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...

Ngày tải lên: 12/08/2014, 20:20

... 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...

Ngày tải lên: 13/08/2014, 11:22

... 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...

Ngày tải lên: 12/08/2014, 20:20

... 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...

Ngày tải lên: 25/10/2012, 10:35

... 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...

Ngày tải lên: 25/10/2012, 10:35

... 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...

Ngày tải lên: 12/08/2014, 18:21

... 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...

Ngày tải lên: 12/08/2014, 18:21

... 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...

Ngày tải lên: 12/08/2014, 18:21

... 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...

Ngày tải lên: 12/08/2014, 18:21

... 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...

Ngày tải lên: 12/08/2014, 19:21