... duration of their ischemic symptoms This may have influenced the grouping of patients according to the predetermined time frame and eventually affect the diagnostic indices ofthe group studied Inter-observer ... http://www.intjem.com/content/4/1/67 Page of Figure Flow chart ofthe study 24 h of onset of chest pain Figure shows the initial ECG findings intheEDThe majority of patients (72.5%) in this study ... assay and the quantitative cardiac troponin T test in diagnosing AMI intheED according to the time of onset of chest pain To verify whether there was any improvement inthe diagnostic indices...
... underwent invasive procedures such as CVC or AC insertion intheEDIn addition, invasive procedures not performed intheED were often performed early inthe ICU admission Other studies have reported ... (10/56) of patients who had a CVC inserted had this procedure performed intheEDThe majority of patients requiring a central venous catheter (30/56, 53.6%) had the CVC inserted within the first ... hours of admission to the ICU Similarly, arterial catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted intheED and 71.7% (71/99) inserted inthe first hours of ICU...
... are sometimes obtained during the inpatient evaluationEmergencydepartment management of seizure includes benzodiazepines and AEDs However, AEDs are not thought to be needed on a prophylactic ... worsening complications, such as obstructive hydrocephalus, edema, or impingement of nerve roots or the spinal cord Careful exam and history should be used to guide the clinician in determining the ... and pain management Consent Consent was obtained for publication ofthe details of this case and for publication of associated radiographic images Author details DepartmentofEmergency Medicine...
... centrifugal pump (Medtronic, Inc., Minneapolis, MN) CPB was initiated within 10 minutes ofthe decision for its use and 58 minutes after the arrival ofthe patient to the ED; the patient's core ... and approved the final manuscript Consent Written informed consent was obtained from the patient's next -of- kin for publication of this case report and any accompanying images A copy ofthe written ... the Editor -in- Chief of this journal Acknowledgements This report involved no sources of funding for any ofthe authors References 10 Mills JW, Danzl DF, Thomas DM: Accidental hypothermia in the...
... referred from a ward or an intensive care unit of other hospitals, were included inthe study than phlebotomy for the study proteins Three groups of patients were defined based on clinical findings, ... triangle) in (a) the diagnosis of infection and (b) predicting septic shock 0.1 Noninfected Infected C-reactive protein (CRP) and procalcitonin (PCT) concentrations in infected and noninfected patients ... required Noninfected patients Noninfected patients were those who, throughout their course of admission to the hospital or inthe examinations performed, had no evidence of infection clinically The...
... Page ofThe study was performed intheDepartmentof Intensive Care Medicine and theDepartmentofEmergency Medicine ofthe Bern University Hospital, a 960-bed tertiary care referral academic medical ... of score during the stay intheemergencydepartment was assessed in a multivariate logistic regression model including VSS initial and the increase in VSS points (VSSmax - VSSinitial) as predictors ... only in selected subgroups ofemergency patients The concept of adding up the VSS criteria applied in this study is analogous to the use ofthe sum of failing organs for the calculation of organ...
... dissemination ofthe clinical algorithm 19 Inthe process of data collation, we used the paper-based as the primary data source The paper records were the default in cases ofin consistencies Inthe ... aimed to assess the efficacy of a PEFR guided protocol in treating ED asthma Data showed that inthe management of acute asthma inthe ED, a PEFR guided protocol neither improved overall PEFR ... and Blood Institute (NHLBI) ofthe National Institutes of Health (NIH) inthe USA initially published guidelines for the diagnosis and management of asthma in 1991 .The guidelines were based on expert...
... understanding ofthe special nutrition problems ofthe aged are being intensively researched and tested, especially due to the increases inthe elderly inthe general population In developed countries, ... (by involving the elder in helping in its preparation, by setting the table, or by increasing the length of time allotted to meal time) increases food intake in demented subjects by restoring ... undernutrition [4] The diminution in resources mainly affects the widowed and subjects who are outcasts ofthe social system Exclusion originates most often from the lack of knowledge ofthe existing social...
... East, Abingdon, VA 24210 USA Authors’ contributions KC treated the patient intheED and was involved in drafting the manuscript LL cared for the patient intheED and was involved in drafting the ... and editing ofthe manuscript LP was involved in critical editing and revisions ofthe manuscript LL and LP participated in its design and coordination All authors read and approved the final ... information LL, Assistant Professor, DepartmentofEmergency Medicine, Brody School of Medicine at East Carolina University, Greenville, NC LP, Assistant Professor, DepartmentofEmergency Medicine,...
... written informed consent had been obtained The remaining serum samples (collected in VACUETTE® Z Serum Sep C/A tubes) were then transferred to the investigators after being kept at the Pathology Department ... obtained from the hospital medical records Concomitant use of other asthma medication was recorded Clinical measures of severity and response to therapy included improvement in percent predicted ... theDepartmentof Respiratory Medicine, RHH Acute COPD sample and data collection Serum aliquots were obtained from the remaining samples after routine blood examination was performed according...
... from the centre ofthe motorway and which stipulates the extent ofthe polygon inthe area of interest Inthe polygon thus marked out, the individual biotopes were vectored (Fig 4) Finally, their ... fixed into a system of coordinates A line set on the layer modified in this manner designates the centre ofthe motorway within the investigated section A buffer zone was created that takes in ... to their management inthe vicinity ofthe motorway These images were compiled into a time series depicting development ofthe landscape’s character, and then the impacts of these changes on migration...
... be necessary for delivering high inspired oxygen concentration and eliminating the work of breathing during resuscitation intheED Elimination of work of breathing can reduce systemic oxygen consumption ... drawn for the utility of PAC during acute resuscitation intheEDThe technical expertise required and demand imposed on nursing for this type of monitoring has limited its use intheED setting A ... measured using tonometric catheters inserted into the stomach or beneath the tongue, respectively [21,22] Gastric and sublingual PCO2 are measured using automated devices; the device used to...
... certainty inthe effects of interventions provided inthe ED; improving the understanding of existing physiologic measurements and their influence on outcomes; reducing variations in individual clinical ... Scoring systems developed for use intheemergencydepartment There are a number of physiologic scoring systems designed for use intheED setting, some of which are discussed below and summarized ... exhibited notable decreases in predicted mortality during theED stay The nontraditional use of these scores allowed the authors to show that the highest scores and predicted mortalities occurred...
... ofthe studies to be included in data pooling were also evaluated by a predetermined scoring system as shown below 29 4.5 Assessing quality of studies To score the quality of trials included ... been entered into Revman were printed out, and then checked back against the graphs in each ofthe full-text study if available, as the graphs allowed for an estimation ofthe difference in BMD ... gastrointestinal toxicity Studies that only report all gastrointestinal side effects were included inthe metaanalyses for “all gastrointestinal side effects” but not included inthe data pooling...
... or ED visits were recommended during the initial ED visit; for these subjects, the initial visit was considered scheduled from the ED, and any subsequent visits were considered non-scheduled The ... Febrile Child In Pediatric Emergency Medicine 2nd edition Edited by: Barkin R St Louis, MO: Mosby; 1997:926-931 Alpern ER: Fever In Textbook of Pediatric Emergency Medicine 4th edition Edited by: Fleisher ... which persisted inthe total and most ofthe subscale analyses Our evaluation generated results similar to those of prior studies ofthe PedsQL™, enhancing the validity of our findings Population...
... Physician in Internal Medicine, University of Pittsburgh Medical Center-Mercy Hospital NP is Senior House Officer inEmergency Medicine at Sundaram Medical Foundation PVR is Head of Department, Department ... Head of Department, Departmentof Surgery at Sundaram Medical Foundation JSD is International Emergency Medicine Fellow at Long Island Jewish Medical Center List of abbreviations ED: Emergency department; ... emergencydepartment management of acute undifferentiated febrile illness in India International Journal ofEmergency Medicine 2011 4:57 Competing interests The authors declare that they have...
... measured, and emergent drug adverse reactions were recorded at the same time points Methylergonovine was administered intravenously diluted in ml of saline at an initial dosage of 0.15 mg If pain intensity ... Head & Face Medicine 2009, 5:21 Background The treatment of migraine attacks intheemergency room includes the use of several kind of drugs, usually administered by parenteral route, ... of pain in our patients The degree of improvement, either considering the mean VAS score 60 minutes after dosing or the percentage of patients experiencing total pain relief, was similar to the...
... again inthe 1950s The fall ofthe French inthe fighting against the Communist Party of Indochina, led French investors to withdraw from the rubber estates in 1954 However, in Cambodia, the ... the hinterland of Indochina Instead, most ofthe colonial rubber estates were established inthe south of Vietnam and Cambodia The history ofthe expansion ofthe rubber estates in Indochina did ... enclosed land, a locked land, without a sea port This led to the building ofthe link roads of Indochina 395, until the situation changed when the Japanese moved into Indochina6 (op cit.) The French...
... is also the language used inthe listening and speaking tests ofthe HKCEE All these characteristics form the ground for the establishment of an integrated curriculum of Cantonese training It ... content design ofthe textbooks ofthe Chinese language is principally based on the HKCEE grading criteria Virtually, some Hong Kong people hold the point that training inthe use of Cantonese ... expressions, and realise the trend ofthe job market better For instance, inthe context of dealing with personal financial matters inthe banks, the focus ofthe design should include both the staff and...