把握今天

第1部分of this blog I shared some personal reflections on how to acknowledge and control our fears in order to move ourselves to constructive action in the time of a pandemic. I suggested a two-pronged approach: Seek out the best evidence to inform a rational assessment of risk and embrace your role—your mission—in this fight.

在第二部分Bjug Borgundvaag博士,我的好朋友和同事在西奈山医院在多伦多,加拿大将扩大对流感大流行的任务方面,并解释为什么这可能就是最好的时刻永远是一个急救医生。

-Dr。霍华德·奥维ns, April 2020


Amid the darkness of a pandemic, COVID-19 shines a light on everyday heroism

“Courage is not the absence of fear, but rather the assessment that something else is more important than fear.”
富兰克林·罗斯福

该COVID-19大流行造成的恐惧感和焦虑遍布全球。这是怪异让人联想起2003年的SARS疫情,其中烘炉博士在这个博客的第1部分中描述的。现在,正如当时,紧急商都对医疗保健服务的最前线,并受到最大风险敞口和风险。

然而,尽管危困,我对流行的看法已经改变随着形势的演变。没有人愿意为这样的悲剧,但因为它是我们的工作来管理它,我来看看COVID-19作为急诊医学学科一个前所未有的机会。

像世界战争和自然灾害,流行性疾病是历史时刻,我们改变。它们催化的方式我们工作和生活的变化,我们的政府和社会的运作方式,而且,在这种情况下,这样的保健交付。面对这一切混乱,我们比较年轻的专业的个人资料正在以可能塑造未来,并将为保健提供者和患者带来长期的利益的新途径提高。

前所未有的善意

Stanford social psychologist Philip Zimbardo defines heroism as “concern for other people in need—a concern to defend a moral cause, knowing there is a personal risk, done without expectation of reward.”[1] Is it fair to call emergency care providers heroes? I think so. In our department, people continue to come to work, they contribute to figuring out how to care for our patients without endangering themselves, they remain positive, and they are not only willing but eager to use their special skills to provide care for our patients under extreme circumstances. Yesterday I saw a familiar pair of eyes above a face mask, and I realized it was one of our nursing staff who has been going to school in Germany for the past four years. Knowing what her friends and colleagues back home were going through, she returned to Canada to work in the ED with us. That sounds like a hero to me by any definition.

与此同时,急诊医学是一门年轻的学科。公司自成立以来,我们一直在努力赢得尊重我们的同事和决策者。我们一直在努力获得公平的薪酬,并在餐桌上有座位时的重要决定有关的医疗保健美元和科研经费的分配作出。虽然我们正在做的事情,我们一直这样做,我认为我们应该利用这个新的“英雄般的地位”提请注意我们做了令人难以置信的工作,并利用它来推进我们的事业。

COVID-19却在不经意间交给了我们在某一时刻,我们有大众,我们的同事,我们的联邦政府和省政府的前所未有的好感和重视。民国26年实践跨越SARS,埃博拉病毒,H1N1,和其他许多其他事件,我从来没有见过的,每天晚上特色作为国家新闻请专家广播急救医生。我从未有过许多不请自来的电子邮件,短信,和朋友,家人社交媒体帖子,和病人,因为我最近,甚至完全陌生的人,感谢我,我们所有人,对我们做什么。每天晚上7:30 P.M.,际上我的街道锅碗瓢盆已经成为日常行礼医护人员的叮当声,我所有的邻居加入,并挥手向我和我的女儿,因为我们参加这次致敬。它几乎使我眼含泪水,每一次。

Leadership opportunities

So, after all the thank-yous, what can we as emergency physicians do to have a positive impact on this situation? For starters, we should continue to show up for work with a positive attitude, ready to contribute to the care of our patients. We should view ourselves as the leaders we are and conduct ourselves accordingly.

While discussing this essay with a colleague on duty in the ED, they were taken aback by my optimistic message and outlook. They said it was the first time anyone had expressed any positive thoughts about what we are going through, and they found it uplifting. COVID-19 is going to be with us for a long time. It is not clear what the “new normal” will be, but the risk of acquiring COVID-19 at work is a fear that will need ongoing management at least until a vaccine becomes available. We cannot allow ourselves to feel defeated or overwhelmed. We need to take care of one another. Check in with your colleagues, and when you have time to listen ask them how they are feeling. No one has all the answers to what is going on, but the simple act of sharing worries and fears can have a powerful impact on mood and anxiety.

在行政和学术,我们应该采取的COVID-19提供了每一个领导机会。您的医院管理者和许多其他与决策能力需要你的帮助来了解ED护理如何传递以及如何加以改进。对于那些有学术的角色,有许多补助通话等机会发起或推动的新知识的产生来管理应急服务,并在大流行提供护理的最佳途径。现在,您的贡献将在未来对我们的学科产生巨大的影响。

这是我们的时代

COVID-19是每个人的挑战和困难的时候,跟我们无法控制的东西。但是,我们可以选择我们如何应对这一挑战。当我写这篇文章,对内容的表内科医学年鉴landed in my inbox. The title of this issue’s “On Being A Doctor” article was “COVID-19: The Worst Days of Our Careers.”[2] I see things differently.

对于急诊医师,我真诚地相信,这是我们的时间。我们在做什么,我们一直在训练做,和我们每天大部分在做什么工作。在我们过去的许多人在类似的条件下工作与其他组织,如医学无国界。现在,它是我们的病人在家里谁需要我们的智慧和能力比以188bet安卓app往任何时候。我们有聚光灯。我们的邻居都在欢呼我们。我们的政府正在寻求我们的帮助。我相信,我们将一起迎接挑战。

-Dr。Bjug Borgundvaag是施瓦茨/赖斯曼急救医学研究所在西奈卫生系统的主任,在多伦多大学的家庭和社区医学系临床医生科学家。

Dr. Borgundvaag和烘炉博士没有利益申报冲突。

参考

  1. 津巴多P.是什么让一个英雄?在更大的利益科学中心,2011年1月12日提交;伯克利,CA.facinghistory.org/rescuers/philip-zimbardo-what-makes-hero。进入2020年4月13日。
  2. Cunningham CO, Diaz C, Slawek DE. COVID-19 The worst days of our careers.Ann Int Med。April 13, 2020. Available from:组织/瞄准/ fullarticle / 2764738 / covid-19-最坏的日子,我们-事业。进入2020年4月13日。