evaluation of wounds in the emergency department ed

... 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 of the group studied Inter-observer ... http://www.intjem.com/content/4/1/67 Page of Figure Flow chart of the study 24 h of onset of chest pain Figure shows the initial ECG findings in the ED The majority of patients (72.5%) in this study ... 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...

Ngày tải lên: 20/06/2014, 23:20

... underwent invasive procedures such as CVC or AC insertion in the ED In addition, invasive procedures not performed in the ED were often performed early in the ICU admission Other studies have reported ... (10/56) of patients who had a 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 ICU Similarly, arterial 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...

Ngày tải lên: 13/08/2014, 23:20

... are sometimes obtained during the inpatient evaluation Emergency department 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 of the details of this case and for publication of associated radiographic images Author details Department of Emergency Medicine...

Ngày tải lên: 21/06/2014, 01:20

... centrifugal pump (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 ... 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 of the written ... the Editor -in- Chief of this journal Acknowledgements This report involved no sources of funding for any of the authors References 10 Mills JW, Danzl DF, Thomas DM: Accidental hypothermia in the...

Ngày tải lên: 11/08/2014, 23:21

... referred from a ward or an intensive care unit of other hospitals, were included in the 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 in the examinations performed, had no evidence of infection clinically The...

Ngày tải lên: 12/08/2014, 20:20

... Page of The study was performed in the Department of Intensive Care Medicine and the Department of Emergency Medicine of the Bern University Hospital, a 960-bed tertiary care referral academic medical ... of score during 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 ... only in selected subgroups of emergency patients The concept of adding up the VSS criteria applied in this study is analogous to the use of the sum of failing organs for the calculation of organ...

Ngày tải lên: 14/08/2014, 07:21

... dissemination of the clinical algorithm 19 In the process of data collation, we used the paper-based as the primary data source The paper records were the default in cases of in consistencies In the ... aimed to assess the efficacy of a PEFR guided protocol in treating ED asthma Data showed that in the management of acute asthma in the ED, a PEFR guided protocol neither improved overall PEFR ... and Blood Institute (NHLBI) of the National Institutes of Health (NIH) in the USA initially published guidelines for the diagnosis and management of asthma in 1991 .The guidelines were based on expert...

Ngày tải lên: 26/09/2015, 11:07

... understanding of the special nutrition problems of the aged are being intensively researched and tested, especially due to the increases in the elderly in the 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 of the social system Exclusion originates most often from the lack of knowledge of the existing social...

Ngày tải lên: 15/03/2014, 04:20

... 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 ... 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 ... information LL, Assistant Professor, Department of Emergency Medicine, Brody School of Medicine at East Carolina University, Greenville, NC LP, Assistant Professor, Department of Emergency Medicine,...

Ngày tải lên: 20/06/2014, 23:20

... 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 ... the Department of Respiratory Medicine, RHH Acute COPD sample and data collection Serum aliquots were obtained from the remaining samples after routine blood examination was performed according...

Ngày tải lên: 21/06/2014, 03:20

... from the centre of the motorway and which stipulates the extent of the polygon in the area of interest In the 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 of the motorway within the investigated section A buffer zone was created that takes in ... to their management in the vicinity of the motorway These images were compiled into a time series depicting development of the landscape’s character, and then the impacts of these changes on migration...

Ngày tải lên: 07/08/2014, 10:21

... be necessary for 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 ... 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 ... 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...

Ngày tải lên: 12/08/2014, 20:20

... 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 ... Scoring systems developed for use in the emergency department There are a number of physiologic scoring systems designed for use in the ED setting, some of which are discussed below and summarized ... exhibited notable decreases in predicted mortality during the ED stay The nontraditional use of these scores allowed the authors to show that the highest scores and predicted mortalities occurred...

Ngày tải lên: 12/08/2014, 22:21

... of the 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 of the full-text study if available, as the graphs allowed for an estimation of the difference in BMD ... gastrointestinal toxicity Studies that only report all gastrointestinal side effects were included in the metaanalyses for “all gastrointestinal side effects” but not included in the data pooling...

Ngày tải lên: 26/09/2015, 09:39

... 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 in the total and most of the subscale analyses Our evaluation generated results similar to those of prior studies of the PedsQL™, enhancing the validity of our findings Population...

Ngày tải lên: 18/06/2014, 19:20

... Physician in Internal Medicine, University of Pittsburgh Medical Center-Mercy Hospital NP is Senior House Officer in Emergency Medicine at Sundaram Medical Foundation PVR is Head of Department, Department ... Head of Department, Department of Surgery at Sundaram Medical Foundation JSD is International Emergency Medicine Fellow at Long Island Jewish Medical Center List of abbreviations ED: Emergency department; ... emergency department management of acute undifferentiated febrile illness in India International Journal of Emergency Medicine 2011 4:57 Competing interests The authors declare that they have...

Ngày tải lên: 21/06/2014, 00:20

... 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 in the emergency 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...

Ngày tải lên: 11/08/2014, 20:20

... again in the 1950s The fall of the French in the 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 of the colonial rubber estates were established in the south of Vietnam and Cambodia The history of the expansion of the rubber estates in Indochina did ... enclosed land, a locked land, without a sea port This led to the building of the link roads of Indochina 395, until the situation changed when the Japanese moved into Indochina6 (op cit.) The French...

Ngày tải lên: 21/02/2014, 04:20

Ngày tải lên: 12/06/2014, 11:37

... is also the language used in the listening and speaking tests of the HKCEE All these characteristics form the ground for the establishment of an integrated curriculum of Cantonese training It ... content design of the textbooks of the Chinese language is principally based on the HKCEE grading criteria Virtually, some Hong Kong people hold the point that training in the use of Cantonese ... expressions, and realise the trend of the job market better For instance, in the context of dealing with personal financial matters in the banks, the focus of the design should include both the staff and...

Ngày tải lên: 20/06/2014, 21:20