management of the armed violent patient
Báo cáo y học: "Management of the critically poisoned patient" potx
... which limits the use for direction of care in the acute setting [15] When used appropriately, diagnostic tests may be of help in the management of the intoxicated patient In the patient whose ... administered in cases of suspected or confirmed ingestion of ethylene glycol or methanol Fomepizole prevents the conversion of these agents to the metabolites associated with the majority of the toxic effects ... [24-27] There are several concerns in regard to utilizing the osmol gap as a screening tool in the evaluation of the potentially toxic-alcohol poisoned patient If a patient' s ingestion of a toxic...
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Medical management of the hospitalized alcoholic patient
... Treatment of Alcohol Withdrawal Syndrome CPRC The Problem Patients may not tell physician about alcohol use if they are not asked about it Patients usually will state they use much less alcohol than they ... manifestation of alcohol withdrawal Affects < 5% of patients Mortality 15%, due to: myocardial infarction respiratory arrest sepsis As age increases, risk of DTs increases Rare in patients < 30 years of ... stimulation of brain causes increased sensitivity of neurons Repeated episodes of acute alcohol withdrawal may stimulate kindling and seizures…each time a patient has alcohol withdrawal syndrome the...
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Assessment and Management of the Elderly Patient with Multiple Sclerosis pot
... Care in the Elderly 2012:4 Elderly patient with multiple sclerosis Pain Pain is one of the most common symptoms of MS and can be seen in more than half of all patients with MS Pain can either be ... mobility in patients with MS.5 Furthermore, exercise can help counteract the effects of disuse atrophy Given the potential implications of serious falls, many older patients may develop a “fear of falling” ... density in patients with MS There are currently no clinical guidelines in the evaluation, prevention and treatment of osteoporosis in MS patients.53 The current recommendations of screening the general...
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Báo cáo y học: " An integrated approach to diagnosis and management of severe haemoptysis in patients admitted to the intensive care unit: a case series from a referral centre" ppsx
... characteristics of the patients managed using one of the three main initial therapeutic options (conservative measures, BAE or surgery) and to help better define the role of BAE, according to the severity of ... of the volume of haemoptysis (median, quartile) on admission according to the cause Distribution of the volume of haemoptysis (median, quartile) on admission according to the cause Plots of the ... arteriography Distribution of the cumulated volume of haemoptysis on ICU admission, according to the first attempt of bronchial arteriograFigure phy Distribution of the cumulated volume of haemoptysis on...
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Báo cáo y học: "Roundtable debate: Controversies in the management of the septic patient – desperately seeking consensus" ppsx
... because they got blood but rather the timing of how much fluid they received At the end of 72 hours, both groups received the same amount of fluid but it was frontloaded in the early goal-directed therapy ... intake My immediate therapeutic concern is the tachycardia, the nature of the cardiac rhythm, and the possibility of myocardial ischemia Dr A As we stand at the bedside, reviewing the admission laboratory ... present the reasoning and preferences of a group of intensivists who met to discuss the management of an actual case Throughout this presentation, the focus is on management, with emphasis on the...
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Báo cáo khoa học: "Optimal management of the high risk surgical patient: beta stimulation or beta blockade" pdf
... assess the adequacy of DO2 Pearse et al [9] also measured ScvO2 in most of the patients investigated in their study assessing the efficacy of GDT [8] They reported that ScvO2 fluctuated over the ... that beta-blockade therapy increased the risk of death in patients with RCRI scores below is much more robust, as this analysis included the vast majority of the patients (80% of the cohort) Second, ... agents were used in 18% of 700,000 patients who had no contraindication for beta-blockade, and the outcome of these patients receiving beta-blockade was compared to the other patients, using a propensity...
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Tài liệu Nursing Care of the Pediatric Neurosurgery Patient pdf
... Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) Eye squeeze None Min Mod (0–9% of the time) (10–39% of the time) (40–69% of the time) Max (>70% of the time) ... system of the brainstem, just above the midbrain The assessment of consciousness is closely tied to the assessment of eye findings because of the anatomic proximity of the midbrain to the nuclei of ... impact the assessment will be the age of the child, the family dynamics, the nature of the child’s illness, the setting in which the assessment takes place, and input from other member of the multidisciplinary...
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Type 1 Diabetes Clinical Management of the Athlete potx
... and racing In the early days of my diabetes, it was the consistency that had gone The main issue was not actually the controlling of the diabetes; it had more to with the refueling of my body To ... strongly supported by the growth in the clinical research knowledge base of the effects of diabetes on the physiological response to exercise, on the effect of exercise on the response to hypoglycaemia ... modulated as the duration of the exercise increases and as the intensity of the activity changes Since one of the main fuels for exercise is carbohydrate, glucose utilization by the working muscle...
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Diagnosis, Evaluation, and Management of the Hypertensive Disorders of Pregnancy pot
... of BP BP should be measured with the woman in the sitting position with the arm at the level of the heart (II-2A) An appropriately sized cuff (i.e., length of 1.5 times the circumference of the ... as the objective of statin therapy is to decrease long-term cardiovascular risk, the potential risks of statin therapy (over the nine months of pregnancy) may outweigh the potential benefits of ... Of note, the protocol for women in the MgSO4 arm of the largest of these trials, the Collaborative Eclampsia Trial, did not include administration of benzodiazepines for seizure termination The...
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NASA’S MANAGEMENT OF THE MARS SCIENCE LABORATORY PROJECT potx
... checks the overall health of the spacecraft Central control of the entire flight system is under control of the flight software running in the RCE, the same architecture as was used for the Mars ... (Flight Software, continued) Task Description The RCE is the key element of the MSL avionics subsystem, which entirely controls the MSL spacecraft Rover flight software is the software in the main ... 2014 In light of the importance of the MSL Project to NASA’s Mars Program, the Office of Inspector General conducted an audit to examine whether the Agency has effectively managed the Project to...
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Guideline for Management of the Clinical Stage 1 Renal Mass pptx
... experience The number of patients who have undergone OPN reported in the literature exceeds the number of patients who have undergone all other forms of treatment combined (excluding ORN) for the treatment ... discuss with the patient the current understanding of the natural history of clinical stage renal masses, the relative risks of benign vs malignant pathology and the potential role of active surveillance ... comments; the Panel revised the document based on the comments received The guideline was submitted first for approval to the Practice Guidelines Committee of the AUA and then forwarded to the AUA...
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báo cáo hóa học:" The reliability, validity, and preliminary responsiveness of the Eye Allergy Patient Impact Questionnaire (EAPIQ)" docx
... frequency as the more pertinent index of severity, whereas patients consider intensity of bother to be of greater salience Consequently, instead of deleting either the 'intensity of bother' or 'frequency ... concise Further validation of the EAPIQ was conducted using the revised questionnaire at two allergy clinics in the US and Canada (146 patients) Of the 49 original items in the questionnaire, the 43 ... excluded from further analyses because of the high frequency of missing data for these items The high frequency of missing data for these items is likely due to a large number of patients (for example,...
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Báo cáo y học: "Left ventricular diastolic dysfunction of the cardiac surgery patient; a point of view for the cardiac surgeon and cardio-anesthesiologist" pptx
... pulmonary hypertension The mainstay of management of DD starts with the prompt recognition and diagnosis of this entity and relies on the aggressive management of the underlie aetiology of this insidious ... (PCWP) [44,45] Therefore, additional measurement of PCWP by using a Swan-Ganz catheter may be in this phase useful in estimating the time course of diastolic dysfunction and the effect of therapeutic ... schematically the pathophysiology of DD According to echocardiographic depiction, filling of normally relaxed LV is completed in two phases: the first phase is due to the passive filling of the LV,...
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báo cáo khoa học: "Successful interdisciplinary management of the misdeployment of two self-expanding stents into the internal carotid artery: a case report" pps
... misdeployment of the two stents became apparent Instead of being inserted in a coaxial way, the distal end of the lower and the proximal end of the upper stent were found side by side B) Both stents and the ... function on the left side At first the proximal ICA was dissected circumferentially beyond the level of the carotid bifurcation after uneventful clamping The removal of the proximal stent from the common ... improve the cerebral perfusion and should have prompted immediate action The omission of the examination of the posterior circulation vessels, which would have shown the complexity of the cerebral...
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Báo cáo y học: "Systematic review: Intra-aortic balloon counterpulsation pump therapy: a critical appraisal of the evidence for patients with acute myocardial infarction" doc
... First, we ask if the assignment of patients was randomized? In the Randomized IABP Trial [10], randomization took place at the end of the initial emergency catheterization, before the patient was ... improved the prognosis of patients with AMI, the inhospital mortality rate of AMI patients with cardiogenic shock remains as high as 55% [8] The main cause for early mortality (within 48 h of onset of ... state their exact method of randomization Although there is no direct evidence in either of these three trials of lack of concealment, a situation where a clinician may know in advance that a patient...
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Báo cáo y học: "Clinical review: How to optimize management of high-risk surgical patients" doc
... to the fact that management is individually tailored to the requirements of each patient The use of a fixed dose will result in the unnecessary use of dopexamine in some patients, who are therefore ... group of the patients further benefit may be accrued with the additional use of vasoactive therapy Figure Identify at risk patient Investigate according to ACC/AHA Task Force guidelines Use of vasoactive ... to apply management protocols correctly precludes the use of the study by Sandham and coworkers [12] to draw conclusions regarding the efficacy of GDT, useful evidence of the safety of PAC insertion...
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Báo cáo y học: "GASNet.org: Management of the difficult airway" pdf
... this is the consensus statement from the American Society of Anesthesiologists presenting the evidence (or lack thereof) and recommendations for different airway management options Sponsors The GASNet ... University of California at San Diego It is useful for intensivists planning on stocking a difficult airway kit for their intensive care unit ASA Practice Guidelines for the Management of the Difficult ... for use in the patient with a difficult airway GASNet.org has many industry sponsors The complete list is available online (http://www.gasnet.org/about/partners.php) Competing interests The author(s)...
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Báo cáo khoa học: "Advances in protocolising management of high risk surgical patient" doc
... that used in the study and is run by the nurse assigned to the care of the patient Immediately on return from the operating theatre, the patient is connected to the Lidco monitor via the radial ... intravenous colloid and then with the addition of dopexamine at a dose no higher than µg/kg/min The target value is not reached in a minority of patients, usually because the heart rate increases ... estimated that because of the projected reduction in hospital stay there should be an annual cost saving of at least £2,000,000 It is encouraging to note that at the time of writing the Pearse and colleagues'...
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Báo cáo khoa học: "Clinical review: Initial management of blunt pelvic trauma patients with haemodynamic instability" ppt
... leaving the abdomen free for laparotomy One must be aware of the possibility of nerve lesions and of perforation of the pelvic organs, particularly in cases of comminutive fractures of the sacrum, ... false aneurysm The selectivity of catheterization and the type of occlusion agents depends, on one hand, on the type of lesion and its accessibility; on the other hand, it depends on the need for ... fixation device, by implanting pins in the crest of the coccyx bone, behind the anterior superior iliac spine and above the roof of the acetabulum, between the anterior superior and anterior inferior...
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Medical Care of the Liver Transplant Patient pps
... retransplantation in the context of limited donor organs and the closely related problem of recurrence of the original liver disease in the liver graft Although the basic principles of medical care for the liver ... Establish the presence of significant liver disease Assess the likelihood that transplantation will prolong survival and/or improve the quality of life Determine the level of interest on the part of the ... is best for the transplant center to evaluate the risk SELECTION AND EVALUATION OF THE RECIPIENT of surgery in the context of the potential benefit of transplantation It should further be noted...
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