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618617 Comments
CharlesDap
Для жителей Ростова-на-Дону и агломерации выстроены два параллельных «тихих» маршрута: выездная бригада без маркировки и амбулаторный вход с отдельной дверью и согласованными временными слотами. На первичном звонке диспетчер уточняет только факторы безопасности: эпизоды рвоты, частоту мочеиспусканий, выраженность тремора, показатели ЧСС/АД, наличие ночных панических эпизодов, текущие препараты и аллергии. На месте врач фиксирует базовую линию (уровень сознания, дыхание, сатурация, температура), использует шкалы симптомов 0–10 и определяет минимальный стартовый модуль. По результатам «окон оценки» (40–90 минут для питья и тошноты; 60–120 минут для ЧСС/АД; первая ночь для сна) мы либо выключаем модуль, либо адресно меняем одну переменную — так сохраняется причинно-следственная связь и исключается «инерция лечения».
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