Critical care medicine is far from the first medical field to come to mind when humanitarian action is mentioned, yet both critical care and humanitarian action share a fundamental purpose to save the lives and ease the suffering of people caught in acute crises. Critically ill children and adults will be present regardless of resource limitations and irrespective of geography, regional or cultural contexts, insecurity, or socioeconomic status, and they may be even more prevalent in a humanitarian crisis. Critical care is not limited to the walls of a hospital, and all hospitals will have critically ill patients regardless of designating a specific ward an ICU. Regular and consistent consideration of critical care principles in humanitarian settings provides crucial guidance to intensivists and nonintensivists alike. A multidisciplinary, systematic approach to patient care that encourages critical thinking, checklists that encourage communication among team members, and context-specific critical care rapid response teams are examples of critical care constructs that can provide high-quality critical care in all environments. Promoting critical care principles conveys the message that critical care is an integral part of health care and should be accessible to all, no matter the setting. These principles can be effectively adopted in humanitarian settings by normalizing them to everyday clinical practice. Equally, core humanitarian principles-dignity, accountability, impartiality, neutrality-can be applied to critical care. Applying principles of critical care in a context-specific manner and applying humanitarian principles to critical care can improve the quality of patient care and transcend barriers to resource limitations.

中文翻译：

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在人道主义环境中照顾重病患者。

当提到人道主义行动时，重症监护药物远非第一个出现的医学领域，但是重症监护和人道主义行动都具有挽救生命和减轻遭受严重危机之苦的人的根本目的。无论资源有何限制，无论地理，区域或文化背景，不安全状况或社会经济状况如何，都将有重症儿童和成人在场，他们在人道主义危机中可能更为普遍。重症监护不仅限于医院的墙壁，而且所有医院都将有重症患者，而无需为ICU指定特定病房。对人道主义环境中的重症监护原则进行定期，持续的考虑，可以为强化医生和非强化医生提供关键指导。多学科的 鼓励批判性思维的系统性患者护理方法，鼓励团队成员之间进行交流的清单以及针对特定情境的关键护理快速反应团队都是可以在所有环境中提供高质量关键性护理的关键性护理架构的示例。提倡重症监护原则传达了这样的信息，即重症监护是医疗保健不可或缺的一部分，无论环境如何，所有人都应该可以得到。通过将这些原则标准化为日常临床实践，可以在人道主义环境中有效地采用这些原则。同样，核心人道主义原则-尊严，问责，公正，中立-可以应用于重症监护。