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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Interfacing the ICU with the general practitioner. | Girbes and Beishuizen Critical Care 2010 14 172 http ccforum.eom content 14 3 172 CRITICAL CARE COMMENTARY L__ Interfacing the ICU with the general practitioner Armand RJ Girbes and Albertus Beishuizen See related research by Etesse etal. http ccforum.eom content 14 3 R112 Abstract For many reasons it is crucial that treating intensivists have regular contact with general practitioners GPs . Information about the premorbid condition of the patient their will and wishes is of importance to be able to set appropriate treatment goals. The GP is the doctor who is responsible for the patient once discharged from the hospital. Additionally the GP can play an important early role in the support of relatives provided the GP is timely informed. This kind of communication should be organized in a structured way within the intensive care unit department. Admission to the intensive care unit ICU is only part of the course that a patient makes during their illness. Intensive care is not a gatekeeper speciality and patients therefore generally have their first contact in a hospital with emergency physicians surgeons internists cardiologists and so forth. After discharge from the ICU most patients will return to the gatekeeper speciality - surgery internal medicine or the like. Following discharge from the hospital patients will return to their homes and therefore the contact with their lifetime physician from their home situation the general practitioner GP is of utmost importance. This is even more relevant when coordination of care from different specialists is required. The GP is also expected to have longstanding knowledge of the home situation of the patient. Whenever decisions in terms of end-of-life decisions have to be taken during ICU admission the intensivist should be well informed. Not only is medical professional judgement important but also the will and wishes of the patient. To gather all this information the intensivist should contact doctors who have .
