how common are burns and fire related deaths among children
Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
Ngày tải lên :
12/08/2014, 22:21
... between how scoring systems were derived and how they are being used clinically Scoring systems in trauma Trauma scoring systems have also been used in the triage of trauma patients and to predict ... scoring and outcome prediction are innovative but relatively novel concepts As a result, few scoring systems are specific to the ED setting Most scoring systems are applicable upon ICU admission and ... during, and after critical care transport Limited physiologic parameters available on transport (i.e pulse, blood pressure, respiratory rate, and GCS) were used and scored numerically [64] RAPS correlated...
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Báo cáo y học: " Critical Care in the Emergency Department: An assessment of the length of stay and invasive procedures performed on critically ill ED patients" doc
Ngày tải lên :
13/08/2014, 23:20
... phase and the initial 24 hours after ICU admission and included patient demographics, ED diagnosis, Canadian Triage Acuity score (CTAS), critical care procedures performed, and the ED and hospital ... the ED LOS and procedures completed which are reported are valid Finally, the number of patients included in this study was relatively small and trauma patients, cardiac patients and patients ... conceived and designed the study JM reviewed and extracted patient data Both RG and JM analyzed the data RG prepared the manuscript, and both authors have read and approved the final manuscript Acknowledgements...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
Ngày tải lên :
26/09/2015, 11:07
... from 1976 to 1995 for adults and there is considerable morbidity among asthmatics, corticosteroids are under-used, and patients' knowledge and selfmanagement skills are poor (Ng,1999; Tan, 2000) ... reported that many of the Chicago-area EDs provided asthma care that was consistent with key aspects of national guidelines However, in certain critical areas of care, the EDs demonstrated a high ... Singapore that describe the prevalence, morbidity and mortality and their relationships with environmental and medical care factors These studies showed that there was no evidence of a temporal...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
Ngày tải lên :
20/06/2014, 23:20
... need for emergent care and hospital admission Ann Emerg Med 1996, 27(4):493-500 15 Gill JM, Reese CL, Diamond JJ: Disagreement among health care professionals about the urgent care needs of emergency ... 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 manuscript Authors’ information ... 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 manuscript, major revisions, and editing of the manuscript...
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Báo cáo hóa học: " Evaluation of the diagnostic indices and clinical utility of qualitative cardiodetect® test kit in diagnosis of ami within 12 hours of onset of chest pain in the emergency department" pptx
Ngày tải lên :
20/06/2014, 23:20
... supply and demand It occurs when myocardial ischemia exceeds a critical threshold and overwhelms myocardial cellular repair mechanisms that are designed to maintain normal operating function and ... 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 diagnostic ... and sent home [5] The morbidity and mortality in these patients were high Patients could be misdiagnosed and inappropriately discharged especially if they presented with atypical chest pain and...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
Ngày tải lên :
21/06/2014, 01:20
... the 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 ... times less specific and sensitive than MRI Contrast-enhanced MRI is preferred, and larger doses of gadolinium are thought to reduce the false-negative rate [2] Hydrocephalus and contrast enhancement ... of seizure includes benzodiazepines and AEDs However, AEDs are not thought to be needed on a prophylactic basis Treatment of MC-associated headache, neck, and back pain should include analgesics,...
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Báo cáo hóa học: " Albuterol enantiomer levels, lung function and QTc interval in patients with acute severe asthma and COPD in the emergency department" pptx
Ngày tải lên :
21/06/2014, 03:20
... Relationship between QTc interval and albuterol levels Recorded QTc interval and (R)-, (S)- and total albuterol levels and are shown in (a), (b) and (c) respectively (R)-, (S)- and total albuterol levels ... outcomes compared to the equivalent dose of rac-albuterol [16-18] However, these findings are usually difficult to interpret and are often not translated into clinical studies that compare the therapeutic ... Forbes AB, McNeil JJ, Haydn Walters E: Are asthma medications and management related to deaths from asthma? Am J Respir Crit Care Med 2001, 163(1):12-8 26 Handley DA, Tinkelman D, Noonan M, Rollins...
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Báo cáo y học: "Successful resuscitation of an elderly man with deep accidental hypothermia using portable extracorporeal circulation in the emergency department: a case report" pps
Ngày tải lên :
11/08/2014, 23:21
... Disease Control and Prevention: Hypothermiarelated deaths – United States, 1999–2002 and 2005 MMWR 2006, 55:282-284 Herity B, Daly L, Bourke GJ, Horgan JM: Hypothermia and mortality and morbidity: ... oxygen, and warming blankets The decision was made for extracorporeal rewarming and resuscitation 0845 – 0900 Patient was heparinized, CPS unit was assembled and primed, and arterial and venous ... mg, and liters of warm 0.9% NaCl As the aircraft landed, a pulse and blood pressure became unobtainable He arrived on a backboard with a cervical collar in place, his trachea intubated, and a...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
Ngày tải lên :
12/08/2014, 20:20
... present in the C cell of the thyroid gland In bacterial infection and sepsis, however, intact PCT is found in the blood and, more importantly, its level is related to the severity of sepsis [10,11,13] ... sensitive and specific marker of bacterial infection compared with CRP and the white blood cell (WBC) count We also hypothesized that the PCT level is related to the severity of infection Materials and ... 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 and noninfected patients...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
Ngày tải lên :
12/08/2014, 20:20
... transtracheal needle jet ventilation, and fiberoptic bronchoscopy are among the airway rescue devices that are available under such circumstances [1] Where there are anatomic or pathologic distortions ... bioimpedance); these are discussed below Although each method has distinct advantages, they also each have limitations, and it is important for the clinician to understand the strengths and limitations ... output, filling pressures, and SvO2 can guide therapy to optimize cardiac function, normalize SvO2, and restore the balance between systemic oxygen delivery and consumption However, recent controlled...
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Báo cáo y học: "Risk assessment in the first fifteen minutes: a prospective cohort study of a simple physiological scoring system in the emergency department" ppsx
Ngày tải lên :
14/08/2014, 07:21
... Maquet Critical Care AB, Omnicare Clinical Research AG, and Orion Corporation; and research and development/consulting contracts with Edwards Lifesciences SA, Maquet Critical Care AB, and Nestlé The ... VSS scores were compared pair-wise using Pearson’s Chi square test Additionally, Kaplan-Meier survival plots were constructed and log rank and Chi-square tests were used to compare survival in groups ... primary care centre for a large urban area as well as a tertiary care centre for specialized evaluation and treatment of a population of approximately 1.5 million With regard to structure and organisation...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
Ngày tải lên :
21/06/2014, 00:20
... collection and edited manuscript; and AR supervised the study design and edited the manuscript JSD reviewed the available literature, edited for content, and prepared the manuscript All authors read and ... unnecessary investigations and inappropriate antimicrobial therapy standardized approach to evaluating these patients Evidence-based protocols have been shown to be costeffective [14] and improve mortality ... eligible patient was stable and had had less than days of fever, all investigations and antimicrobial therapy were deferred, and the patient was prescribed antipyretics and asked to return to the...
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Báo cáo khoa học: Neuroserpin Portland (Ser52Arg) is trapped as an inactive intermediate that rapidly forms polymers Implications for the epilepsy seen in the dementia FENIB ppt
Ngày tải lên :
07/03/2014, 16:20
... spectropolarimeter The path length and slit width were 1.0 cm and nm, respectively The fluorescence and CD measurements were performed at the incubation times of 3, 6, 12, and 24 h to confirm equilibrium ... an average of and mg for wild-type and Ser49Pro neuroserpin, respectively, when expressed under the same conditions Wild-type, Ser49Pro and Ser52Arg neuroserpin migrated as single bands on SDS, ... Ser49Pro and Ser52Arg neuroserpin at 37 °C or 45 °C and separating the resulting mixture by nondenaturing PAGE Ser52Arg neuroserpin readily formed polymers at 0.4 mgÆmL)1 and 37 °C, which were apparent...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
Ngày tải lên :
21/06/2014, 02:20
... patient and physician may affect the efficacy of physician counseling and recommendations We have not specifically evaluated the multiple questions related to the provider-patient dynamic and how ... be related to discrepancies in the prenatal care provided between Caucasian and non-Caucasian patients who saw a physician prior to their ED visit Of those who had reported visiting a health care ... unique to our catchment area, or whether these lower rates, particularly among non-Caucasian patients, may have been due to characteristics of the primary care network or health care initiatives in...
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Báo cáo hóa học: " Troponin utilization in patients presenting with atrial fibrillation/flutter to the emergency department: retrospective chart review" ppt
Ngày tải lên :
21/06/2014, 03:20
... age > 75 years, diabetes, and points for transient ischemic attack or stroke Table Troponin testing and results Total one set of troponins were 374 and 289.5 min, and 808 and 375.5 min, respectively ... were and were not treated for ACS There are also inherent limitations of a retrospective chart review, such as the lack of clinical homogeneity among the different sites, missing clinical data, and ... trial and data collection, and drafted the manuscript EA was a data abstractor, helped with literature review, and edited the first draft of the manuscript RM provided statistical advice and analyzed...
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báo cáo khoa học: " Efficacy and tolerability of intravenous methylergonovine in migraine female patients attending the emergency department: a pilot open-label study" pdf
Ngày tải lên :
11/08/2014, 20:20
... shown to be effective and well tolerated [2], and its intravenous administration has been advocated in the management of status migrainosus [3] However, dihydroergotamine, which is a cheap and ... associated to an antiemetic and, on the other hand, is not available worldwide Methylergonovine is available in many countries, both in oral and parenteral formulations, and has a very low acquisition ... Authors' contributions AINM, GCG and WMB diagnosed and treated patients EPC and FR participated in the design of the study and drafted the manuscript All authors read and approved the manuscript's...
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Báo cáo khoa học: " Serum procalcitonin measurement as diagnostic and prognostic marker in febrile adult patients presenting to the emergency department" pdf
Ngày tải lên :
13/08/2014, 03:21
... analysis was performed using a computer and NCSS 2001 software (Statistical Solutions Ltd, Corke, Ireland) Results The flow diagram of the study is depicted in Figure Among the 19,460 atraumatic patients ... bacterial/parasitic infections The diagnostic performance of PCT is shown and compared with that of the emergency physician in Table For PCT, the area under ROC curve was 0.766 (95% CI 0.697 to 0.821; P ... neurodegenerative disease) and all three had PCT concentrations above μg/l (5.8, 36 and 316 μg/l) Univariate analysis showed that age, body temperature, white blood cell count, Creactive protein and PCT were...
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Báo cáo y học: "Does serum procalcitonin have a diagnostic value in febrile adult patients presenting to the emergency department" potx
Ngày tải lên :
13/08/2014, 08:21
... Critical Care Vol 11 No van Oers et al intermediate pretest probability and maybe not in patients with a low or high pretest probability ... 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: Firstly, ... cardiac surgery A comparative study between coronary artery bypass graft, valve, and combined cardiac surgery Crit Care 2007, 11:R106 Christ-Crain M, Jaccard-Stolz D, Bingisser R, Gencay MM, Huber...
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