ct for pediatric abdominal trauma

... clinically Scoring systems in trauma Trauma scoring systems have also been used in the triage of trauma patients and to predict their outcome Trauma scores have been used to characterize severity of injury ... predict patients in the ED who are at risk for infection and to stratify them into risk categories for mortality [61] A prediction model was developed based on independent multivariate predictors ... define the predictive power of RAPS Prospective cohort study in ED patients at risk for infection, using multivariate analysis to identify independent predictors of death Objectives and method...

Ngày tải lên: 12/08/2014, 22:21

... Male 106 (59.6%) Female 72 (40.4%) CTAS Score Recorded in chart: 70/178 (39.3%) CTAS 11/70 (15.7%) CTAS 39/70 (55.7%) CTAS 20/70 (28.6%) Mortality per CTAS CTAS@ a) Age Range 16-89 years 2/11 ... diagnosis, Canadian Triage Acuity score (CTAS), critical care procedures performed, and the ED and hospital LOS CTAS is a triage tool developed in conjunction with the Canadian Association of Emergency ... Seventy patients (70/178, 39.3%) were assigned a CTAS score in the ED, with 11/70 (15.7%) assigned CTAS level 1, 39/70 (55.7%) CTAS level and 20/70 (28.6%) CTAS level The ED diagnosis of critically...

Ngày tải lên: 13/08/2014, 23:20

... upon subjective decisions and not formal protocols Further studies are needed on the impact of similar evidence based treatment plans with clear, prospectively defined objective criteria for hospital ... Direct and indirect costs of asthma in Canada Can Med Assoc J 1996; 154:821-831 26 Kuehr J, et al Sensitization to mite allergens is a risk factor for early and late onset of asthma and for persistence ... beliefs and practices 2.2.6 Evaluation of clinical practice guidelines Although many asthma practical guidelines have been published in the past decade, the morbidity and mortality for the disease...

Ngày tải lên: 26/09/2015, 11:07

... cancer Her surgical history was significant for mastectomy and breast reconstruction, laparoscopic-assisted vaginal hysterectomy and bilateral oopherectomy (5 years previously), and pubovaginal ... treatment may require bowel resection as well as vaginal cuff repair The combined approach allows for more thorough inspection of the bowel and resection of ischemic sections as necessary Gynecology ... patients with transvaginal evisceration Serum lactate may predict the presence of ischemic bowel, but a normal serum lactate does not preclude the need for surgical intervention Early recognition...

Ngày tải lên: 20/06/2014, 23:20

... and practicality of Cardio Detect® We believe that this diagnostic kit, which detects H-FABP at the bedside, still needs further evaluation, especially to assess its performance and practicality ... bedside test for both test kits Sensitivity, specificity, PPV, NPV, and ROC were obtained for the Cardio Detect and TnT (individually and in combination) and for the repeated Cardio Detect test All ... 2, 3, and summarize the diagnostic indices for Cardio Detect, repeated Cardio Detect, TnT, and combination tests Discussion Myocardial infarction reflects the cell death of cardiac myocytes caused...

Ngày tải lên: 20/06/2014, 23:20

... condition and arrange for multi-disciplinary management after stabilization and pain management Consent Consent was obtained for publication of the details of this case and for publication of associated ... cytology Cytology can be negative in up to 40-50% on initial lumbar puncture [2] Lumbar puncture should be performed only after MRI if possible to avoid false-positive enhancement at the site Computed ... benzodiazepines may be prescribed for chronic pain Acute worsening of headache, neck pain, or back pain could be related to worsening complications, such as obstructive hydrocephalus, edema, or...

Ngày tải lên: 21/06/2014, 01:20

... physiological effects, including pro-inflammatory and pro-constriction effects [11,12], increases airway responsiveness [13,14] or acts as a functional antagonist [15] Potential adverse effects of (S)-albuterol ... medical records for 28 subjects, but subjects’ ECG measurements were excluded from analysis because of a concurrent digoxin toxicity and a probable atrial flutter, respectively Six subjects (3 male ... subjects were recorded within the ‘normal’ physiological range (3.7-5.2 mmol/L and 4.0-7.5 mmol/L respectively), except for one subject with a slightly lower serum potassium level and four subjects...

Ngày tải lên: 21/06/2014, 03:20

... levels were not correct until after discontinuation of CPS) Multiple factors contributed to this successful clinical outcome Walpoth et al [7] have enumerated five factors needed for a favorable outcome ... http://www.jmedicalcasereports.com/content/2/1/150 and administrative activities Fifth, we used an effective rewarming technique applied properly and in a timely fashion While CPR did proceed for nearly 60 minutes before application of CPB, ... Cardiopulmonary resuscitation (CPR) was initiated (see Table 1) An electrocardiogram (ECG) confirmed pulseless electrical activity (PEA) with a heart rate of 31 beats per minute His lungs were...

Ngày tải lên: 11/08/2014, 23:21

... Index, PCT is not a better marker of bacterial infection than CRP for adult emergency department patients Yet high serum PCT level is highly specific for infection • A low serum CRP or PCT level ... value of PCT as a marker of bacterial infection in emergency department (ED) patients We hypothesized that, for ED patients, PCT is a more sensitive and specific marker of bacterial infection compared ... respectively (Fig 1) There was no relationship between the serum CRP and PCT levels and the type of infecting bacteria (data not shown) A serum PCT level > ng/ml is 100% specific for infection...

Ngày tải lên: 12/08/2014, 20:20

... blood lactate in the ED has been made feasible with newly developed enzymatic, substrate-specific electrodes [19] A blood lactate of mmol/l or higher is a useful triage test for detecting occult ... electrode for rapid determination of blood lactate concentrations JAMA 1994, 272:1678-1685 Husain FA, Martin MJ, Mullenix PS, Steele SR, Elliott DC: Serum lactate and base deficit as predictors ... resuscitation during active hemorrhage: impact on in-hospital mortality J Trauma 2002, 52:1141-1146 29 Revell M, Greaves I, Porter K: Endpoints for fluid resuscitation in hemorrhagic shock J Trauma 2003,...

Ngày tải lên: 12/08/2014, 20:20

... patients complete on study data collection forms Data of 1284 patients prospectively collected on patient records, vital signs data extracted to study data collection forms Prognostic significance of ... provides a pragmatic approach for structured detection of outcome-relevant vital sign abnormalities and a tool for interventional studies Conclusions In this prospective cohort study we found that ... this information was extracted from the hospital database Secondary outcome was the combined endpoint ICU admission or death in ED The combined endpoint was chosen to account for the fact that...

Ngày tải lên: 14/08/2014, 07:21

... fever resolution, reduction in hospital admission rate, and reduction in mortality, while also ultimately desirable, were not assessed in this study Methods A protocol for the management of stable ... implementation of this protocol, data were prospectively collected on all eligible patients presenting to the SMF ED between August 2008 and 15 September 2008 Data collected included day of fever at presentation, ... need for antimicrobials Total defervesced without need for antimicrobials Page of *Percentages calculated using subcategory as denominator Bold items highlighted to illustrate the potential for...

Ngày tải lên: 21/06/2014, 00:20

... Lomas, D.A (2000) Inactive conformation of the serpin a1-antichymotrypsin indicates two stage insertion of the reactive loop; implications for inhibitory function and conformational disease Proc ... either 37 °C or 45 °C for 24 h Assessment of the conformation of Ser52Arg neuroserpin The most likely cause for the inactivity of Ser52Arg neuroserpin and inaccessibility of the reactive loop is that ... aberrant conformation One possibility is that the reactive loop had fully inserted into its own b-sheet A to form a latent conformer [16] However, this is unlikely as the latent conformer of the...

Ngày tải lên: 07/03/2014, 16:20

Ngày tải lên: 12/06/2014, 11:37

... folic acid fortification Am J Public Health 2006, 96(11):2040-7 US Preventive Services Task Force: Folic acid for the prevention of neural tube defects: US Preventive Services Task Force recommendation ... you ever been hospitalized for treatment of pelvic inflammatory disease? Yes No Have you ever been treated as an outpatient (out of the hospital) for a pelvic infection from chlamydia or gonorrhea? ... folic acid fortification: findings from the National Health and Nutrition Examination Survey, 2001-2002 Am J Clin Nutr 2007, 85(5):1409-16 Quinlivan EP, Gregory JF: Effect of food fortification...

Ngày tải lên: 21/06/2014, 02:20

... recorded in a formatted electronic database A pilot chart review consisting of 15 charts per center was conducted prior to the study to streamline data extraction The principal investigator performed ... Committee for Practice Guidelines: ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation – executive summary Eur Health J 2006, 27:1979-2030 The Task Force for the ... reliability was lower for hypotension compared to other variables, as reflected in the lower kappa statistic This is likely related to the fact that while even the data abstraction protocols stated...

Ngày tải lên: 21/06/2014, 03:20

... is a need for effective and low cost drugs for the acute treatment of severe migraine and status migrainosus Sumatriptan is a very effective but expensive drug Opioids are scarcely effective and ... antimigraine activity of its own [14,15] A recent systematic review of trials performed with dihydroergotamine concluded that, associated with an antiemetic, it seems to be as effective as the other active ... effective in the control of the drug induced refractory headache [6] as well as in the management of cluster headache [7] The purpose of the present study was to evaluate the potential effectiveness...

Ngày tải lên: 11/08/2014, 20:20

... physician in Table For PCT, the area under ROC curve was 0.766 (95% CI 0.697 to 0.821; P < 0.001) for the diagnosis of bacterial/parasitic infection Individual values for PCT and C reactive protein ... [%]) Bacterial Infection 202 (83) Viral Parasitic 154 (76) 35 (17) 13 (7) Respiratory tract infection 69 (28) 62 (90) (8.5) (1.5) Urinary tract infection 42 (21) 42 - - Digestive tract infection ... Diagnosis of bacterial/parasitic infection PCT concentrations were above 0.2 μg/l in 128 out of 173 (74%) patients with bacterial/parasitic infections The diagnostic performance of PCT is shown...

Ngày tải lên: 13/08/2014, 03:21

... antibiotics and the potential added value of biomarkers like PCT Therefore we think that the next important steps in assessing PCT diagnostic values are the following: Firstly, assess the LR ... algorithm that includes PCT measurement; thirdly, test the usefulness of PCT on the outcome (antibiotic administration, morbidity, mortality) in a randomized study as recently performed by Christ-Crain ... R, Gencay MM, Huber PR, Tamm M, Müller B: Effect of procalcitonin-guided treatment on antibiotic use and outcome in lower respiratory tract infections: cluster-randomised, single-blinded intervention...

Ngày tải lên: 13/08/2014, 08:21