Báo cáo khoa học: "Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation" pptx

... just before arrival of the rescuers with a defibril-lator. Therefore, having the technology or ability to predict the level of ischemia in the heart would be more useful than astopwatch.Fortunately, ... amount of time before EMS is called after the collapse, and that there is another minute or two requiredto reach the patient’s side and deliver the shock after on-scene arrival of EMS. Therefore, ... 2Comparison of out -of- hospital ventricular fibrillation survival rates(successful hospital discharge) with defibrillation attempts providedfirst versus cases for which there was provision of 3 min of...

Báo cáo khoa học: "Clinical review: Prevention and therapy of vasospasm in subarachnoid hemorrhage" pptx

... treatments areneeded. The ongoing elucidation of the pathophysiology of vasospasm is crucial, as it offers targets for novel therapeuticmodalities.Pathophysiology The pathophysiology of vasospasm is ... drainage of CSF and intracisternal thrombolysis The amount of blood in the subarachnoid space is a strongpredictor for the development of vasospasm. Several inter-ventions to facilitate the clearance ... NeurosurgAnesthesiol 2006, 18:142-148.130. Saver JL, Kidwell C, Eckstein M, Starkman S: Prehospital neuro-protective therapy for acute stroke: results of the FieldAdministration of Stroke Therapy-Magnesium...

Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx

... mechanisms of injury in healthy parts of the lung is unknown.In the present review of the literature we describe the intrinsicmechanisms that explain how MV inflicts alveolar damage and the controversy ... 30 cmH2O boosted the ventilatory cycle onto the deflation limb of the pressure–volume curve (Fig. 1). In other words, a RM appliedin a recruitable lung increases the amount of recruited tissueat ... human ARDS or the degree of reproducibility of short-term experimental studies in patientsreceiving MV for days or weeks [55].ConclusionOn the basis of our review of the literature on experimentaland...

Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient" pps

... which share the common aim of improving the safe care of acutely ill patients as they travel through the health care system. We will review the background, methods,roles and benefits of these various ... postoperative care [51,52] has been extended to othergroups of patients in the form of specific groups or teams of clinicians, usually centred on the ICU. Examples of this evolu-tion include postoperative ... and the skills and abilities of the ward staff.Both the Audit Commission [57] and the Department of Health working party report ‘Comprehensive Critical Care’[55] supported the development of...

Báo cáo khoa học: "Clinical review: Moral assumptions and the process of organ donation in the intensive care unit" pptx

... legitimacy of the familydecision. The discussion might therefore begin (after evidentunderstanding of the fact and meaning of brain death from the family) with a statement such as “There is one othermatter ... accord with the beliefs of the majority of transplant professionals, who favour the wishes of the individual over the family in determining donor status”[15], and with the lamentations of a recent ... fragmentation of the body and the role of the medical profession. Surveyresponses are context dependent, and support of organdonation becomes less as the context comes closer to the reality of the organ...

Báo cáo khoa học: "Clinical review: Tokyo – protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance" ppt

... at the ambulance entrance wereoften open because of the continuous arrival of victims.Conversely, the high incidence of secondary exposure in the chapel was attributed to the fact that the ... prerequisite for protecting medical facilities fromcontamination. Irrespective of the skill of the emergencyservices or the spatial extent of the emergency itself,cordoning off the area and ... the groupresponsible for the attack – the Aum Shinrikyo cult – receivedinformation on a police investigation into their activities, whichthey intended to disrupt by launching the attack. The...

Báo cáo khoa học: "Clinical review: Communication and logistics in the response to the 1998 terrorist bombing in Omagh, Northern Ireland" potx

... revision of the MIP in the RGHT calls for the establishment of a tracking board in the ED and also calls for the transfer of patients from a designated ward toempty beds throughout the hospital. ... of the MIP.Supplies The anaesthetic teams were also responsible for resupplying the ED with drugs, equipment and disposables. These weretransferred from theatres and ICUs in parallel with the ... — no official change as yet. Since 1998 the ownership and use of mobile phones has increaseddramatically and has supplanted the pager as the commonest means of contacting staff off-site. The...

Báo cáo khoa học: "Clinical review: The Israeli experience: conventional terrorism and critical care" docx

... placement of each of these patients in the ICU or in a less intensive area such as the PACU. Early knowledge of the type and magnitude of injuries gives an immediate estimate of the number of ICUbeds ... signifies the proximity of the casualty to the epicenter of the explosion. The finding of shrapnel injury to onebody region should alert the treating physicians to the possibility of multiple ... result of each of thesemechanisms is determined by the distance of the casualtyfrom the epicenter of the explosion and whether it was in aconfined or an open space. The presence of penetratingshrapnel...

Báo cáo khoa học: "Clinical review: The meaning of acid–base abnormalities in the intensive care unit – epidemiolog" ppt

... phosphates. The total charge of these mustequal the SIDa. The product of all of the measurable anionscontributing to the balancing negative charge is referred to as the effective SID (SIDe). Theoretically, ... It is the measurement of the wavelength of light rays emitted by excited metallicelectrons exposed to the heat energy of a flame. The intensity of the emitted light is proportional to the concentration ... together account for only 50% of all of the (–) charges, as represented by the SBE of –8 mEq/l. Thereremain 4 mEq/l of unaccounted anions that would beexplained by a proportional excess of Cl–in...

Báo cáo khoa học: "Clinical review: Agitation and delirium in the critically ill – significance and management" ppt

... practiceguidelines for the sustained use of sedatives and analgesicsin the critically ill adult, developed through the Task Froce of the American College of Critical Care Medicine (ACCM) of the Society of Critical ... to be independentfactors for the occurrence of delirium. The second group of hypotheses to explain the mentaldysfunction observed in the ICU relates to the presence of potential organic cerebral ... with the American Society of Health-System Pharmacists (ASHP),and in alliance with the American College of Chest Physi-cians, and approved by the Board of Regents of ACCM, and the Council of...

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