dizziness and vertigo presentations in the emergency department

... assay and the quantitative cardiac troponin T test in diagnosing AMI in the ED according to the time of onset of chest pain To verify whether there was any improvement in the diagnostic indices ... attending medical officers may be biased when reading the Cardio Detect® test result since they are not blinded to the history, physical examination, and ECG findings of the patient being investigated ... pain (categorical) as in the inclusion criteria, including the timing of onset (numerical) of chest pain The dependent variables included the qualitative (positive or negative) outcome of the...

Ngày tải lên: 20/06/2014, 23:20

... albuterol enantiomer remain unknown and are the subject of ongoing work The wide variation in the relationship between dose and levels has also indicated the difficulties in spot sampling methodology ... function and QTc interval in patients with acute severe asthma and COPD in the emergency department International Journal of Emergency Medicine 2011 4:30 Submit your manuscript to a journal and benefit ... include paramedic, doctor and nursing staff Discussion This study reflects the variations in the presentation of acute exacerbations of asthma and COPD in a typical emergency department setting,...

Ngày tải lên: 21/06/2014, 03:20

... catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted in the ED and 71.7% (71/99) inserted in the first hours of ICU admission Chest tubes insertion was completed in ... CVC inserted had this procedure performed in the ED The majority of patients requiring a central venous catheter (30/56, 53.6%) had the CVC inserted within the first hours of admission to the ... patients in the ED is incomplete The primary objective of this study is to determine the length of stay of critically ill patients receiving care in a tertiary care adult emergency department The...

Ngày tải lên: 13/08/2014, 23:20

... Australia and New Zealand, and the Singapore Ministry of Health in 2002 Though some specific steps are different among these guidelines, the outline of the main points is the same, containing four ... guidelines for the diagnosis and management of asthma in 1991 .The guidelines were based on expert opinion and experience The purpose of the guidelines was to provide assistance to clinicians in the ... Guidelines in USA With understanding of the importance of management in the emergency room, numerous clinical guidelines on acute exacerbation of asthma have been disseminated In November 1997, the...

Ngày tải lên: 26/09/2015, 11:07

... East, Abingdon, VA 24210 USA Authors’ contributions KC treated the patient in the ED and was involved in drafting the manuscript LL cared for the patient in the ED and was involved in drafting the ... revisions, and editing of the manuscript 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 ... of emergency department crowding, emergency physicians should reevaluate nursing education on triaging abdominal pain to prevent delays in caring for well-appearing patients who have underlying...

Ngày tải lên: 20/06/2014, 23:20

... or impingement of nerve roots or the spinal cord Careful exam and history should be used to guide the clinician in determining the need for additional imaging or other diagnostics Despite intra-reservoir ... and Cooney: Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department International Journal of Emergency Medicine 2011 4:52 Submit your manuscript to a journal and ... meninges and sulci are common findings Other testing, such as CSF flow studies and PET scans are not appropriate for the ED setting Meningeal biopsy and non-specific biomarkers are sometimes obtained...

Ngày tải lên: 21/06/2014, 01:20

... (Medtronic, Inc., Minneapolis, MN) CPB was initiated within 10 minutes of the decision for its use and 58 minutes after the arrival of the patient to the ED; the patient's core temperature was 25°C An initial ... hypoxic brain damage occurred during the event Fourth, our trauma services were well organized; the emergency, surgery, and anesthesiology departments engage in joint teaching, training, research, ... tin time was 32.6 seconds, and international normalized ratio was 1.23 It was determined that he had sustained a myocardial infarction during his perihypothermic time interval (creatinine kinase...

Ngày tải lên: 11/08/2014, 23:21

... on clinical findings, on laboratory findings, and on bacteriologic findings throughout the admission course The WBC count and the serum CRP and the serum PCT levels were compared between infected ... to further support the presence of infection and to predict the disease severity Competing interests None declared Acknowledgements The authors are indebted to the staff of the Emergency Department, ... patients and in 18.4% of the noninfected patients (P < 0.001) (Table 4) In patients with SIRS (n = 69), there was no difference in the proportion fulfilling the WBC count criteria between infected and...

Ngày tải lên: 12/08/2014, 20:20

... delivering high inspired oxygen concentration and eliminating the work of breathing during resuscitation in the ED Elimination of work of breathing can reduce systemic oxygen consumption and demands, ... drawn for the utility of PAC during acute resuscitation in the ED The technical expertise required and demand imposed on nursing for this type of monitoring has limited its use in the ED setting A ... of shock in the ED Gastric mucosal and sublingual PCO2 are measured using tonometric catheters inserted into the stomach or beneath the tongue, respectively [21,22] Gastric and sublingual PCO2...

Ngày tải lên: 12/08/2014, 20:20

... neurosurgical intervention, brain injury, and mortality [40] The Therapeutic Intervention Scoring System (TISS) evaluates the need in staffing, monitoring, and therapeutic intervention rather than ... certainty in the effects of interventions provided in the ED; improving the understanding of existing physiologic measurements and their influence on outcomes; reducing variations in individual clinical ... among the first scoring systems to be examined over the natural course of sepsis beginning in the ED However, the mortality in the study patients of 5.3% is exceedingly low compared with the more...

Ngày tải lên: 12/08/2014, 22:21

... also the national goal at the time In the US, the median ED LOS in 2008 was h and 34 [20] In the present study, hours was instead spent waiting for the first physician, as compared to 56 in the ... patients waiting in the ED for an in- hospital bed The LOS pattern in ED C and F is an example of a finding that will be useful for the individual ED to analyze further, e.g by using the conceptual ... other EDs Patient inflow over the day (Figures and 3) showed a homogenous pattern among the EDs All EDs had a large increase in inflow before noon and a slow inflow decline over the rest of the...

Ngày tải lên: 13/08/2014, 23:20

... VSS point, and the VSS score was defined as the total sum of all VSS points in one time period The original MET calling criteria contain the criterion “concern”, which was not included in the VSS ... the stay in the emergency department was assessed in a multivariate logistic regression model including VSS initial and the increase in VSS points (VSSmax - VSSinitial) as predictors and hospital ... VSS scores and predefined outcome variables, the following definitions were used: VSS initial denotes the VSS score in the first 15 minutes after admission to the emergency department and VSSmax...

Ngày tải lên: 14/08/2014, 07:21

... with the use of intravenous prochlorperazine, a Figure systolic blood pressure Correlation among individual changes in pain intensity and Correlation among individual changes in pain intensity and ... drafted the manuscript All authors read and approved the manuscript's final version References 10 11 Martelletti P, Farinelli I, Steiner TJ: Acute migraine in the Emergency Department: extending ... lergonovine receiving one (grey bars) or two doses period in patients Pain intensity over the monitored time (black bars) of methyPain intensity over the monitored time period in patients receiving...

Ngày tải lên: 11/08/2014, 20:20

... 0.05 to be independent indicators of bacterial/parasitic infection and retained them in the model Continuous variables were transformed into dichotomous variables using the receiver operating curve ... the associations between various variables, including the diagnosis suspected by the emergency physician, elevated PCT, and the final diagnosis of the experts (bacterial/parasitic and viral infection) ... determined the optimal threshold that minimized the distance to the ideal point (sensitivity = specificity = 1) on the ROC curve The discrimination ability of the final model was quantified by using...

Ngày tải lên: 13/08/2014, 03:21

... devise and implement a protocol for the management of stable adult patients presenting to the emergency department with fever as their chief complaint and no localizing symptoms The overarching ... presenting to the SMF ED with a chief complaint of fever was devised according to the local infectious epidemiology by SMF emergency physicians in consultation with SMF medicine consultants and ... according to the protocol and received no investigations (Table 1) Of these, 75.4% (49/65) experienced spontaneous defervescence, while the remainder underwent investigation per the protocol at the...

Ngày tải lên: 21/06/2014, 00:20

... analysis and review TM, JS, ES, BH, MM, CBH, and MA provided significant contribution in the writing and revision of the manuscript Competing interests The authors declare that they have no competing ... from the University of Utah Institutional Review Board (IRB) patients (32.6%) presented with abdominal pain, and 68 patients (50.1%) presented with both vaginal bleeding and abdominal pain The ... participated in the study had presented with pregnancy-related complaints of abdominal pain and/ or vaginal bleeding Research associates were present in the ED days per week from a.m until midnight The...

Ngày tải lên: 21/06/2014, 02:20

... they were either discharged or referred by the emergency room physician Total ED length of stay was defined as the time the patient arrived in the ED until the time they left the ED, either after ... emergency department (ED) visit length of stay, and total emergency department (ED) length of stay ED visit length of stay was defined as the time the patient arrived in the ED until the time they ... disputed 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...

Ngày tải lên: 21/06/2014, 03:20

... scientific presentations at national meetings in Canada and the U.S and a few presentations at continuing education meetings in Canada Intervention sites We intend to pursue simple and inexpensive ... required by the Canadian C-Spine Rule, and were categorized as indeterminate cases Seven of these 845 patients had clinically important CSI In the analysis that excluded the indeterminate cases, the ... strategy that is inexpensive and easy to adopt In other words, we wish to determine whether the Canadian C-Spine Rule can actually be adopted into clinical practice and whether the efficiency of...

Ngày tải lên: 11/08/2014, 05:22

... the hidden layer and two in the output layer, the latter indicating death versus survival Of the cohort 75% was used to train the network and 25% was used in testing The training criterion was ... test and the area under the ROC curve in this set were 8.96 (P = 0.4321) and 0.7119, respectively R153 The neural network included all of the independent variables Their weight, by the smoothing ... obtain a simple indicator of the risk for death under clinical conditions compatible with severe infections The system uses variables taken from the initial clinical interview and physical examination,...

Ngày tải lên: 12/08/2014, 22:21

... issue of the prescription of 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: ... the etiological diagnosis of the emergency physician found in the medical chart, we observed that administration of antibiotics was not always in accordance with that diagnosis, emphasizing the ... Firstly, assess the LR in subgroups of patients, according to the pretest probability determined by the physician; secondly, test an algorithm that includes PCT measurement; thirdly, test the usefulness...

Ngày tải lên: 13/08/2014, 08:21