首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
外语
Everyone arriving at a hospital’s emergency room(ER)wishes to be seen quickly, but for stroke patients it can be a matter of lif
Everyone arriving at a hospital’s emergency room(ER)wishes to be seen quickly, but for stroke patients it can be a matter of lif
admin
2016-03-08
30
问题
Everyone arriving at a hospital’s emergency room(ER)wishes to be seen quickly, but for stroke patients it can be a matter of life or death. The most common stroke involves a blood clot blocking vessels in the brain, killing brain cells nearby almost immediately. Luckily, an effective treatment exists. Thrombolytic(溶解血栓的)therapy uses drugs to dissolve the clot and restore the flow of blood. If started within a couple of hours of a stroke occurring, it can limit brain damage and reduce long-term disability. Neurologists even have a catchphrase for this: "time is brain".
Understandably, hospitals strive to identify stroke cases and administer such medication without delay. A key step is using a computed tomography(CT)scanner to ensure that there has been no bleeding in the brain, in which case thrombolytic drugs would make things worse. The last couple of decades have seen many innovations in reducing this "time to CT".
But in shaving seconds from medical procedures, researchers may have neglected something more important: the human element. Gal Ifergane, a neurologist at Soroka University Medical Centre in southern Israel, noticed that stroke patients who were accompanied to the ER by friends or family seemed to fare better than those who arrived alone. So for 15 months, ER staff at Soroka recorded the number of companions escorting each stroke sufferer, over 700 in all, and tracked their progress.
The results, recently published in Medicine, tell a striking story. Stroke victims arriving with someone were more than twice as likely to be correctly diagnosed by the triage nurse, and had their CT scans performed earlier. Patients eligible for clot-busting medication also received it much faster if accompanied, although their numbers were too few for the researchers to be sure it was because they had company. The differences were far from trivial. Patients with one companion had CT scans an average of 15 minutes sooner than those unaccompanied. A second companion shaved a further 20 minutes off the wait, although three or more companions did not confer any additional benefit.
Dr. Ifergane did not record who the companions were, however, or how they were able to reduce delays. He believes that it is probably a combination of focusing the attention of clinical staff on their loved ones, and providing basic care such as helping to move patients into bed.
Dr. Ifergane admits that his study has limitations. The sample size was rather small and his findings may reflect cultural norms in Israel that do not apply elsewhere. But he has already tried to make changes in the way the Soroka University Medical Centre operates. " We asked our security team to allow two people to come in with stroke patients rather than just one," he says. " And we now consider stroke patients who are coming alone as a group at risk. "
Dr. Ifergane also recommends that ERs provide a friendly "stroke liaison" to accompany lone patients during the diagnostic and treatment processes. Something other hospitals might think about, too.
Dr. Ifergane has made a suggestion that______.
选项
A、clinical staff should record identities of the companies
B、companies should be encouraged to provide basic care
C、changes should be made to operations of medical institutions
D、clinics should ensure stroke patients have appropriate company
答案
D
解析
事实细节题。定位句指出,伊孚格恩医生建议急诊室为单独就诊的病人在其诊断和治疗期间提供一名友好的“中风联系人”,再结合前文他对中风病人陪同人员重要性的强调可知,他建议一定要确保中风病人得到适当的陪同,故答案为D)。A)“医务人员应该记录陪同人员的身份”,第五段第一句提到伊孚格恩医生的研究没有记录陪同人员的身份,也没有提到他建议记录其身份,故可排除;B)“应该鼓励陪同人员提供基本的护理”,文章虽提到陪同人员参与了一些基本的护理工作,但并没有说伊孚格恩医生建议这样做,故排除;C)“应该改变医疗机构的运作模式”,第六段提到伊孚格恩医生改变自己所在医院的部分运作方式,但由于他承认自己的研究可能存在地域局限性,故并未建议所有医疗机构都这搓微,故可排除。
转载请注明原文地址:https://kaotiyun.com/show/asL7777K
0
大学英语六级
相关试题推荐
A、Lyinginhisbed.B、Seeingthedoctor.C、Visitinghisparents.D、Deliveringalecture.D推断题。根据题干中的thedayaftertomorrow可知对话中提
Children’sideasabouttherainforestsandtheimplicationforcoursedesignA)Adultsandchildrenarefrequentlyconfrontedwi
Homeschoolingisajointeffort.Eventheworkingfatherneedstobe【C1】______withtheteachingofchildren.I’vediscoveredo
Coupledwiththegrowingquantityofinformationisthedevelopmentoftechnologieswhichenablethestorageand【C1】______ofmor
A、Expandingitsimport.B、Expandingitsexport.C、Boostingdomesticconsumption.D、Reducingtaxesonindustry.C细节题。根据短文中Inana
Iaskedsuccessfulpeoplewhatthesecretoftheirsuccesswas.I【B1】______anearlydiscussionwithavicepresidentofalarge
It’swidelyagreedthatgirlsgenerallystarttalkingearlierthanboys,andusemorecomplexvocabulary.Whenthey【C1】______sc
Thepooroldconsumer!We’dhavetopayagreatdealmoreifadvertisingdidn’tcreatemassmarketsforproducts.Itisprecisel
AVerySpecialDogA)Itis8:15a.m.AflightlandsatMelbourne’sTullamarineInternationalAirport.Severalhundredpiecesof
A、Helpherpreparethepresentation.B、Giveherextratimetofinishthereport.C、Givehersomeadviceondoingthereport.D、H
随机试题
春秋早期,郑国首先进行争霸战争,运用迂回、伏击、“鱼丽之阵”、两翼攻击等战术,去得重要战果。其中“鱼丽之阵”最突出的特点是在车战中尽量发挥______的作用。()
平键联接中,键的底面要与槽底面接触,长度与轴槽两端接触,顶面与轴上配件留有一定的间隙。()
渡白沟①
由桑白皮、麻黄、白果、苏子、甘草、款冬花、杏仁、黄芩、半夏组成的方剂是
患者,男,48岁,患支气管肺癌。病理组织报告为“鳞状细胞癌”。按解剖学部位分类则该肺癌类型为
(2005年)某企业预计明年销售收入将达到6000万元,总成本费用将为5600万元,该企业明年应缴纳()。
某人拟在五年后获得本利和10000元,假设年投资报酬率为10%,他现在应投入( )元。
不符合房地产管理法含义的是( )。
《珍惜学习机会》是人教版《思想品德》八年级下册第三单元我们的《文化、经济权利》第六课《终身受益的权利》的第二目。内容如下:(1)维护受教育权利受教育是法律赋予我们的基本权利,是我们成长和发展的基础。但是,在现实生活中,由于各种原因,侵犯
有人指出:没有产品的广告,又怎么能知道好的产品?一些好的文章性的广告,让消费者了解新的产品,从而增加选择的空间,何乐而不为呢?有些人却认为:广告多了令人心烦。另外一些人则提出如果没有广告又觉得空空的,可选择的余地太小,总之,众说纷纭。这说明意识的不同主体之
最新回复
(
0
)