... epidemiology: a study from Karachi, Pakistan. Prehosp Emerg Care2005, 9:355-360.23. Cordell WH, Olinger ML, Kozak PA, Nyhuis AW: Does anybody really knowwhat time it is? Does anybody really care? ... repeated every 20 min Y NRespiratory rate (RR) RR exact value documented Y NRR RTS category 43210RR RTS category inferred Y NRR assessments repeated every 20 min Y NSystolic blood pressure ... Drøbak,Norway.2Norwegian Centre for Pre-hospital Emergency Medicine (NAKOS),Oslo University Hospital, Norway.3Department of Anaesthesiology, AkershusUniversity Hospital, Oslo, Norway.4University...
... how the medical system was supposed to man-age the large number of casualties in a city structurallydestroyed by the earthquake.“A disaster management plan along with emergencymedical teams ... Civil society and the state: Turkey after the earthquake. Disasters2002, 26:120-39.30. Liang NJ, Shih YT, Shih FY, Wu HM, Wang HJ, Shi SF, Liu MY, Wang BB:Disaster epidemiology and medical ... darkness, very cold weather and lack ofsafety. A participant reported “The roads were comple-tely congested, to the extent that evacuating the casual-ties by road way was impossible.““Only a few...
... incidents in thisregion. The purpose of this study was to find whether thisinstitution has achieved its primary tasks by analyzing itsregistry during January 1st 2006 until December 31st 2008.SettingAccording ... missions have been a visit by NATOmilitary ships (15 days), storm with flooding (12 days),European Championship in track and field sports (10days) as well as a bus crash (10 days). Since some of theseevents ... together with executive responsibility atthe time of disaster may not only reveal various short-comings within our organizations and the healthcare sys-tem, but may also prevent the disastrous outcome...
... identified by two or more symptomsincluding fever or hypothermia, tachycardia, tachypnoea and change in blood leucocyte count. Therelationship between SIRS symptoms and morbidity and mortality in ... andstrongly related to 28-day mortality.BackgroundSepsis is a systemic inflammatory response to a confirmedor suspected infection. Clinically, the Systemic Inflamma-tory Response Syndrome (SIRS) ... annmarie.lassen@ouh.regionsyddanmark.dk* Corresponding author AbstractBackground: Sepsis is an infection which has evoked a systemic inflammatory response. Clinically,the Systemic Inflammatory Response Syndrome...
... T29 (11)Urinary/male genital symptoms U29 (7) Y2 9 (5)Pregnancy/female genital symptoms W29 (106) X29 (1)Assault/harmful event/problem Z25 (12)General symptoms A29 (317)Eye symptoms F29 (6)Not ... epidemiology of emergency medical services use by older adults:an analysis of the National Hospital Ambulatory Medical Care Survey.Acad Emerg Med 2007, 14:441-7.20. Sporer KA, Johnson NJ, Yeh CC, Youngblood ... Primary Care (ICPC)ICPC Body systemA General and unspecifiedB Blood, blood-forming organs, lymphatic, spleenD DigestiveF EyeH EarK CirculatoryL MusculoskeletalN NeurologicalP PsychologicalR...
... emergency system(HEMS) in Norway, have used anaesthesiologists as pre-hospital emergency physicians for many decades [7-9].However, anaesthesiologists active as pre-hospital emer-gency physicians ... which is one of the reasons why they serve aspre-hospital emergency physicians in many countries. However, limited data are available on the actual quality andsafety of anaesthesiologist-managed ... much better than those reportedfrom many non-physician-staffed EMS systems [4,5] andsimilar to other physician-manned EMS systems [17,18].The safety of pre-hospital ETIs should, therefore,...
... patient to a gynaecologist. Although pap smear examination was carried out, the pathology laboratory incorrectly reported the ndings to be ‘mild squamous atypical cells possibly due to in ... decades, it is only in the past 10 to 15 years that critical care physicians have increasingly become aware of its usefulness. For example, critical care echocardio graphy was initially used in patients ... J Huang and Anthony S McLean*VIEWPOINT*Correspondence: mcleana@med.usyd.edu.auDepartment of Critical Care Medicine, Nepean Hospital School, Sydney Medical School, Sydney, NSW 2750, AustraliaHuang...
... legallyappointed representatives provided written informedconsent.Eligible patients were stratified by non-VAP and earlyVAP in study 1, early and late VAP in study 2 (onset <5versus ≥5 days), ... supported by Astellas, Wyeth, Bayer, Pfizer, and Johnson andJohnson (J&J). MK and DN have not received any fees for involvement in thisstudy or manuscript. SM, AQ, and NK are employed by Johnson ... eligiblefor study 2 if they had VAP as previously defined. Studyprotocols and informed consent forms were reviewed andapproved by an institutional review board or ethics com-mittee at each study center....
... ampli-fied cryptate emission (TRACE) technology assay (PCTKryptor®, B.R.A.H.M.S. AG, Hennigsdorf, Germany). Theassay has a detection limit of 0.02 μg/L and functionalassay sensitivity of 0.06 ... 14distress syndrome within 30 days following inclusion.The secondary endpoint was overall survival within 30days following study inclusion. Outcomes were assessedduring hospital stay at days 3, ... anyfurther in this analysis. Switzerland has previously beenshown to have very low rates of ICU-acquired nosoco-mial infections and related mortality; thus country-spe-cific differences may...
... mechanisms contrib-uting to hyperglycaemia differ among syndromes, espe-cially between acute coronary syndromes, whereinflammation probably plays a minor role and sepsiswhere systemic inflammation ... in normoglycaemia and hyperglycaemia group at initiation of follow-upAll patients(N = 1,029)Patients with hyperglycaemia(N = 360)Patients without hyperglycaemia(N = 669)Hyperglycaemia ... commonly complicated by hyperglycaemia caused by mediators of stress and inflammation. Severity of disease is the main risk factor for development of hyperglycaemia, but not all severely ill...
... seizures/epilepsy (7.1%), three with respiratoryfailure (4.3%) and two others (2.9%). Nearly one third of all insertions (n = 22) were made in patients younger thantwo years. No cases of osteomyelitis ... beenpublished of different IO techniques used by physiciansin emergency departments [7] or in HEMS servicesmanned by physicians/nurses [9,10].Typical HEMS operating conditions make specialdemands ... insertionrate%0-2 years 18 453 3.97%3-6 years 0 198 0.00%7-17 years 5 486 1.03%18-78 years 47 4979 0.94%IO - Intraosseous.Sunde et al. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine...
... emergency call should be responded toimmediately and the nearest ambulance should be dis-patched to the scene immediately.Priority code C; the patient needs assessment by anemergency care ... between the municipality-based centersand the new EMCC indicates that priority codes A andC were used in a different way in the new system, withmore priority A and fewer priority C dispatch assess-ments ... EMCCdispatched the highest priority to 7.4 percent of the calls compared to 3.6 percent in the old system. The highpriority cases not detected by dispatchers increased significantly (p < 0.001) in the...
... traveling public.Sand and colleagues’ study should serve as a template forfuture research in this important area.Competing interestsThe author declares that they have no competing interests.References1. ... aircraft: a retrospectivestudy of 10189 cases. Crit Care 2009, 13:R3.2. Ruskin KJ, Hernandez KA, Barash PG: Management of in-flightmedical emergencies. Anesthesiology 2008, 108:749-755.3. Wagner ... in-flightmedical emergencies. Anesthesiology 2008, 108:749-755.3. Wagner JL, Ruskin KJ: Pulse oximetry: basic principles andapplications in aerospace medicine. Aviat Space Environ Med2007, 78:973-978.4....
... statisticalanalysis. WI had full access to all of the data in the study andtakes responsibility for the integrity of the data and the accu-racy of the data analysis.AcknowledgementsThis study received ... may have facilitatedsuccessful measurements in many of these patients. Second,the majority of patients enrolled in our study had sepsis orhypovolemia as the etiology of their circulatory insufficiency.This ... responsive.IntroductionCirculatory insufficiency is a common clinical problem facedby physicians caring for critically ill patients. The decision toemploy volume expansion (VE) in these patients...