It is easy to lose both money and money when entering the ICU, which patients really do not need to

Many people have rumors that fewer patients die when they enter the ICU, that is, the lamb that is slaughtered for people spends money like running water, and in the end the person and money are gone. If that's the case, I don't think any patient or their family has chosen to go into the ICU. As key doctors working in the ICU, most patients can get better and move to the ward, and what is their ability to improve is counted in the ICU every year.

The number of patients who are hospitalized and ** is about 5,000 per year, the number of patients who are successfully transferred back to the ward is more than 80, the number of patients who die is about 7, and about 10 patients who give up going home, however, some patients who give up can't**, and there are many things that can be greatly improved because they don't have the money. Whether a patient can accept** and be transferred out of the ICU is related to a variety of factors, such as the type of primary disease, the severity of the primary disease, ICU management, the technical level of ICU medical care, the level of ICU care, etc.

However, the mortality rate in ICUs at home and abroad.

Most of them are between 10 and 20, because the critically ill patients in a hospital are in the ICU, its mortality rate is higher than that of other departments, but the mortality rate of the whole hospital is lower than before the ICU, in fact, the number of this mortality rate and abandonment is also what our doctors do not want to see, many people may say that doctors do not want patients to die or give up for money, not all patients can be admitted to the ICU, the ICU is strictly controlled and corrected.

If it is not very urgent to save the patient, we must first consult clearly, ask about the patient's condition, those who do not meet the criteria will never be accepted, the ICU resources of the hospital are limited, if it is occupied by mild patients, serious patients may be in danger if they cannot be transferred, we must know that the doctor is helping us, the doctor is not a god, there is no 100% thing in this world.

As for the question of which patients who are not really necessary to enter the ICU because it is easy to enter the ICU, the analysis ends here.

First of all, if the seriously ill patients admitted by general hospitals are admitted to the ICU, they generally have rescue value, that is to say, if they go in for rescue, they can be out of danger and can be transferred out after getting better; The hospital does not recommend patients to enter the ICU, generally for patients who are already at the end of their lives, with humanistic care to alleviate the pain, there is no rescue value and no reversibility, these patients are not necessary to enter the ICU, it is easy to lose both people and money.

The Dying. For example, after a person suffers a serious injury or illness, it is very painful, and there is no need to go to the ICU out of humanitarianism.

In addition, people who do not have the value of treatment do not need to be admitted to the ICU.

Even if you save it, you won't live long, and you have to continue chemotherapy, take medicine, etc., you don't have to enter the ICU, you are suffering from illness every day, it's better to play well, do what you want to do quickly, otherwise it's really too late.

It is easy to lose both people and money when entering the ICU, which is a rumor.

In China, about 5,000 patients enter the ICU every year, about 80% of them return to the ward when their condition improves, about 7% of the patients who die, about 10% who give up and go home, and a large part of the patients who give up are unable or have no money.

Because ICU resources are limited, only acute or life-threatening, high-risk patients can enter the ICU, and mild patients cannot enter.

It depends.

For example, a person with severe burns, although he is conscious, still needs to be observed in the ICU.

Therefore, you must judge according to the actual situation, you can ask the doctor, and do not make a decision without authorization, hoping that the patient will be able to ** as soon as possible.

Dear, doctors will not deliberately let people live and gather critically ill patients, and give the best protection in terms of manpower, material resources and technology, in order to get good treatment results. The ICU has a central monitoring station that directly observes all monitoring beds. Each bed occupies a wide area, and the beds are separated by glass or curtains.

Yes, nursing, and nursing can all be carried out simultaneously, providing isolation and rapid departure places and equipment for patients with severe illness or coma. Provide the best care, comprehensive**, medical and elderly care integration, early postoperative**, joint care and exercise** and other services. The ICU is equipped with bedside monitors, central monitors, multi-functional ventilators, anesthesia machines, electrocardiogram machines, defibrillators, pacemakers, infusion pumps, microsyringes, endotracheal intubation and tracheostomy first-aid equipment, CPM joint exercise ** nursing devices and other equipment.

Information on severe trauma, after major surgery, and the need for continuous and close monitoring and support of vital indicators; Patients requiring cardiopulmonary resuscitation; Organ (including heart, brain, lung, liver, kidney) failure or multi-organ failure; Severe shock, sepsis and poisoning, physical and chemical factors lead to critical and severe patients; Patients with severe multi-chain injuries and compound injuries. Patients with severe complications of myocardial infarction, severe arrhythmia, acute heart failure, unstable angina, various postoperative severe patients or older patients with critical illness who may have accidents after surgery, patients with severe water, electrolytes, osmotic pressure, acid-base imbalance, severe metabolic disorders, such as thyroid, adrenal gland, pituitary and other endocrine crises.

About 75% of patients can get better or go into remission through ICU treatment, depending on the patient's condition. This number is not determined by a single factor, because most patients admitted to the ICU ward have one or several organs at the same time, or have organ dysfunction, and in such conditions they need a lot of life support and technical assistance**.

This requires ICU doctors to look at the problem systematically and comprehensively, and it also requires various specialists to coordinate together to implement the most effective and orderly treatment for patients, which includes not only clinical doctors, but also dietitians, ** doctors, and clinical pharmacists are gathered together, and the ICU coordinates the entire physician team to work together to treat severe patients.

Strict standards for admitting patients:

In 2009, China issued the Guidelines for the Construction and Management of Intensive Care Medicine, which clearly stipulates the admission standards for patients in the Intensive Care Department

1. Patients with acute, reversible, life-threatening organ or system failure, who may recover in the short term after close monitoring and strengthening.

2. Patients with various high-risk factors, potential life risk, and who may reduce the risk of death after close monitoring and effective **.

3. Patients with acute exacerbation and life-threatening on the basis of chronic organ or system insufficiency, and may return to the original or close to the original state after close monitoring and **.

4. Other patients who are suitable for monitoring and ** in the intensive care department.

It is also clarified that patients with chronic wasting disease and the end-stage state of the tumor, irreversible disease, and patients who do not benefit from enhanced surveillance** are generally not included in the intensive care department. It can be seen that hospitals do not arbitrarily admit patients to the ICU.

In the hospital, you can often meet the family members of these two types of patients, and there is no wrong choice, and it is not right or wrong, it mainly depends on the choice of the family.

Even if it can save a patient's life, it may cost a lot of money (not only money, but also family, interpersonal relationships, etc.), and may have to rely on the machine in the intensive care ward to continue to survive, and this quality of life depends on whether the family can accept it.

In the ICU, I have seen the family members who rushed to save the number of ears with a glimmer of hope, but the effect was very poor and could not save the patient's life, I have seen the family members who were very active in rescuing at the beginning, but later because the effect was not obvious or even the condition worsened, although they could work harder, but finally gave up and the patient died, and I have also seen the family members who had to give up ** at the beginning because of family economic reasons, and I have also seen the family members who have been actively asking for rescue, the patient's life is back but they have to rely on ventilators and other machines to maintain their lives, and they are still willing to feel that it is good to be alive... ...

When I first started working, from the perspective of the quality of life of the patient, I was not very supportive of making every effort to fight a very slim or even more painful behavior.

But after working for a few years, I may have seen it, and I understand more of the family feelings of those who are reluctant to say goodbye to their relatives, and as long as the family is willing and able, I will accompany them to work together.

Treating diseases and saving people is not only to treat the patient's disease and save the patient's life, but also to accompany the family and let the family have the courage and strength to continue walking. The doctor's daily rounds and conversations not only tell everyone how the patient is doing, but also tell the people around the patient that we are working hard together. Regardless of the ultimate wishes of your family, we respect your decision.

It is really respecting your wishes, there is no good or bad, there is no right or wrong, there is no need to worry too much. I sometimes say to my family that you have decided on a path, no matter what the path is, you decided it, and I will respect it, don't look back, don't worry too much about ......

ICU is Intensive in English

The abbreviation of CareUnit, which means Intensive Care Unit, is often referred to as the Intensive Care Unit. The ICU is generally 300,000 level purification, and the indoor dust content is very small, especially suitable for patients who have just undergone surgery and have not yet been out of danger of life. That's all I know.