關於URGENTCARE的功能。
現在很多地方都在商業區附近交通方便的地方搞了URGENTCARE。
URGENTCARE的好處是隨時可以去見得到醫生(或者護士)不需要預約。但是能力有限。
我們這些學中文起家的容易對URGENT這個名目誤解。URGENT CARE 和 EMERGENT CARE 是兩回事。
EMERGENT CARE:
Pregnancy-related issues such as vaginal bleeding
Moderate to severe burns
Severe abdominal pain
Compound fractures, where bones penetrate the skin and dislocated joints
Poisoning
Homicidal or suicidal feelings
Heavy and uncontrollable bleeding
Gunshot wounds or deep knife wounds
Stroke symptoms, like confusion, weakness, slurred speech, sudden numbness on one side, or vision loss
Loss of consciousness, seizures, and convulsions
Fever in a child younger than three months
Heart attack symptoms, like pro-longed chest pain that exceeds two minutes
Difficulty breathing or severe chest pain
Serious back, neck, and head injury
Eye injury
Fever accompanied by a rash
URGENT CARE:
Flu or fever
Dehydration, diarrhea, or vomiting
Eye redness and irritation
Strains and sprains
Urinary tract infections
Falls and accidents
Moderate back issues
Breathing difficulties, like mild or moderate asthma
Severe cough or sore throat
Minor fractures and broken bones in the toes and fingers
Skin infections and rashes
Cuts with minimal bleeding that don’t require stitches
URGENT CARE 有打點滴的條件。比如糖尿病人突發血糖低可以迅速緩解。同樣的,高血糖的也可以在那裏打胰島素緩解。
去URGENT CARE初步診治以後,可能還是要去ER(無論是自行去還是叫急救車)。
遇到過不少情況,被叫到URGENTCARE去處理。其實病人應該直接去ER。
一個是在院子裏幹活被馬蜂蜇了手指腫脹,戒指卡死了,救護車上有剪戒指的專用工具(我不清楚為什麽這家URGENT CARE沒有)。
還有是病人頭暈去看UR,量量血壓低,說著說著暈倒了。趕快叫了救護,在車裏打了點滴血壓上去了,到ER的時候已經清醒了,不耐煩等自己走了。
這兩個情況,UR應該是可以處置的,但是要麽是人員缺乏資質,要麽是不想承擔責任。往上一級醫療送肯定是沒責任的。
所以,對UR別指望太多,我認為主要是小孩生了病不放心,去看一看有個意見。成年人最好對自己的身體狀況有所了解。