ABSTRACT
The in-hospital triage is the first step to every emergency department visit, and it is considered the main tool for matching medical and nursing resources to an exploding demand for care. In the current organization of care, triage is done by a triage nurse who can in certain situations request medical advice. However, given the increase in the number of visits to the emergency room, the heterogeneity of the demand of care and the perception of patients as to their needs, the role of a medical-nursing tandem is taking shape.
Le triage, première étape de la consultation d'un patient aux urgences, est devenu depuis plusieurs années l'outil principal de mise en adéquation des ressources médicosoignantes à une demande en soins qui explose. Dans son organisation actuelle, ce tri est effectué par une infirmière d'accueil et d'orientation qui, dans certaines situations, sollicite un avis médical. Cependant, devant l'augmentation du nombre de consultations aux urgences, l'hétérogénéité des motifs de recours aux urgences et la perception des patients quant à leurs besoins, le rôle de plus en plus important d'un tandem médico-infirmier se dessine.
Subject(s)
Emergency Service, Hospital , Triage , Hospitals , HumansABSTRACT
The anaphylactic shock is an acute, multisystemic and potentially fatal circulatory insufficiency, secondary to an allergic reaction. The prevalence of anaphylaxis is underestimated in the general population. Many studies have reported a prevalence of 0.05-2%. Multiple etiologies are incriminated in the pathogenesis of anaphylaxis, and these etiologies vary depending on age and geographic zones. The clinical manifestations of anaphylaxis are multiple, owing to the multisystemic character of this pathology. The gold standard in management of anaphylaxis is thought to be the rapid and early administration of epinephrine by intra-muscular route. The prevention of anaphylaxis remains the treatment of choice. Educating the patient is an important aspect of anaphylaxis follow-up along with the prescription of epinephrine autoinjectors.
