Summary
The concept of the golden hour is simple: the sooner the patient receives therapy, the better the prognosis. This article discusses the origin of the golden hour and the importance of timely intervention in critically ill and severely injured children. What the paediatrician needs to do during the initial management of such children is briefly described during which the importance of the structured pathophysiological approach is emphasized.
Samenvatting
Het begrip ‘gouden uur’ is een nuttig concept bij het opvangen van zowel ernstig zieke als zwaargewonde kinderen, waarbij de precieze tijdsduur van een uur niet heilig is. Bij de beoordeling en initiële behandeling van zulke kinderen is het voor de kinderarts nuttig om eerst te denken in basale pathofysiologische termen, en daarna aan de exacte (differentiaal)diagnose.
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Nigel Turner, kinderanesthesioloog, afdeling Intensive Care Kinderen, Wilhelmina Kinderziekenhuis, UMCU, Utrecht. Dr. Matthijs de Hoog, kinderarts-intensivist, afdeling Pediatrische Intensive Care, Erasmus MC-Sophia, Rotterdam. Seine Ekkelkamp, kinderchirurg, afdeling Kinderchirurgie, VUmc, Amsterdam.
Correspondentieadres: Nigel Turner, kinderanesthesioloog, afdeling Intensive Care Kinderen, Wilhelmina Kinderziekenhuis, UMCU, Postbus 85090, 3508 AB Utrecht, tel: 030-25040000,
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Turner, N.M., de Hoog, M. & Ekkelkamp, S. Het ‘gouden uur’ in de kindergeneeskunde: de kunst van het pathofysiologische alfabet. KIND 72, 149–152 (2004). https://doi.org/10.1007/BF03061505
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DOI: https://doi.org/10.1007/BF03061505