infant seen in the emergency department ed for crying has several fractures at varying stages of healing w
Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
... 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 familiar ... sepsis, has been used as a predictor of outcome in patients admitted to the ICU from the ED [52] SIRS in combination with an elevated lactate (≥ mmol/l) in the ED was found to be 98.2% specific for ... 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...
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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
... recorded in the medical record were recorded as not being preformed Data was collected for phases of medical care: the prehospital phase, ED phase and the initial 24 hours after ICU admission and included ... available data in the medical record was recorded into the database Missing data that was unavailable in the medical record were also noted and data analysis was based on available data Procedures not ... 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%...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
... 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 ... pneumonia were excluded Patients in whom the clinical diagnosis of asthma was not made with confidence were also excluded Clinical severity was categorized according to simple rules developed in the ED ... 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 response to treatment nor reduced admission...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
... 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 ... parallels the approach taken in our case: stabilization including fluid therapy, wrapping the exposed bowel in saline-soaked gauze, and administration of Lawson et al International Journal of Emergency ... morphine was administered for pain control Sterile moist gauze was placed over the eviscerated bowel, and the gynecology department was immediately consulted for surgical management of the patient...
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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
... within 10 of presentation to the ED The ECG was repeated after h of the first ECG if indicated After informed consent was obtained, a blood sample was drawn either through a needle or aspirated ... circulation was detected using the point -of- care Cardio Detect® med card The med card was stored in a designated refridgerator in the ED Satellite Laboratory All med cards were sealed in a plastic ... 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...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
... et al facial weakness was an associated initial finding in only 25% of patients with MC, and seizure was only noted in 14% [2] The fact that the patient exhibited aphasia, extremity weakness, and ... 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 ... participated in the care of the patient and provided case details DC prepared images, reviewed reports, and performed literature searches Both DC and NC reviewed the literature and provided authorship...
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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
... [33] However, a 60-min Yee et al International Journal of Emergency Medicine 2011, 4:30 http://www.intjem.com/content/4/1/30 PEF was used instead of the 30-min PEF as used in the AAI, as it was ... concentrations remain unknown, and further investigations are required Acknowledgements The authors wish to acknowledge the staff of the RHH DEM for their assistance with patient recruitment, RHH Department ... (Pathology), RHH, was informed of each subject’s participation, through a secure collaborative network, after written informed consent had been obtained The remaining serum samples (collected in...
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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
... (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 ... 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 consent is available for review by the Editor -in- Chief ... prothrombin time was 16.1 seconds, partial promboblas- Figure Temporal events related to the rewarming of the patient Temporal events related to the rewarming of the patient Page of (page number not for...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
... infection status of the patients The study was approved by the Institutional Review Board of the hospital, and informed consent was waived in view of the lack of need for additional blood sampling Study ... present in 36.2% of the infected 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 ... NPVs for severe sepsis, for bacteremia, and for death at various cut-off levels The cut-off values of the two mediators for diagnosing infection were not reported In their study 108 patients were...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
... ventilation (i.e mechanical ventilation) may be necessary for delivering high inspired oxygen concentration and eliminating the work of breathing during resuscitation in the ED Elimination of work ... raising significant concerns regarding the appropriateness of the type of care offered to terminally ill, hospitalized patients That survey emphasizes the importance of informed participation of ... hospitalization as compared with invasive mechanical ventilation [7] Furthermore, the frequency of other complications associated with barotrauma, the need for continuous sedation, and prolonged immobility...
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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
... in the emergency department and entered in a database created for the purpose of the study Patients treated on an outpatient basis were not included In cases where the data were not duplicated ... information was extracted from the hospital database Secondary outcome was the combined endpoint ICU admission or death in ED The combined endpoint was chosen to account for the fact that death ... study was approved by the Ethical Committee of the Canton of Bern, and adheres to the tenets of the Declaration of Helsinki The need for informed consent was waived provided that purely observational...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
... culture performed All patients were then treated according to the results of investigations as deemed appropriate In order to assess the feasibility of the implementation of this protocol, data were ... majority of these patients were presenting on the 1st or 2nd day of fever (Figure 2) Of the 113 AUFI patients who presented within the first days of fever, 57.5% (65/113) were treated according to the ... therapy was prescribed to 35 of the 113 AUFI patients 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...
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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
... inactive folding intermediate These polymers explain the increased number of inclusions in individuals with Ser52Arg compared with those with the Ser49Pro mutation Moreover the inactivity of the mutant ... a1-antichymotrypsin and showed that the reactive loop was partially inserted into b-sheet A [25] The F-helix was unfolded and inserted into the lower part of b-sheet A, which explains the increased stability ... there was no gross distortion of structure The melting point temperature was determined by monitoring the change in CD signal at 216 nm while increasing the temperature at °CÆmin)1 (Fig 5B) In the...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
... pregnant patients who 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 ... this population from the information we have gathered It is unclear whether low rates of folic acid supplementation may have been unique to our catchment area, or whether these lower rates, particularly ... Journal of Emergency Medicine 2011, 4:38 http://www.intjem.com/content/4/1/38 Page of [12,13] Further research would seem indicated to determine the efficacy of an ED- based folic acid supplementation...
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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
... the patient arrived in the ED until the time 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 ... checks, and meetings were scheduled to 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 ... were treated for ACS truly required the treatment Further, due to the design of our study, we did not look at adverse events in patients who were and were not treated for ACS There are also inherent...
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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
... intramuscular or intravenous formulations, has been shown to be effective and well tolerated [2], and its intravenous administration has been advocated in the management of status migrainosus [3] However, ... Methods The study was done in the Emergency Departments of two hospitals of the district of Santa Marta, in Colombia Inclusion criteria were female adult patients experiencing migraine with or without ... frequency were 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...
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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
... discrimination ability of the final model was quantified by using the area under the ROC curve with its 95% CI The calibration of the final model was assessed using the Hosmer-Lemeshow goodness -of- fit ... viral infection; in 33 of these patients the infection was acute and in two it was chronic (without an alternative aetiology for the fever) A total of 41 patients were deemed to be in the 'other' ... magnitude of the rise in PCT correlated with the severity of infectious disease (Figure 3) Indeed, more than half of the patients with PCT above μg/l in the emergency room were either transferred to the...
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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
... 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 ... 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: ... Effect of procalcitonin-guided treatment on antibiotic use and outcome in lower respiratory tract infections: cluster-randomised, single-blinded intervention trial Lancet 2004, 363:600-607 Page of...
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Báo cáo y học: " Risk scoring systems for adults admitted to the emergency department: a systematic review" potx
... field, we therefore decided to perform a systematic review of the literature on scoring systems developed or validated in the MAU We hypothesized that the existing scoring systems would have a low ... was to evaluate the implementation of a standardized early warning scoring system (SEWS) A total of 848 patients were included, 435 after the implementation of SEWS In the SEWS cohort, they found ... Early Warning Score (EWS)[19] used a composite endpoint Discriminatory power and calibration Discriminatory power (i.e the ability to identify patients at increased risk of meeting the endpoint) was...
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Tìm thêm: xác định các mục tiêu của chương trình xác định các nguyên tắc biên soạn khảo sát chương trình đào tạo của các đơn vị đào tạo tại nhật bản khảo sát chương trình đào tạo gắn với các giáo trình cụ thể xác định thời lượng học về mặt lí thuyết và thực tế tiến hành xây dựng chương trình đào tạo dành cho đối tượng không chuyên ngữ tại việt nam điều tra đối với đối tượng giảng viên và đối tượng quản lí điều tra với đối tượng sinh viên học tiếng nhật không chuyên ngữ1 khảo sát thực tế giảng dạy tiếng nhật không chuyên ngữ tại việt nam phát huy những thành tựu công nghệ mới nhất được áp dụng vào công tác dạy và học ngoại ngữ các đặc tính của động cơ điện không đồng bộ hệ số công suất cosp fi p2 đặc tuyến mômen quay m fi p2 đặc tuyến tốc độ rôto n fi p2 động cơ điện không đồng bộ một pha sự cần thiết phải đầu tư xây dựng nhà máy thông tin liên lạc và các dịch vụ phần 3 giới thiệu nguyên liệu từ bảng 3 1 ta thấy ngoài hai thành phần chủ yếu và chiếm tỷ lệ cao nhất là tinh bột và cacbonhydrat trong hạt gạo tẻ còn chứa đường cellulose hemicellulose chỉ tiêu chất lượng 9 tr 25