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

... affects the solid organs. The probability of being injured as a result of each of these mechanisms is determined by the distance of the casualty from the epicenter of the explosion and whether it ... door of the ED. Another experienced general surgeon acts as the ‘surgical command officer’ who guides the trauma teams. The command team maintains a log of the most severe...

Ngày tải lên: 12/08/2014, 22:22

... clinicians and policymakers in the field need to analyse systems and scores already in existence and improve and validate them as triage tools (though this may not be the purpose for which they were ... disease process and prognosis, and the number of patients and severity of illness making the demands on the service [31]. In effect, triage may result in a gradual degr...

Ngày tải lên: 13/08/2014, 03:20

... the prone than in the supine position, and importantly the benefit was sustained at lower PEEP. In other studies other adjuncts to MV were necessary to keep the lung open after RMs [20]. Lu and ... change shape and the ratio of their surface (plasma membrane) to their volume must increase. If the plasma membrane is dis- rupted the intracellular lipid stores are utilized to...

Ngày tải lên: 12/08/2014, 19:22

... be described as the sum of unmeasured ions. More specifically, it is the difference between the SIDa and the SIDe. The SIG and traditional anion gap differ in the sense that the traditional anion ... for the albumin level (which, in the critically ill, is usually low) [14-16]. The importance of correcting the anion gap for albumin is not limited to the adult popula...

Ngày tải lên: 12/08/2014, 22:22

... MMAX-2 (Müller and Strube 2006), GATE (Cunningham et al 2002), WordFreak (Morton and LaCivita 2003) and Knowtator (Ogren 2006). With the exception of the last of these however, these systems ... to use the system. The software is thus designed from the ground up to support typical user work- flow, and everything the user needs to perform an- notation tasks is includ...

Ngày tải lên: 20/02/2014, 09:20

... patients 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 ... to ward staff. The research evidence to support the validity of these criteria is limited by the practical and ethical difficulties of conducting randomized controlle...

Ngày tải lên: 12/08/2014, 20:20

... analysis of the VF waveform and score the electrical signal. If the score is high enough (or low enough, depending on the analysis), then a shock would be advised. If missing the mark, other therapies would ... witnessed collapse there is also a finite amount of time before EMS is called after the collapse, and that there is another minute or two required to reach the patien...

Ngày tải lên: 12/08/2014, 20:20

... remaining focused on the integrity and the excellence of the process, neutral to the donation outcome and respecting the legitimacy of the family decision. The discussion might therefore begin (after ... quality and integrity of organ donation practices in the ICU. These practices include humane and compassionate patient care, the avoidance of suffering, the mainte...

Ngày tải lên: 12/08/2014, 20:20

... there. The incident occurred during the winter, and the victims were received at the chapel wearing the same clothes that they had been wearing at the time of the attack. It is thus likely that ... victims. Conversely, the high incidence of secondary exposure in the chapel was attributed to the fact that the air circulation in the chapel had never been good and bec...

Ngày tải lên: 12/08/2014, 22:21

... officers and others in the command and control structure of a major incident. The decision to move to ACCOLC lies with the police service. Activation of ACCOLC was considered in the hours following the ... triage, the distribution of casualties (two-thirds to TCH and one-third to three other primary hospitals) helped to reduce the initial problems. The actions of the a...

Ngày tải lên: 12/08/2014, 22:21