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National preparedness survey of pediatric intensive care units with simulation centers during the coronavirus pandemic

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World Journal of Critical Care Medicine 2020年第5期9卷 74-87页

作者： Kamal Abulebda Rami A Ahmed Marc A Auerbach Anna M bona Lauren E Falvo Patrick G Hughes Isabel T Gross Elisa J Sarmiento paul.R Barach Department of Pediatrics Division of Critical CareIndiana University School of MedicineRiley Hospital for Children at Indiana University HealthIndianapolisIN 46202United States Department of Emergency Medicine School of MedicineIndiana UniversityIndianapolisIN 46202United States Department of Pediatrics Division of Pediatrics Emergency MedicineYale University School of MedicineNew HavenCT 06504United States Department of Integrated Medical Science Florida Atlantic UniversityBoca RatonFL 33431United States Department of Emergency Medicine Yale University School of MedicineNew HavenCT 06504United States Department of Pediatrics Wayne State University School of MedicineDetroitMI 48202Jefferson College of Population HealthPhiladelphiaPA19107United States

The coronavirus disease pandemic caught many pediatric hospitals unpreparedand has forced pediatric healthcare systems to scramble as they examine and planfor the optimal allocation of medical resources for the highest priority *** is limited data describing pediatric intensive care unit (PICU) preparednessand their health worker *** describe the current coronavirus disease 2019 (COVID-19) preparedness effortsamong a set of PICUs within a simulation-based network *** A cross-sectional multi-center national survey of PICU medical director(s) fromchildren’s hospitals across the United States. The questionnaire was developedand reviewed by physicians with expertise in pediatric critical care, disasterreadiness, human factors, and survey development. Thirty-five children’shospitals were identified for recruitment through a long-established nationalresearch network. The questions focused on six themes: (1) PICU and medicaldirector demographics;(2) Pediatric patient flow during the pandemic;(3)Changes to the staffing models related to the pandemic;(4) Use of personalprotective equipment (PPE);(5) Changes in clinical practice and innovations;and(6) Current modalities of training including *** report on survey responses from 22 of 35 PICUs (63%). The majority of PICUswere located within children’s hospitals (87%). All PICUs cared for pediatricpatients with COVID-19 at the time of the survey. The majority of PICUs (83.4%)witnessed decreases in non-COVID-19 patients, 43% had COVID-19 dedicatedunits, and 74.6% pivoted to accept adult COVID-19 patients. All PICUsimplemented changes to their staffing models with the most common changesbeing changes in COVID-19 patient room assignment in 50% of surveyed PICUsand introducing remote patient monitoring in 36% of the PICU units. Ninety-fivepercent of PICUs conducted training for donning and doffing of enhanced *** 6 months into the pandemic, one-third of PICUs across the U

关键词： COVID-19 Pediatric intensive care unit Simulation Practice innovations Training Preparedness

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细腻宽松提升巨大bona Classic系列RCA讯号线和音箱线

引用

视听前线 2014年第10期 58-60页

作者： paul.小路

当我收到评测线材的任务时，霎时间感到挑战，因为对线材作出精准判断是一件颇为艰难的事情，原因莫过于搭配。不同器材有不同风格，线材不在贵也不在好，在于合适而已，假如器材声音华丽光亮，即使这时候用上银彩双皇冠也只能是反作用... 详细信息

当我收到评测线材的任务时，霎时间感到挑战，因为对线材作出精准判断是一件颇为艰难的事情，原因莫过于搭配。不同器材有不同风格，线材不在贵也不在好，在于合适而已，假如器材声音华丽光亮，即使这时候用上银彩双皇冠也只能是反作用，很有可能一条数百元的倍耐力便击倒之。因此我希望做的，是将线材的特性告诉各位，究竟适合与否，就留各位看宫根据自己系统的需求判断了。

关键词： RCA 音箱线材时间感反作用器材

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