bsa damaged by burns in a child
Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
... care: a comparison of New Zealand and United States hospitals Crit Care Med 1988, 16:318-326 78 Sirio CA, Tajimi K, Tase C, Knaus WA, Wagner DP, Hirasawa H, Sakanishi N, Katsuya H, Taenaka N: An initial ... significantly greater value than MEES alone in predicting survival after cardiopulmonary resuscitation in nontraumatic cardiac arrest 380 In Taiwan, severe acute respiratory syndrome (SARS) screening ... scoring systems have been used in a variety of trauma scenarios, including motor vehicle accidents, blunt and penetrating trauma, and even in pediatric polytrauma [43,45-49] 377 Critical Care August...
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Báo cáo y học: " Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients" doc
... discrepancy in data was resolved by consensus All available data in the medical record was recorded into the database Missing data that was unavailable in the medical record were also noted and data ... records A standardized electronic data abstraction form was developed by the investigators Approximately 10% of data abstraction was reviewed by both investigators to ensure data reliability Any ... al.: Implementation of the Canadian Emergency Department Triage and Acuity Scale (CTAS) in the Principality of Andorra: Can triage parameters serve as emergency department quality indicators? CJEM...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
... that similar problems exist in Singapore, like inappropriate asthma management and variation in compliance with guidelines To reduce the inappropriate management of asthma, the Singapore Ministry ... start at the time of asthma diagnosis and should be integrated into every step of clinical asthma care Asthma selfmanagement education should be tailored to the needs of each patient, maintaining ... increased airway microvascular permeability: Role in airway inflammation and obstruction Clin Exp Pharmacol Physiol 1995; 22:387 23 Guidelines for Canadian Clinical Practice Guidelines, Canadian...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
... evisceration was discussed by Guttman et al in 1990 and parallels the approach taken in our case: stabilization including fluid therapy, wrapping the exposed bowel in saline-soaked gauze, and administration ... important to include it in the differential diagnosis of a woman presenting with abdominal pain, perform a complete physical exam, and treat an evisceration promptly [7] Laboratory values including ... LP was involved in critical editing and revisions of the manuscript LL and LP participated in its design and coordination All authors read and approved the final manuscript Authors’ information...
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Báo cáo hóa học: " Evaluation of the diagnostic indices and clinical utility of qualitative cardiodetect® test kit in diagnosis of ami within 12 hours of onset of chest pain in the emergency department" pptx
... tissue injury Clinica Chimica Acta 2005, 352:15-35 30 Nagahara D, Nakata T, Hashimoto A, Takahashi T, Kyuma M, Hase M, Tsuchihashi K, Shimamoto K: Early positive biomarker in relation to myocardial ... Morita H, Ohkaru Y, Asayama K, Kimura H: Clinical evaluation of point-of-care-testing of heart-type fatty acid-binding protein (H-FABP) for the diagnosis of acute myocardial infarction J Immunoassay ... Ishii J, Wang JH, Naruse H, Taga S, Kinoshita M, Kurokawa H, Iwase M, Kondo T, Nomura M, Nagamura Y, Watanabe Y, Hishida H, Tanaka T, Kawamura K: Serum concentrations of myoglobin vs human heart-type...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
... steroids Alternatives to standard analgesics may be appropriate in patients who can be managed as an outpatient Alternative pain management drugs like amitriptyline, gabapentin, carbamazepine, or ... et al facial weakness was an associated initial finding in only 25% of patients with MC, and seizure was only noted in 14% [2] The fact that the patient exhibited aphasia, extremity weakness, and ... benzodiazepines and AEDs However, AEDs are not thought to be needed on a prophylactic basis Treatment of MC-associated headache, neck, and back pain should include analgesics, but may also include...
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Báo cáo hóa học: " Albuterol enantiomer levels, lung function and QTc interval in patients with acute severe asthma and COPD in the emergency department" pptx
... Moderate to severe asthma exacerbation was diagnosed by independent emergency physicians, in accordance with the National Asthma Council Australia (NAC) guidelines [31] Acute asthma sample and data ... details School of Pharmacy, University of Tasmania, Hobart, Tasmania, Australia Menzies Research Institute, University of Tasmania and Department of Respiratory Medicine, Royal Hobart Hospital, ... collection and undertook the laboratory analysis KYC and GAJ performed the statistical analysis All authors helped draft the manuscript All authors read and approved the final manuscript Competing interests...
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Báo cáo y học: "Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report" pps
... with a cervical collar in place, his trachea intubated, and a 20 gauge intravenous line infusing 0.9% NaCl Cardiopulmonary resuscitation (CPR) was initiated (see Table 1) An electrocardiogram (ECG) ... bilirubin 0.9 mg/dl, alkaline phosphatase 57 U/liter, aspartate transaminase 35 U/liter, total protein 5.5 g/dl, albumin 2.8 g/dl, and lactate 3.0 mmol/liter Arterial blood gas (ABG) was not drawn at ... additional 16 gauge intravenous catheters and a left subclavian catheter were placed and warm 0.9% NaCl was instilled A nasogastric tube and bilateral chest tubes were also placed to instill warm...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
... Anaesth Intensive Care 1991, 19:182-186 Povoa P, Almeida E, Moreira P, Fernades A, Mealha R, Aragao A, Sabino H: C-reactive protein as an indicator of sepsis Intensive Care Med 1998, 24:1052-1056 Carlet ... ED patients, in which the average inflammatory status was less severe than critically ill patients and the most frequent cause of acute inflammation was ultimately infection It might be that elevated ... Hawkins PN: Metabolic and scintigraphic studies of radioiodinated human C-reactive protein in health and disease J Clin Invest 1993, 90:1351-1357 21 Ballou SP, Kushner I: C-reactive protein and...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
... with a long duration of action, must be avoided if difficult intubation is anticipated Blind nasal intubation during spontaneous breathing, laryngeal mask airway, intubating laryngeal mask airway, ... vascular endothelial integrity and capillary permeability [33] Intra-abdominal compartment syndrome, intracranial hypertension, and pulmonary extravascular water accumulation are frequently associated ... elimination rate of an elevated lactate is also a valuable indicator of restoration of tissue oxygenation and relief from regional ischemia [13] Delayed elimination of elevated lactate has been associated...
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Báo cáo y học: "Risk assessment in the first fifteen minutes: a prospective cohort study of a simple physiological scoring system in the emergency department" ppsx
... statistical analysis The manuscript was drafted by TM, assisted by JW and JT All authors read and revised the manuscript drafts and approved the final manuscript Competing interests The Department ... model including VSS initial and the increase in VSS points (VSSmax - VSSinitial) as predictors and hospital mortality as outcome parameter Pearson’s Chi-square test was used to assess the value ... outcome Materials and methods Setting Table Vital Sign Scoring parameters Airway • threatened airway: necessity for intratracheal suctioning, insertion of oro- or nasopharyngeal tubes, intubation, bronchoscopy...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
... Colford JM Jr, Reingold AL, Kalantri S: Nonmalarial acute undifferentiated fever in a rural hospital in central India: diagnostic uncertainty and overtreatment with antimalarial agents Am J Trop Med ... localizing symptoms The overarching goal of the protocol was to standardize the approach to such patients in a way that reduced unnecessary testing and inappropriate use of antibiotics Additional ... Chandy S, Yoshimatsu K, Boorugu HK, Chrispal A, Thomas K, Peedicayil A, Abraham P, Arikawa J, Sridharan G: Acute febrile illness caused by hantavirus: serological and molecular evidence from India...
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Báo cáo khoa học: Neuroserpin Portland (Ser52Arg) is trapped as an inactive intermediate that rapidly forms polymers Implications for the epilepsy seen in the dementia FENIB ppt
... and transverse urea gradient PAGE, and activity was assessed against tPA [6] Complex formation assays Wild-type and Ser52Arg neuroserpin were incubated in various ratios with tPA at 25 °C as described ... correspond to an incubation of at a tPA to Ser52Arg neuroserpin ratio of 1, and 10; lanes 13–15 correspond to an incubation time of h at a tPA to Ser52Arg neuroserpin ratio of 1, and 10 N, Intact native ... of Ser52Arg neuroserpin shows an increase in both b-sheet and a- helical structure content as determined by the large increase in magnitude of the signal at 216 nm and the small increase at 222...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
... medications All pregnant patients who participated in the study had presented with pregnancy-related complaints of abdominal pain and/or vaginal bleeding Research associates were present in the ... reported race using United State Census classifications [14] In evaluating rates of folic acid use, comparisons were made between patients reporting Caucasian race and those reporting a race that was ... not Caucasian (non-Caucasian) In two cases, patients reported “multi-racial” as their selfreported race For statistical analysis, these patients were classified as non-Caucasian Patients were asked...
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Báo cáo hóa học: " Troponin utilization in patients presenting with atrial fibrillation/flutter to the emergency department: retrospective chart review" ppt
... abstractors (BH, EA, AM) were trained by the principal investigator to abstract data using a reference manual Data were recorded in a formatted electronic database A pilot chart review consisting ... with data abstraction AA helped with data abstraction BH and AM were data abstractors Competing interests The authors declare that they have no competing interests Received: 19 January 2011 Accepted: ... data The intra-rater reliability was determined using the Cohen’s kappa rating, aiming for a minimum inter-rater reliability of 80% All three sites used Troponin I (cTnI) as their cardiac marker...
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báo cáo khoa học: " Efficacy and tolerability of intravenous methylergonovine in migraine female patients attending the emergency department: a pilot open-label study" pdf
... was administered intravenously and, after oral administration, the wide interindividual variation in pharmacokinetic parameters did not allowed to compare adequately both groups [18] Additionally, ... 0.0001) Pain intensity was assessed by means of a Visual Analog Scale (VAS) just before drug administration and 5, 10, 15, Complete disappearance of pain was reached by 66 (52.8%) patients 30 minutes ... intravenously diluted in ml of saline at an initial dosage of 0.15 mg If pain intensity was still above in pain VAS, an additional dose of 0.075 mg of methylergonovine was administered 15 minutes...
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Báo cáo khoa học: " Serum procalcitonin measurement as diagnostic and prognostic marker in febrile adult patients presenting to the emergency department" pdf
... Effect of classic heatstroke on serum procalcitonin Crit Care Med 1997, 25:1362-1365 Kylanpaa-Back ML, Takala A, Kemppainen EA, Puolakkainen PA, Leppaniemi AK, Karonen SL, Orpana A, Haapiainen RK, ... groups: Valuesand viral, bacterial and parasitic infections none (noninfectious), and viral, bacterial and parasitic infections (a) Procalcitonin (PCT) (b) C-reactive protein (CRP) Data are presented ... (univariate analysis) and identification of variables predictive of bacterial/parasitic infection after stepwise logistic regression analysis (multivariate analysis) Variable Univariate analysis...
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Báo cáo y học: "Does serum procalcitonin have a diagnostic value in febrile adult patients presenting to the emergency department" potx
... cardiac troponin I associated with an adverse postoperative outcome after cardiac surgery A comparative study between coronary artery bypass graft, valve, and combined cardiac surgery Crit Care 2007, ... be pointed out that, in contrast to the etiological diagnosis of the emergency physician found in the medical chart, we observed that administration of antibiotics was not always in accordance ... DA, Schulz KF Refining clinical diagnosis with likelihood ratios Lancet 2005, 365:1500-1505 Amour J, Birenbaum A, Bertrand M, Langeron O, Coriat P, Riou B, Bernard M, Hausfater P: Valeur diagnostique...
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Báo cáo y học: " Risk scoring systems for adults admitted to the emergency department: a systematic review" potx
... found a statistical significant increased incidence of cardiac arrest in the intermediary risk band i.e MEWS 3-4[10] Paterson et al included medical and surgical patients admitted to a combined assessment ... according to original study, review article Regarded as normal in all cases (not analyzed in the study), review article • • • • • Brabrand et al Scandinavian Journal of Trauma, Resuscitation and Emergency ... in- hospital mortality (at any point in time) or transfer to the ICU Only studies validating variables using a relevant scientific principle (regression analysis, discriminate analysis, recursive partitioning...
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