSZJcsjz_Ek2DrDfWZ68j_uwv-bnwPeCp0WXU/s400/paynowplskthnxbai.jpg" alt="" id="BLOGGER_PHOTO_ID_5641460937482207570" border="0" /></a>
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<br /><a href="http://dl.dropbox.com/u/10587862/lectures/patientduty.pdf">http://dl.dropbox.com/u/10587862/lectures/patientduty.pdf</a>
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<br />Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-7418414393455927642011-07-29T18:52:00.000-07:002011-07-29T19:00:24.950-07:00用超音波協助打 CVC需不需要照X光呢?<iframe src="http://www.youtube.com/embed/w6y_BBQhGmc" allowfullscreen="" frameborder="0" height="349" width="425"></iframe><br /><br />用 ultrasound-guided 打 CVC,打完後到底需不需要照X光呢?<br /><br />以下的研究告訴我們,如果是為了排除是否有氣胸,可以直接用超音波檢測,不必另外照X光。但是,如果要做CVC的定位,可能還是要照X光。<br /><br />No pneumothoraces were detected on chest x-ray in 1202 asymptomatic patients after ultrasound-guided central venous line placement.<br /><br />With ultrasound-guided central line placement, is a postinsertion chest x-ray still necessary to assess for pneumothorax? Researchers reviewed records for 1258 real-time, ultrasound-guided, internal jugular vein central line placements and 4 external jugular vein placements performed in 1066 patients during 4 years in the vascular and interventional radiology suite at a single U.S. hospital.<br /><br />Postprocedure upright chest x-rays were obtained in 1202 patients (after an average of 65 minutes); supine chest x-rays were performed as part of routine care in 66 hospitalized and bedridden patients. No patient had symptoms or radiographic evidence of pneumothorax. The authors conclude that eliminating routine postprocedure x-rays would save time and costs and reduce radiation exposure.<br /><br />Comment: This study was performed in a more controlled environment than an emergency department. Chest x-ray is not necessary after ultrasound-guided internal jugular vein cannulation when assessment of catheter positioning is not needed. When pneumothorax is suspected, bedside ultrasound for lung sliding likely is a better test than a chest x-ray (JW Emerg Med Nov 6 2009).<br /><br />—<br />Kristi L. Koenig, MD, FACEP<br />Published in Journal Watch Emergency Medicine July 29, 2011<br /><br />Citation(s): Oner B et al. Pneumothorax following ultrasound-guided jugular vein puncture for central venous access in interventional radiology: 4 years of experience. J Intensive Care Med 2011 Jul 14; [e-pub ahead of print]. (http://dx.doi.org/10.1177/0885066611415494)Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-10868963750961522762011-07-04T07:31:00.000-07:002011-07-04T07:32:52.341-07:00影像教學:The elbow<a href="http://jack119.org/mylectures/elbowfilms.pdf"><img id="BLOGGER_PHOTO_ID_5308471687421429586" style="WIDTH: 400px; CURSOR: hand; HEIGHT: 316px" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3usuEit57zwnIUqLzmlgK7ow4SwtZmRXWmChAqN7TDpicUTRpUqxi1ydHJw_RleoeHz9H8xP1DN1AeVqbI2sW52HAcAYJitlt1VMTQvTY3iUb151-z8J0bFVtwvGCCdwt2BfbOCudUd4/s400/ScreenShot002.jpg" border="0" /></a><br /><div><a href="http://jack119.org/mylectures/elbowfilms.pdf">http://jack119.org/mylectures/elbowfilms.pdf</a></div><div>日期:100-7-4</div><div>地點:新光醫院</div><div>對象:急診醫師、PGY、interns、clerks</div><div>題目:影像教學:The elbow</div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-34279019195570428632011-06-13T06:25:00.000-07:002011-06-13T06:26:01.760-07:00急診病歷記錄的陷阱<div><a href="http://jack119.org/mylectures/erchart2010pw.pdf"><img style="WIDTH: 400px; HEIGHT: 293px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5461726844502905474" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgCkQiKEsYRRp8dkhBRpwGBQrQJp3noeViULjmhY6pWAIpqOzb9l-MP9gKY9Un5JhJwA3dmW65T8xKEa9fZx2FhdQTBKXD0Gc_sNcDvO2jwZYG72F08mCDc2KsFFrRQiovMP9wv-lGepDU/s400/eee.jpg" border="0" /></a></div><div><div><div>日期:100-06-13</div><div>地點:新光醫院急診部</div></div><div>對象:全體醫師</div><div>題目:急診病歷記錄的陷阱</div><div>檔案下載:<a href="http://jack119.org/mylectures/erchart2010pw.pdf">http://jack119.org/mylectures/erchart2010pw.pdf</a></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-33811100880352405142011-05-22T07:15:00.000-07:002011-05-22T07:27:10.082-07:00急重症「Top 10」訓練課程<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://dl.dropbox.com/u/10587862/lectures/2011top10ed.pdf"><img style="cursor:pointer; cursor:hand;width: 400px; height: 322px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEghfbWA4toBR42Bh1eRququuSkQfg3jNBajlJ1OjoJncqgkaC6wxvPASMrwLMYRMN4j-k7yMyVoKJPooA1lHC191hMT0ZQ1vV1_X-ckjnZuwkbo2rnIOhQgs6P3fjNbw79TJ6poA9dIKg4/s400/evbody.jpg" alt="" id="BLOGGER_PHOTO_ID_5609544958509664802" border="0" /></a><br /><a href="http://dl.dropbox.com/u/10587862/lectures/2011top10ed.pdf">http://dl.dropbox.com/u/10587862/lectures/2011top10ed.pdf</a><br />日期:100-05-22<br />地點:新光醫院大會議室<br />對象:急重症相關醫護同仁<br />中華民國重症醫學專科醫師聯合甄審委員會認證課程<br />主辦單位:中華民國重症醫學專科醫師聯合甄審委員會<br />承辦單位:中華民國急救加護醫學會<br />協辦單位:新光醫院急診醫學科<br /><span style="font-weight: bold; color: rgb(51, 51, 255);">題目:Top 10 ED stories that you must not forget</span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-71173490242481521652011-05-19T04:18:00.000-07:002011-05-19T04:34:27.360-07:00急診暴力事件安全作業參考指引<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://tinyurl.com/4x98cfm"><img style="cursor:pointer; cursor:hand;width: 400px; height: 220px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt_pNtNl0qyKhvsPPV8KQxqID57mYeY1l9DPcmuTCzQIX5AyuZ1wYINJDgKSYrU_Rj_elhW3P2o2rZm9HBGqVLeEjJppl5dS6dLBDp6kvZbi86OK_gwMQIz_tirRpZt0q8G0DEUuIuIRA/s400/safety1.jpg" alt="" id="BLOGGER_PHOTO_ID_5608386141062383986" border="0" /></a><br /><br />檔案下載:<a href="http://tinyurl.com/4x98cfm">http://tinyurl.com/4x98cfm</a><br /><br />檔案內容:<br /><ol><li>急診暴力事件安全作業參考指引</li><li>急診警衛及安全作業參考指引</li><li>急診警衛及安全作業檢查表</li></ol>---<br /><br />警政署函復全聯會有關醫療院所發生暴力事件,相關滋事人員依法偵辦。<br /><ul><li>檔案下載:<a href="http://tinyurl.com/3oc28ba">http://tinyurl.com/3oc28ba</a></li></ul>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-88827153290125037572011-05-05T18:45:00.000-07:002011-05-05T18:59:14.054-07:00醫護盼警佩槍進駐急診室!<a href="http://tinyurl.com/3b7o2bw"><span style="color: rgb(51, 51, 255);font-size:130%;" ><span style="font-weight: bold;">急診室防暴 醫護盼警佩槍進駐</span></span></a><br /><br />2011-05-06/中國時報/李忠憲、顏玉龍、殷偵維<br /><br />三月底,新北市三峽恩主公醫院急診室發生聚眾毆打醫護人員暴力事件,情侶主嫌黃寶田及林玉梅昨日雖已遭板檢依傷害罪起訴,但有數千醫護人員在網路連署,希望急診室能加強門禁管制,甚至比照美國醫院,由佩槍警察替代保全人員。<br /><br />國內民間醫院幾乎都委由保全公司維安,近來越來越多病患在急診室聚眾鬧事打人,帶刀帶槍恐嚇醫護人員事件也時有所聞,令許多醫護人員人心惶惶。<br /><br />恩主公聚眾毆人事件,因為傳出警方偵辦不力的情況,因此醫院員工才將事發當時監視器畫面放上網路,因而引起了極大的迴響。<br /><br />其中,<span style="color: rgb(204, 0, 0); font-weight: bold;">新光醫院急診室主治醫師張志華</span>在自己的臉書專頁就發起急診室免霸凌、反暴力的連署,他認為急診室應比照現行對加護病房的門禁管制,急診室應是半封閉式,任何人不得「長驅直入」。<br /><br />另外還有許多人認為應讓佩槍警察在急診室門口站崗,如此才能有效減少醫護人員受傷意外發生,立刻在臉書上吸引數千人連署。<br /><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://www.facebook.com/event.php?eid=136109913126815"><img style="cursor:pointer; cursor:hand;width: 400px; height: 263px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHEcNvi37Et5QZvrrsaosz2bszPdUeS1qWECowf2KgIPnlCjwnTfEYW5qXv8TzwuHpsaq1qaUWR-Dh0LT63DA26ozCkwuhp7RZnrn8wkK-kFVx63CYoeHNqC3K-_RdE4TsW_hvD4bHY-A/s400/sero2.jpg" alt="" id="BLOGGER_PHOTO_ID_5602128743851862498" border="0" /></a><br /><br /><a href="http://www.facebook.com/event.php?eid=136109913126815"><span style="color: rgb(51, 51, 255);">http://www.facebook.com/event.php?eid=136109913126815</span></a><br /><br />衛生署長邱文達及內政部長江宜樺都表達關切,邱認為在急診室設置佩槍員警在美國十分常見,確實是政策規畫方向,也計畫針對此一政策與警政單位做進一步協調。<br /><br />但江則持保留態度表示,他認為,如果類似的民間機構也都要求警力進駐,警力將更形吃緊,大部分國家也沒有這麼做,主管機關應該會有更好的對策。<br /><br />針對醫院暴力事件頻傳,三峽恩主公醫院院長謝銘勳表示,急診室原本就該給醫護人員及求診病患有個安全舒適環境,如果政府願意讓佩槍員警進駐急診,他樂觀其成。<br /><br />新北市立聯合醫院指出,院區警衛安全由保全負責,保全崗哨就設在急診室旁,就近處理各種狀況,加上各角落亦裝設監視器,一旦發生狀況,日後也能釐清責任歸屬,若保全無法控制,則會立即報警處理。<br /><br /><span style="font-weight: bold;">中國時報:</span><a href="http://tinyurl.com/3b7o2bw">http://tinyurl.com/3b7o2bw</a><br /><br />-----<br /><br />PS:<br />感謝媒體、記者幫忙我們發聲... 也請求衛生署、內政部、馬總統趕緊拿出實際、積極的對策來禁止醫院職場的暴力事件,不要又等到有人員死亡後再來開記者會道歉、再來開會檢討。【張志華】Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-88190403984082003422011-05-05T06:23:00.000-07:002011-05-05T07:15:20.622-07:00Serotonin syndrome<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://dl.dropbox.com/u/10587862/lectures/sslibby.pdf"><img style="cursor:pointer; cursor:hand;width: 400px; height: 309px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj9ETZH_q9pAYMTSZG1L_20SFr4b4MWsgz1wsaQBI3hRgb79BXTYi0JVLDpxy1b6Y7od-dBID_clpvxFkfSeYfwD2Rjvn3h_yeq2JXJMKGEkY4ovugVdl_rJll8wvm4GsgOrUraxLLJi8o/s400/ss.jpg" alt="" id="BLOGGER_PHOTO_ID_5603222420238261202" border="0" /></a><br /><div><div><a href="http://jack119.org/mylectures/advancedairway.pdf"></a><a href="http://dl.dropbox.com/u/10587862/lectures/sslibby.pdf">http://dl.dropbox.com/u/10587862/lectures/sslibby.pdf</a><br /></div><div>日期:100-05-04</div><div>地點:新光醫院急診科</div><div>對象:全體急診醫師</div><div>題目:Serotonin syndrome - <!--[if !mso]> <style> v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} p\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} v\:textbox {display:none;} </style> <![endif]--><!--[if !ppt]--><!--[endif]-->從 Libby Zion 與「美國住院醫師工時設限」說起…<br /></div></div>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-51066018138144844082011-05-02T08:23:00.000-07:002011-05-02T08:30:56.259-07:00進階呼吸道處理<a href="http://jack119.org/mylectures/advancedairway.pdf"><img id="BLOGGER_PHOTO_ID_5233424970643343458" style="CURSOR: hand" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi7S5xNP8P2JU6pX9GMgvrdKJIeuD1jacEvU-z_-EXRQhqirT7cWIUfEOynJNbNhFfI1uuRBQO53qmjOxSwxA953_xTgdlg4inECNWgBOEL6EmPNh7_9p8U8vMPEF-p10KUS0o-2jFBpC8/s400/ScreenShot003.jpg" border="0" /></a><br /><div><div><a href="http://jack119.org/mylectures/advancedairway.pdf">http://jack119.org/mylectures/advancedairway.pdf</a></div><div>日期:100-04-30</div><div>地點:耕莘醫院永和分院</div><div>主辦單位:中華民國急重症護理學會<br />對象:護理人員</div><div>題目:進階呼吸道處理</div></div><br />【影片:如何做緊急氣切 - Cricothyroidotomy】<br /><object height="344" width="425"><param name="movie" value="http://www.youtube.com/v/RW45eWJVMOQ&hl=en_US&fs=1&"><param name="allowFullScreen" value="true"><param name="allowscriptaccess" value="always"><embed src="http://www.youtube.com/v/RW45eWJVMOQ&hl=en_US&fs=1&" type="application/x-shockwave-flash" allowscriptaccess="always" allowfullscreen="true" height="344" width="425"></embed></object><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikrgc1i1dAuAB46pjMGGGogvGl-8LVQ-zqm6FosZgTY-5zOkvwAHf_RAYuPuuiifuNBOI_hxYz4yWg4MJ6dPGh3zM497nXJKWB-4vMdDjD7gRQWN3mvuDYh0d8p-qOvb8Pq6OBrCezLm8/s1600-h/crico01.jpg"><img style="WIDTH: 400px; HEIGHT: 351px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5403216409892319922" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEikrgc1i1dAuAB46pjMGGGogvGl-8LVQ-zqm6FosZgTY-5zOkvwAHf_RAYuPuuiifuNBOI_hxYz4yWg4MJ6dPGh3zM497nXJKWB-4vMdDjD7gRQWN3mvuDYh0d8p-qOvb8Pq6OBrCezLm8/s400/crico01.jpg" border="0" /></a><br /><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjr6YH_iVeNwzSmSlZzEVynl6ZDwOvSnOlYndr1eWLEsL5iDbhnTbyAeCbI718PcTKBYbrTaGcIJ0gjmRUj8KG45F6AUeVVXMeUN82BjslMV6vB84hey-WYAFJDxse5GXcQNXT71SqT9rg/s1600-h/crico02.jpg"><img style="WIDTH: 241px; HEIGHT: 400px; CURSOR: hand" id="BLOGGER_PHOTO_ID_5403216415682299122" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjr6YH_iVeNwzSmSlZzEVynl6ZDwOvSnOlYndr1eWLEsL5iDbhnTbyAeCbI718PcTKBYbrTaGcIJ0gjmRUj8KG45F6AUeVVXMeUN82BjslMV6vB84hey-WYAFJDxse5GXcQNXT71SqT9rg/s400/crico02.jpg" border="0" /></a><br />這個對急診醫師來說,太重要了。<br />遇到病人VF時,你一定要會電擊;<br />遇到病人endo插不上又無法bagging時,<br />你一定要會做緊急Cricothyroidotomy!!Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-44307568210951699792011-05-02T07:31:00.000-07:002011-05-02T07:41:26.190-07:00醫護連署促醫院暴力改公訴罪<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://www.facebook.com/event.php?eid=136109913126815"><img style="cursor:pointer; cursor:hand;width: 400px; height: 263px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgHEcNvi37Et5QZvrrsaosz2bszPdUeS1qWECowf2KgIPnlCjwnTfEYW5qXv8TzwuHpsaq1qaUWR-Dh0LT63DA26ozCkwuhp7RZnrn8wkK-kFVx63CYoeHNqC3K-_RdE4TsW_hvD4bHY-A/s400/sero2.jpg" alt="" id="BLOGGER_PHOTO_ID_5602128743851862498" border="0" /></a><br /><span style="font-weight: bold; color: rgb(51, 51, 255);"><br />急診室暴力,醫護連署促改公訴罪</span><br /><ul><li>酒醉男急診室揮刀、索藥不成掏槍恐嚇、急診醫師被打成腦出血…,層出不窮的急診暴力事件,不但使醫護濺血,更危及病人安全,一群醫護人員忍無可忍,在臉書上發起連署,要求政府正視急診安全,並推動修法,將急診暴力列為公共危險罪等公訴罪。</li><li>台灣急診醫學會過去調查,九成醫師曾遭暴力威脅,四成曾真的挨揍,近年醫院急診紛吹熄燈號,大型醫院壅塞加劇,人手不足、床位不夠,更易爆發糾紛,使原本存在於急診的病人言語與肢體暴力,變本加厲。<br /></li></ul><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">齊怒吼:還我們安全工作場所</span><br /><ul><li>一群急診醫師最近在臉書上展開急診室「反霸凌、反暴力」連署:「針對醫護同仁飽受暴力威脅,如果政府、總統都不幫助我們,我們也要靠自己發出怒吼!還我們醫療人員一個安全的工作場所,還病人一個安心的就醫環境。」</li><li>該項連署提出五大訴求:急診室必須管制人員進出、必須由配槍員警守護、必須實體分區、檢傷分流、推動修法將醫療院所暴力行為列為公共危險罪。至今已有八千多人參加。</li><li>第一線急診醫師透露,中南部某家中小型醫院,因爆發嚴重急診暴力,醫護人員被迫自衛、走避,使等待急救的病患遭延誤治療,以至於留下嚴重併發症的遺憾,只是未見諸媒體,成為不能說的秘密。</li><li>發動連署的<span style="font-weight: bold; color: rgb(0, 102, 0);">新光醫院急診部主治醫師張志華</span>指出,國內急診對人員進出幾乎沒有管制,採完全開放式,使醫護人員易受暴力威脅。但歐美並非如此,例如德國有些醫院急診室就採封閉式,設計成類似開刀房,是獨立隔間的治療室,護理站則有強化玻璃。<br /></li></ul><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">嘆急診室不設防 比廁所還不如</span><br /><ul><li>台灣急診管理學會理事長陳日昌則感嘆,美國急診室管理比機場還嚴格,台灣的急診則比廁所還不如,完全不設防,衛生署應要求醫院妥善規劃急診動線,使輕重症分流,營造加強管制的環境,對酒後病患的暴力行為,較具嚇阻作用。</li><li>台灣急診醫學會秘書長顏瑞昇指出,急診暴力為傷害罪,屬告訴乃論,若能修法改為公訴罪,檢察官就有義務主動偵查,不能輕易和解,可嚇阻急診暴力。<br /></li></ul><br /><span style="font-weight: bold; color: rgb(51, 51, 255);">法部:恐嚇危害安全是公訴罪</span><br /><ul><li>法務部政務次長陳守煌表示,若有毆打、限制醫護人員行動自由等不法,應報警偵辦,除傷害罪是告訴乃論外,目前刑法第三○四條強制罪、三○五條恐嚇危害安全罪都是公訴罪,情節重大者,警方可依組織犯罪條例偵辦,不宜針對醫療人員的傷害行為,逕自改為公訴罪。</li></ul><br />---<br />自由時報/2011-4-28/記者王昶閔、楊國文<br /><a href="http://www.libertytimes.com.tw/2011/new/apr/28/today-life13.htm">http://www.libertytimes.com.tw/2011/new/apr/28/today-life13.htm</a>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-467940098622136612.post-25434920009568483452011-04-11T05:40:00.000-07:002011-04-11T05:57:45.103-07:00孕婦之外傷處理<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="http://jack119.org/mylectures/traumapregnant2011.pdf"><img style="cursor:pointer; cursor:hand;width: 400px; height: 303px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgykYZnjM6Yla4XYzfYAaS1vzV0b-lf9DAL34uRTn76FIM1-yrjXsWPWSJ7DFUW9Y-jJ2jEJYuwOJ4xMF98my24W_E3DSsN2m4skdTJtP0CaSlLGg6mPDz_QjQNB2zl2QJxERunowI2R_o/s400/tw.jpg" alt="" id="BLOGGER_PHOTO_ID_5594308717450765522" border="0" /></a><br /><a href="http://jack119.org/mylectures/traumapregnant2011.pdf">http://jack119.org/mylectures/traumapregnant2011.pdf</a><br />日期:100/04/11<br />地點:新光醫院急診科<br />對象:全體醫師同仁<br />題目:孕婦之外傷處理Unknownnoreply@blogger.com1tag:blogger.com,1999:blog-467940098622136612.post-27597836114777803072011-04-11T04:45:00.000-07:002011-04-11T04:50:30.807-07:00急診室暴力 9成醫師受威脅<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqNoYHSvQoh1Dk4Mkudny7vkuyl7v57OK9h7-6XR9zi01tNXA1lQIxse_T429u4m14UCKxebwMTufhXB_0OW7lcgev7_yquK2czqz0Y6Vl1x4rDzVrC-sDx5HPYkT_IHV0XZLsO-aPHec/s1600/er1.jpg"><img style="cursor:pointer; cursor:hand;width: 333px; height: 349px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgqNoYHSvQoh1Dk4Mkudny7vkuyl7v57OK9h7-6XR9zi01tNXA1lQIxse_T429u4m14UCKxebwMTufhXB_0OW7lcgev7_yquK2czqz0Y6Vl1x4rDzVrC-sDx5HPYkT_IHV0XZLsO-aPHec/s400/er1.jpg" alt="" id="BLOGGER_PHOTO_ID_5594291437373249298" border="0" /></a><br />----<br /><p>原本是救人第一的急診室,卻成了醫護人員濺血的是非之地。近來頻傳急診室暴力事件,不少急診醫師認為,該檢討急診室的門禁管制,並應限制陪病家屬最多僅能兩人進入,減少有人隨意進入鬧事,對醫護人員動手動腳的場面。</p> <p> 最近彰化基督教醫院、恩主公醫院等,都傳出急診室暴力事件,醫師遭拳打腳踢。中國醫藥大學附設醫院急診室主任陳維恭曾對急診室醫護人員調查,89%醫師表示曾受威脅,37%曾經實際遭受暴力攻擊,護士則有73%曾受威脅,36%曾受暴力攻擊。</p><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcwKSI4VYhwAR0l0ztJfAAP4ADqVDHRKVq9fWcWbzBDrt4vTfjLILmCtaguRKXrFmJC4WAsl3Q5Y3TK4AeH2QIdBXRxU2p1CKL0nrZikMIVXb-iyHdBh0RQc-PnO5xrZ_kNZ2VKX0d2rU/s1600/er2.jpg"><img style="cursor:pointer; cursor:hand;width: 224px; height: 400px;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhcwKSI4VYhwAR0l0ztJfAAP4ADqVDHRKVq9fWcWbzBDrt4vTfjLILmCtaguRKXrFmJC4WAsl3Q5Y3TK4AeH2QIdBXRxU2p1CKL0nrZikMIVXb-iyHdBh0RQc-PnO5xrZ_kNZ2VKX0d2rU/s400/er2.jpg" alt="" id="BLOGGER_PHOTO_ID_5594291437064545362" border="0" /></a><br />----<br />急診室比照加護病房限制陪病家屬至多兩人,是否可行?陳維恭說 ,24小時開放的急診室常常是醫院入夜後主要進出口,急診室若設門禁,勢必要增加管理成本,但至少可考慮在急診室入口設緩衝區,跟診療區有所區隔。<br /><br /><p>暴力陰影籠罩急診室,有醫院加強醫護人員學防身術,急診醫師座位也不敢背對門口。陳維恭苦笑說,半夜裡打打殺殺的患者還不少。有時候兩群人馬火拼,傷者都送往同一家醫院「狹路相逢」。</p><p> 加上近來醫病關係對立,一般民眾到急診久候,家屬火氣一上來就開罵,或對治療不滿意就揚言「給你好看」。</p><p> 新光醫院急診科主治醫師張志華最近在臉書上發起,急診室免霸凌、反暴力的連署,張志華說,急診室應比照現行對加護病房的門禁管制,急診室應是半封閉式,任何人不得「長驅直入」。</p><p> 台灣急診管理學會理事長陳日昌也說,學會希望檢討急診室門禁的分流管制,限制陪病家屬最多僅能兩人進入,給醫護人員安全的工作環境。 </p> <span id="source_name" class="story"><br />【2011/04/11 </span>聯合晚報╱記者黃玉芳/台北報導】<span class="author"></span><br />-----<br />http://udn.com/NEWS/HEALTH/HEA1/6266331.shtmlUnknownnoreply@blogger.com0