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 thesemechanisms is determined by the distance of the casualtyfrom 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 severely injuredvictims. They ... the PACU. Fifty-sevenpatients were admitted from the operating rooms (56%), 11from the angiography suite (10%) and the rest were admitteddirectly from the ED (34%). The average time from the...

Báo cáo khoa học: "Clinical review: Mass casualty triage – pandemic influenza and critical care" pps

... clinicians and policymakers in the field need toanalyse 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 ... diseaseprocess and prognosis, and the number of patients and severity of illness making the demands on the service [31]. Ineffect, triage may result in a gradual degradation of care with the increasing ... incidents rather than ‘rising tide’prolonged problems [7-11]. The closest objective evidencefor efficacy of critical care in the event of a flu pandemic isextrapolated from H5N1 influenza and the...

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

... the prone than in the supine position, and importantly the benefitwas sustained at lower PEEP. In other studies other adjunctsto MV were necessary to keep the lung open after RMs [20].Lu and ... changeshape and the ratio of their surface (plasma membrane) totheir volume must increase. If the plasma membrane is dis-rupted the intracellular lipid stores are utilized to repair the cell surface. ... 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 regarding the use of...

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

... be described as the sum of unmeasuredions. 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, isusually low) [14-16]. The importance of correcting the aniongap for albumin is not limited to the adult population. Quite the contrary, there ... (predominatelyalbumin) and 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...

Tài liệu Báo cáo khoa học: "Demonstration of the UAM CorpusTool for text and image annotation" docx

... 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 included within the software. ... levels, the main window of the CorpusTool is thus a window for project management (see Figure 1). 13This window allows the user to add new annota-tion layers to the project, and edit/extend the...

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

... patients and the skills and abilities of the ward staff.Both the Audit Commission [57] and the Department ofHealth working party report ‘Comprehensive Critical Care’[55] supported the development ... to ward staff. The researchevidence to support the validity of these criteria is limited by the practical and ethical difficulties of conducting randomizedcontrolled trials in the clinical environment. ... despite the high incidence of comorbiddisease in these elderly patients, and recommended morecollaborative working between surgeons, anaesthetists and physicians with expertise in the care of the...

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

... analysis of the VFwaveform and score the electrical signal. If the score is highenough (or low enough, depending on the analysis), then ashock would be advised. If missing the mark, other therapieswould ... witnessed collapsethere is also a finite 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 ... many of the patients were already awakening by the time of EMS arrival at the scene. Nevertheless, the authors also noted that all survivors received some period ofchest compressions and other...

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

... remaining focused on the integrity and the excellence of the process, neutral to the donation outcome and respecting the legitimacy of the familydecision. The discussion might therefore begin (after ... quality and integrity of organ donation practicesin the ICU. These practices include humane and compassionate patient care, the avoidance of suffering, the maintenance of dignity and respect, and ... (after evidentunderstanding of the fact and meaning of brain death from the family) with a statement such as “There is one othermatter that I wish to discuss with you and that is the option oforgan...

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

... there. The incident occurred during the winter, and the victims were received at the chapel wearing the sameclothes that they had been wearing at the time of the attack. Itis 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 because many victims werereceived there. The ... injury, and those with severe injuries are naturallybrought to the ICU. The likelihood that patients in the ICU willbecome contaminated with the causative agent is thereforegreater. The likelihood...

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

... officers and others in the command and control structure of a major incident. The decision to moveto 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 toreduce the initial problems. The actions of the ambulancepersonnel in Omagh and the ... distancefrom the hospital and transfer the patients to the ED byground ambulance.Although initially there was a huge mismatch betweenresources at TCH and clinical need, and there was an earlylack...

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