fast is it useful in children

... scoring systems developed specifically for prognosticating outcome in ED patients Scoring systems in the intensive care unit Intensivists have used a variety of physiologic scoring systems in clinical ... in clinical decision making over the past few decades There is currently increased emphasis regarding their use in continuous quality improvement processes, as entry criteria in clinical research ... well with APACHE II score in a comparison analysis (r = 0.85; P < 0.01) [64] RAPS, when initiated in the prehospital setting and extended into the full APACHE II score upon admission, is highly...

Ngày tải lên: 12/08/2014, 22:21

... physiologic data in critically ill patients is beneficial in patient outcomes, and may result in a reduction in ICU admissions [4,13,15] It is unclear if the management provided for patents in this study ... Pulmonary Disease * Traumatic Brain Injury + Diabetic ketoacidosis = Other: epistaxis, chart incomplete (2), suicide attempt, supraglotitis swelling, neck haematoma ! Reason for ICU admission not ... patients with ED diagnosis) * Procedure completed within hours of ICU admissions $ Procedure completed >6 hours after ICU admission, but within first 24 hours of ICU admission % Other: hospitalist,...

Ngày tải lên: 13/08/2014, 23:20

... when compared with current management as it is practiced in Singapore (Abisheganaden, 1998) Enhancing second-line therapy to avoid inappropriate hospital admissions, patient disposition based upon ... algorithm for acute asthma is the hospitalization rate However, the algorithm in this study 28 did not define the specific criteria for hospital admission but instead left it to the doctors in ... an intensity was left to the judgment of the attending doctors in 2000 and guided by a simple treatment protocol in 2001(page 18) This resulted in some variation in treatment intensity but it is...

Ngày tải lên: 26/09/2015, 11:07

... proceed with vaginal cuff repair Transvaginal eviscerations have resulted in two reported deaths; therefore, it is important to include it in the differential diagnosis of a woman presenting with ... manuscript, major 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 ... Cite this article as: Lawson et al.: Transvaginal evisceration progressing to peritonitis in the emergency department: a case report International Journal of Emergency Medicine 2011 4:66 Submit...

Ngày tải lên: 20/06/2014, 23:20

... AMI in patients presenting with chest pain in the ED setting General objectives The diagnostic indices and clinical utility of qualitative Cardio Detect® test kit in the diagnosis of AMI in the ... necrosis, including instituting reperfusion therapy The World Health Organization (WHO) criteria for the definition of AMI includes a combination of two out of three characteristics composed of clinical ... days), including intramuscular injection Patients with acute or chronic skeletal muscle damage or disorders including rhabdomyolysis, dermatomyositis, muscular dystrophy, and polymyositis Patients...

Ngày tải lên: 20/06/2014, 23:20

... stroke-like It is uncommon for MC to be diagnosed in patients without a previous diagnosis of cancer [3] In the review by Taillibert et al facial weakness was an associated initial finding in only ... 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 ... doi:10.1186/1865-1380-4-52 Cite this article as: Cooney and Cooney: Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department International Journal of Emergency Medicine 2011 4:52 Submit...

Ngày tải lên: 21/06/2014, 01:20

... Dose administered in the preceding 24 h, including dose administered prior to the hospital presentation b Dose administered by health-care officer, as recorded in hospital medical history *p < 0.05 ... The results of this investigation are in line with a previous study that found minimal change in QTc intervals after repeated dosing of a high dose of b2-agonist [36] The findings suggest that ... obtained from Medical Isotopes, Inc., Pelham, NH) as internal standard In brief, the samples were 60-min post-initial test 51 (21-69) 60 (31-78) Total rac-albuterol utilisation in preceding 24...

Ngày tải lên: 21/06/2014, 03:20

... during his perihypothermic time interval (creatinine kinase 988 U/liter, creatinine kinase antibodies 109.6 ng/ml, CK-MB index 11.1 ng/ml, myoglobin 2323 ng/ml and troponin I 117.65 ng/ml) His ... console with an external drive motor and heater unit The pre-assembled perfusion circuit consisted of a Biomedicus centrifugal pump (Medtronic, Inc., Minneapolis, MN) CPB was initiated within 10 minutes ... resuscitation in other hospital settings, such as the ICU and ED, and in other clinical situations to include cardiogenic shock, witnessed cardiac arrest, massive pulmonary embolism, near drowning,...

Ngày tải lên: 11/08/2014, 23:21

... Wound and soft tissue infection 11 19.0 Biliary tract infection and cholecystitis 8.6 Bacteremia 3.4 Epiglottitis 1.7 Appendicitis, with positive ascites culture 1.7 Data analysis Central venous ... Procalcitonin in paediatric cancer patients: its diagnostic relevance is superior to that of C-reactive protein, interleukin 6, interleukin 8, soluble interleukin receptor and soluble tumour necrosis ... variable independently associated with mortality Discussion The diagnosis of bacterial infection in acutely ill patients is not always straightforward Infection, in contrast with colonization, involves...

Ngày tải lên: 12/08/2014, 20:20

... studies have raised questions regarding the utility of PAC in the intensive care unit (ICU) setting because this type of monitoring does not translate into a decrease in mortality or morbidity as compared ... Milrinone Dopexamine Combined Dopamine Epinephrine Vasomotor Norepinephrine Phenylephrine Vasopressin resuscitation outcomes (Table 3) Adequacy and timing of acute resuscitation, as well as definitive ... or sublingual mucosa, and is consistent with global tissue ischemia [23] The delayed response of mucosal PCO2 to therapy limits its use for realtime monitoring of acute resuscitation Infrared...

Ngày tải lên: 12/08/2014, 20:20

... VSS, Vital Sign Score Discussion The main finding of this study was that VSS scores based on simple criteria to assess vital sign instability within the first 15 minutes of admission to the emergency ... and organisation our institution is comparable to other university hospitals in Switzerland and in other countries Despite the need to extract vital signs data from the patient records in a substantial ... in a large group of unselected patients needing hospital admission We hypothesised that a scoring system based on the established MET criteria might aid in early recognition of patients at risk...

Ngày tải lên: 14/08/2014, 07:21

... validated in a controlled fashion in order to confirm these findings as well as to assess its safety Author’s information TS is a Resident Physician in Internal Medicine, University of Pittsburgh ... mortality [15] in the emergency department setting This protocol has the more modest goals of reducing costs, avoiding unnecessary testing and inappropriate therapies, and reducing antibiotic resistance ... who initially presented within the first Thangarasu et al International Journal of Emergency Medicine 2011, 4:57 http://www.intjem.com/content/4/1/57 Figure Final diagnosis of adult patients with...

Ngày tải lên: 21/06/2014, 00:20

... is in keeping with the faster rate of polymerization of Ser52Arg neuroserpin compared with Ser49Pro neuroserpin It was surprising that Ser52Arg neuroserpin was almost inert when incubated with ... neuroserpin remains partly active as a proteinase inhibitor [6] In keeping with this, the CD profile of Ser52Arg neuroserpin is similar to that of the polymeric conformation in which b-sheet A is filled ... explain the increased number of inclusions in individuals with Ser52Arg compared with those with the Ser49Pro mutation Moreover the inactivity of the mutant may result in uncontrolled activity...

Ngày tải lên: 07/03/2014, 16:20

Ngày tải lên: 12/06/2014, 11:37

... their ED visit Of those who had reported visiting a health care provider prior to their ED visit, folic acid supplementation was similar between these two groups Given these findings, this study ... in the ED may be a viable public health initiative This intervention could be as simple as screening childbearing-age women for folic acid use and providing an information sheet on the benefits ... HK, Mulinare J, Berry RJ, Friedman JM, Erickson JD: Raceethnicity differences in folic acid intake in women of childbearing age in the United States after folic acid fortification: findings from...

Ngày tải lên: 21/06/2014, 02:20

... resolve any 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) ... assays [19] While it was not within the scope of this study, our work raises interesting questions about the possibility of identifying patients with specific symptoms or characteristics who warrant ... Use and misuse of cardiac troponins in clinical practice Prog Cardiovasc Dis 2007, 50(2):151-165 Ng SI, Krishnaswamy P, Morrisey R, Clopton P, Fitzgerald R, Maisel AS: Mitigation of the clinical...

Ngày tải lên: 21/06/2014, 03:20

... the same time points Methylergonovine was administered 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 ... methylergonovine administration until reaching a mean value of 0.46 ± 1.1 60 minutes after dosing As it can be seen in Figure 1, the decrease in pain severity was statistically significant and clinically ... Medicine 2009, 5:21 Figure 0.0001 in relation the monitored time size) Pain intensity overto baseline; ES: effect period (***: p < Pain intensity over the monitored time period (***: p < 0.0001 in...

Ngày tải lên: 11/08/2014, 20:20

... C, Pittet D, Ricou B, Grau GE, Vadas L, Pugin J: Diagnostic value of procalcitonin, interleukin-6, and interleukin-8 in critically ill patients admitted with suspected sepsis Am J Respir Crit ... Westendorp RG, van Dissel JT: Endotoxin, cytokines, and procalcitonin in febrile patients admitted to the hospital: identification of subjects at high risk of mortality Clin Infect Dis 2000, 31:1343-1348 ... Comparison of procalcitonin with C-reactive protein, interleukin and interferon-alpha for differentiation of bacterial vs viral infections Pediatr Infect Dis J 1999, 18:875-881 Christ-Crain M,...

Ngày tải lên: 13/08/2014, 03:21

... usefulness of PCT on the outcome (antibiotic administration, morbidity, mortality) in a randomized study as recently performed by Christ-Crain et al [4] References Grimes DA, Schulz KF Refining ... Critical Care Vol 11 No van Oers et al intermediate pretest probability and maybe not in patients with a low or high pretest probability This hypothesis deserves further studies Thirdly, it ... Bingisser 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...

Ngày tải lên: 13/08/2014, 08:21