{"id":7092,"date":"2025-06-15T09:00:52","date_gmt":"2025-06-15T00:00:52","guid":{"rendered":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/06\/15\/7092\/"},"modified":"2025-06-15T09:00:52","modified_gmt":"2025-06-15T00:00:52","slug":"%ec%84%b1%ec%9d%b8%ea%b0%84%ed%98%b8%ed%95%99-er-%ec%8b%ac%ea%b7%bc%ea%b2%bd%ec%83%89-case-study%ea%b0%84%ed%98%b8%ec%a7%84%eb%8b%a8-2%ea%b0%9c","status":"publish","type":"post","link":"https:\/\/blog.agentsoft.co.kr\/index.php\/2025\/06\/15\/7092\/","title":{"rendered":"\uc131\uc778\uac04\ud638\ud559 ER \uc2ec\uadfc\uacbd\uc0c9 case study(\uac04\ud638\uc9c4\ub2e8 2\uac1c)"},"content":{"rendered":"

<\/p>\n

\ubaa9\ucc28<\/strong><\/p>\n

1. \uc751\uae09 \uc758\ubb34 \uae30\ub85d\uc9c0
\n2. \uc77c\ubc18\uc801 \uc815\ubcf4
\n3. \uc9c8\ubcd1\uc5d0 \ub300\ud55c \uc815\ubcf4
\n4. \uc0ac\uc815\ub0b4\uc6a9
\n5. \uac04\ud638\uacfc\uc815<\/p>\n

\ubcf8\ubb38\ub0b4\uc6a9<\/strong><\/p>\n

\ubcd1\uc6d0 \ub0b4\uc6d0 \ub3d9\uae30 (\uc0ac\uace0\uc6d0\uc778, \uacbd\uc704)
\n23.3.14 chest pain, acute MI\ub85c \ubcf8\uc6d0\uc5d0\uc11c PCI \uc2dc\uc220 \ud6c4 \ud1f4\uc6d0\ud55c \ud658\uc790\uac00 \uae08\uc77c 15\uc2dc 45\ubd84\uacbd \uac11\uc791\uc2a4\ub7fd\uac8c \ubc1c\uc0dd\ud55c \ud749\ud1b5\uacfc \uc228\ucc38\uc744 \ud638\uc18c\ud558\uc5ec 119 \ud1b5\ud574 \ub0b4\uc6d0\ud568<\/p>\n

\uc9c8\ubcd1\uc774\ub098 \uc0c1\ud669 \ubc1c\uc0dd \uc2dc\uac04: 15\uc2dc 45\ubd84<\/p>\n

\uc0ac\uace0 \ubc0f \ubc1c\ubcd1 \ub2f9\uc2dc \ucc98\uce58
\n\uc751\uae09\uc2e4 \ub3c4\ucc29 \uc2dc\uac04 : 23.4.3 16\uc2dc 03\ubd84
\nM\/S : Alert
\n\ub0b4\uc6d0 \ub2f9\uc2dc V\/S : BP 70\/40 P 106\ud68c\/\ubd84 R 30\ud68c\/\ubd84 BT 36.4\u2103 SPO2 92%
\n\ud1b5\uc99d\ubd80\uc704\/NRS \uc810\uc218 : chest\/9\uc810
\nAED & all monitoring apply\ud568
\n\uc8fc\ud638\uc18c \ubc0f \ud604\ubcd1\ub825 : \uac00\uc2b4\uc774 \ub2f5\ub2f5\ud558\uace0 \uc544\ud504\ub2e4\uace0 \ud1b5\uc99d\uc744 \ud638\uc18c(NRS 9\uc810)\ud558\uc600\uc73c\uba70, \ub9e4\uc6b0 \uc544\ud504\ub098 \ucc38\uace0 \uc788\ub2e4\uace0 \ud558\uc600\uc74c. \ubcf4\ud638\uc790\uc778 \uce5c\ub204\ub098\uc640 \ud568\uaed8 119 \uad6c\uae09\ucc28\ub97c \ud1b5\ud574 \ub0b4\uc6d0\ud558\uc600\uc73c\uba70 \uc758\uc2dd \uc0c1\ud0dc\ub294 Alert \ud558\uc600\uc74c.<\/p>\n

\uc751\uae09\uc2e4 \ub0b4 \uc8fc\uc694 \ucc98\uce58 (\uc2dc\uac04\uc758 \ud750\ub984\uc5d0 \ub530\ub978 \uc0ac\uc815 \ubc0f \uac80\uc0ac, \uce58\ub8cc \ub4f1 \uac04\ub7b5\ud788 \uc791\uc131
\n\u25cf 16\uc2dc 07\ubd84
\n\uce58\ub8cc plan \uc124\uba85<\/p>\n

\u25cf 16\uc2dc 08\ubd84
\nEKG check<\/p>\n

\u25cf 16\uc2dc 09\ubd84
\n\ud0a4\/\ubab8\ubb34\uac8c : 170cm\/73kg
\nNPO Time : 4\/3 15:00 ~<\/p>\n

\u25cf 16\uc2dc 10\ubd84
\nfoley cath(18Fr) insert
\nU\/A check
\n\uc18c\ubcc0\uc8fc\uba38\ub2c8 \ud56d\uc0c1 \uc544\ub798\uc5d0 \uc720\uc9c0\ud558\ub3c4\ub85d \uad50\uc721<\/p>\n

\u25cf 16\uc2dc 10\ubd84
\nfluid IV stated done
\nIN site \uc0c1\ud0dc redness, swelling \uc591\uc0c1 \uad00\ucc30\ub418\uc9c0 \uc54a\uc74c
\n\ud658\uc790 IV site \ubd88\ud3b8\uac10 \ud638\uc18c \uc5c6\uc74c
\nO2 2L inhalation<\/p>\n

\u25cf 16\uc2dc 28\ubdf4
\n\uc2dc\uc220 \ud544\uc694\uc131 \uc124\uba85\ud558\uc5ec \ub3d9\uc758\uc11c & \uc911\ud658\uc790\uc2e4 \uc785\uc2e4 \ub3d9\uc758\uc11c \ubcf8\uc778\uc774 \uc791\uc131\ud568<\/p>\n

\u25cf 16\uc2dc 37\ubd84
\nS-car\ub85c \uc601\uc0c1\uc758\ud559\uacfc \uc548\ub0b4(chest AP)
\n\uc2ec\ucd08\uc74c\ud30c \uc548\ub0b4<\/p>\n

\u25cf 16\uc2dc 45\ubd84
\nreturn to ER
\n\ub099\uc0c1\ubc29\uc9c0 \uc704\ud574 both side rail \uc62c\ub9bc, \uce68\ub300 \ubc14\ud034 \uace0\uc815\ud568
\nclose observation\uc911\uc784<\/p>\n

\ucd9c\ucc98 : \ud574\ud53c\ucea0\ud37c\uc2a4<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

\ubaa9\ucc28 1. \uc751\uae09 \uc758\ubb34 \uae30\ub85d\uc9c0 2. \uc77c\ubc18\uc801 \uc815\ubcf4 3. \uc9c8\ubcd1\uc5d0 \ub300\ud55c \uc815\ubcf4 4. \uc0ac\uc815\ub0b4\uc6a9 5. \uac04\ud638\uacfc\uc815 \ubcf8\ubb38\ub0b4\uc6a9 \ubcd1\uc6d0 \ub0b4\uc6d0 \ub3d9\uae30 (\uc0ac\uace0\uc6d0\uc778, \uacbd\uc704) 23.3.14 chest pain, acute MI\ub85c \ubcf8\uc6d0\uc5d0\uc11c PCI \uc2dc\uc220 \ud6c4 \ud1f4\uc6d0\ud55c \ud658\uc790\uac00 \uae08\uc77c 15\uc2dc 45\ubd84\uacbd \uac11\uc791\uc2a4\ub7fd\uac8c \ubc1c\uc0dd\ud55c \ud749\ud1b5\uacfc \uc228\ucc38\uc744 \ud638\uc18c\ud558\uc5ec 119 \ud1b5\ud574 \ub0b4\uc6d0\ud568 \uc9c8\ubcd1\uc774\ub098 \uc0c1\ud669 \ubc1c\uc0dd \uc2dc\uac04: 15\uc2dc 45\ubd84 \uc0ac\uace0 \ubc0f \ubc1c\ubcd1 \ub2f9\uc2dc \ucc98\uce58 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[11029,3595,1480,3334],"class_list":["post-7092","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-acute-peritonitis","tag-3595","tag-1480","tag-3334"],"_links":{"self":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/7092","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/comments?post=7092"}],"version-history":[{"count":0,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/posts\/7092\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/media?parent=7092"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/categories?post=7092"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.agentsoft.co.kr\/index.php\/wp-json\/wp\/v2\/tags?post=7092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}