Báo cáo y học: "Clinical review: Emergency department overcrowding and the potential impact on the critically il" pot
Báo cáo y học: "Clinical review: Emergency department overcrowding and the potential impact on the critically il" pot
... Emergency department overcrowding and the
potential impact on the critically ill
Robert M Cowan
1
and Stephen Trzeciak
2
1
Chief Resident, Department of Emergency Medicine, UMDNJ-Robert Wood Johnson ... describes the causes and effects of ED
overcrowding in the USA; explores the potential impact this
has on the care of the critically ill ED pati...
Báo cáo y học: "Clinical review: Influenza pandemic – physicians and their obligations" doc
... planning.
Obligations of the medical profession
The obligations of the medical profession in a medical emer-
gency revolve around the issues of rule of rescue, free choice
of profession and the profession’s contractual ... society
Society bestows upon the medical profession prestige and
guild-like powers of self-regulation [11]. These benefits are
arguably over and above th...
Báo cáo y học: "Clinical review: Impact of emergency department care on intensive care unit cost" ppsx
... delay in nurse
implementation of orders for critically ill patients, both in the
ED and upon arrival in the ICU [35].
Finally, in the UK study conducted by Gray and coworkers
[13] the second ... actions in one area having a significant impact on
the other.
Implications for controlling the cost of critical
care
The paucity of data regarding the impact of ED care of...
Báo cáo y học: "Clinical review: Treatment of new-onset atrial fibrillation in medical intensive care patients – a clinical framework"
... on rate control or rhythm control
There are insufficient data in ICU patients to justify a choice
between therapy directed on rate control or on rhythm
control. Rhythm control clearly has no ... left
ventricle due to tachycardia, and by tachycardiomyopathy
[8,44]. Tachycardiomyopathy can occur as soon as 24 hours
after the start of AF [44].
Conclusion on morbidity
In all patient c...
Báo cáo y học: "Clinical review: Medication errors in critical care"
... technology [44,45],
computerized intravenous infusion devices [9], and medica-
tion reconciliation [46]. CPOE targets the prescription and
transcription stages of the medication process. The
technology ... technologies target the administration phase of the
medication process. Used in conjunction with CPOE, bar
code labels for the medication, the patient, and the provide...
Báo cáo y học: "Clinical review: Severe asthma Spyros Papiris, Anastasia Kotanidou, Katerina Malagari and Charis Rousso" potx
... ventilation, systemic
hypotension commonly appears. The determinant factors of
systemic hypotension are sedation, hypovolemia, and primar-
ily lung hyperinflation. Dynamic hyperinflation, as previously
discussed, ... the
effectiveness of the hypoxic pulmonary vasoconstriction,
and the fact that the airway obstruction can never be func-
tionally complete [24]. Hypoxemia is theref...
Báo cáo y học: "Clinical review: Non-antibiotic strategies for preventing ventilator-associated pneumonia" pps
... chronic
obstructive pulmonary disease exacerbation and in cardio-
genic pulmonary oedema with the use of conventional
mechanical ventilation in an historical control population. They
concluded that non-invasive ... awake
decreased the duration of mechanical ventilation and the
length of stay in the ICU [59]. The use of excessive sedation
could be reduced in this way.
Non-invasiv...
Báo cáo y học: "Clinical review: Bacteremia caused by anaerobic bacteria in children" pdf
... surgically
drained. The average duration of therapy in the patients who
recovered in one study [17] was 20 days (range, 7–72 days),
and the duration of therapy was related to the presence and
severity of other ... some
of the children with these infections may become seriously ill,
most will respond well to surgical and medical therapy.
In five (18%) of the children included...
Báo cáo y học: "Clinical review: Splanchnic ischaemia" ppsx
... tissue oxygen consump-
tion and impaired oxygen extraction [8,9]. The increase in
oxygen consumption has been related to cytokine production
[18] and to diversion of oxygen to the generation of ... region is
reduced in proportion to systemic blood flow under different
conditions of low cardiac output. Varying study conditions and
consequent pathophysiological reactions may explain t...
Báo cáo y học: "Clinical review: Hypertonic saline resuscitation in sepsis" potx
... support potential benefits of hypertonic saline infusion in
various aspects of the pathophysiology of sepsis, including tissue hypoperfusion, decreased oxygen
consumption, endothelial dysfunction, ... peripheral
vasodilatation, myocardial depression, intravascular volume
depression, and increased metabolism. Despite considerable
knowledge of the pathophysiology of the systemic infla...