most cases of abuse are reported by medical professionals

... indicators of the efficacy of drug therapy [7] Furthermore, in an era of rising health care expenditure, prognosticating outcome permits earlier detection of patients who will benefit most from ... decisions in emergency situations Most EDs are staffed for short-term stabilization of critically ill patients Because of overcrowding and prolonged ED lengths of stay, the care provided to patients with ... Use of the SOFA score to assess the incidence of organ dysfunction/failure in intensive care units: results of a multicenter, prospective study Working group on “sepsis-related problems” of the...

Ngày tải lên: 12/08/2014, 22:21

... the ED is incomplete The primary objective of this study is to determine the length of stay of critically ill patients receiving care in a tertiary care adult emergency department The secondary ... was not complete for some of the variables examined Despite this, we feel that the ED LOS and procedures completed which are reported are valid Finally, the number of patients included in this ... critically ill medical patients: evaluation using hospital mortality and quality of life at months J Intern Med 2006, 260(6):586-591 Svenson J, Besinger B, Stapczynski JS: Critical care of medical and...

Ngày tải lên: 13/08/2014, 23:20

... 1999) The medical directors 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, ... be carried out by health care providers delivering asthma care Education should start at the time of asthma diagnosis and should be integrated into every step of clinical asthma care Asthma selfmanagement ... degree of variation In view of this, we are unable to declare that guideline compliance was poor in the Chicago area, because this study has several limitations First, the study was based on self-reported...

Ngày tải lên: 26/09/2015, 11:07

... Assistant Professor, Department of Emergency Medicine, Brody School of Medicine at East Carolina University, Greenville, NC LP, Assistant Professor, Department of Emergency Medicine, Brody School of Medicine ... 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 ... publication of this case report and any accompanying images A copy of the written consent is available for review by the Editor-in-Chief of this journal Author details Department of Emergency...

Ngày tải lên: 20/06/2014, 23:20

... suggestive of myocardial infarction were triaged These cases were fast tracked, and seen by a paramedic or medical officer as soon as possible An ECG was performed mostly within 10 of presentation ... definition of AMI includes a combination of two out of three characteristics composed of clinical history, a rise and fall of cardiac biomarkers, and ECG changes Despite being guided by the WHO ... during the first 12 h of onset of chest pain The higher sensitivities of Cardio Detect® in the early phase of chest pain were also reported in other studies [30,31] The sensitivity of Cardio Detect...

Ngày tải lên: 20/06/2014, 23:20

... control tumor growth at areas of impingement or severe pain Chemotherapy and radiotherapy for MC are considered palliative in most cases Cooney and Cooney International Journal of Emergency Medicine ... publication of the details of this case and for publication of associated radiographic images Author details Department of Emergency Medicine and Undersea and Hyperbaric Medicine, SUNY Upstate Medical ... http://www.intjem.com/content/4/1/52 Page of Conclusion Meningeal carcinomatosis is a malignancy with poor survival rates The primary sites of this type of metastatic cancer are typically breast and lung,...

Ngày tải lên: 21/06/2014, 01:20

... However, these findings are usually difficult to interpret and are often not translated into clinical studies that compare the therapeutic outcome [19-22] There are a number of studies indicating ... adverse effects of racalbuterol are delivered solely by (R)-albuterol [9,23,24] The weight of evidence to date suggests that (S)-albuterol is inert, but the effects of high levels of (S)-albuterol ... (0.0-5.5) Total dose delivered by health-care officer 1.5 (0.0-0.25) Yee et al International Journal of Emergency Medicine 2011, 4:30 http://www.intjem.com/content/4/1/30 Page of Table Correlation between...

Ngày tải lên: 21/06/2014, 03:20

... use of large amounts of fluids and blood products secondary to a severe coagulopathy of hypothermia and subsequent vasodilation due to rewarming He received 12 liters of crystalloid, 15 U of packed ... events related to the rewarming of the patient Temporal events related to the rewarming of the patient Page of (page number not for citation purposes) Journal of Medical Case Reports 2008, 2:150 ... 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 of this journal Acknowledgements...

Ngày tải lên: 11/08/2014, 23:21

... R20 Members of the American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference Committee: American College of Chest Physicians/Society of Critical Care Medicine ... good marker of the severity of infection Our results were comparable with those from the study by Ugarte and colleagues [10]; at a cut-off value of 0.6 ng/ml, PCT had a sensitivity of 67.6%, a ... of IL-6 as a marker of severe infection A cut-off level of 2.0 ng/ml, however, is too high to be clinically useful of the disease, should be rapidly and conveniently measured, and should be of...

Ngày tải lên: 12/08/2014, 20:20

... acidosis are byproducts of anaerobic metabolism, and when they are measured in serum they can be useful markers of persistent tissue hypoxia or oxygen debt Rapid bedside determination of blood ... [48] indicated that intensive care is used in one out of five deaths in the USA, raising significant concerns regarding the appropriateness of the type of care offered to terminally ill, hospitalized ... Foundation ICU End -Of- Life Peer Group: Use of intensive care at the end of life in the United States: an epidemiologic study Crit Care Med 2004, 32:638-643 49 Berger JT: Ethical challenges of partial...

Ngày tải lên: 12/08/2014, 20:20

... Critical Care 2011, 15:R25 http://ccforum.com/content/15/1/R25 Page of The study was performed in the Department of Intensive Care Medicine and the Department of Emergency Medicine of the Bern ... al Critical Care 2011, 15:R25 http://ccforum.com/content/15/1/R25 Page of Table Frequency and results of Chi-square test of single VSSinitial criteria VSSinitial parameter Frequency of single VSS ... scale, VSS, Vital Sign Score The results of Chi-square tests of single VSSinitial criteria are given as odds ratio, Cramer’s V (degree of association of single VSS criteria and hospital mortality;...

Ngày tải lên: 14/08/2014, 07:21

... 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 of Emergency Medicine ... International Journal of Emergency Medicine 2011, 4:57 http://www.intjem.com/content/4/1/57 Medical Foundation AR is Medical Director and Head of Department, Department of Surgery at Sundaram Medical Foundation ... Protocol for the management of adult patients with acute undifferentiated fever Page of patients were managed either by the protocol or as deemed most appropriate by the evaluating physician...

Ngày tải lên: 21/06/2014, 00:20

... inhibitor of tPA and the resistance of the reactive loop to cleavage The lower portion of b-sheet A is filled by unfolding of the F-helix (yellow) Right, the F-helix is displaced by the reactive loop of ... properties of a neuroserpin mutant (Eur J Biochem 271) 3363 Table Rate of polymerization of neuroserpin at 0.4 mgÆmL)1 as measured by densitometry from nondenaturing PAGE The results are the mean of ... severe, with an age of onset of disease  20 years earlier [3] This earlier age of onset is in keeping with the faster rate of polymerization of Ser52Arg neuroserpin compared with Ser49Pro neuroserpin...

Ngày tải lên: 07/03/2014, 16:20

Ngày tải lên: 12/06/2014, 11:37

... two cases, patients reported “multi-racial” as their selfreported race For statistical analysis, these patients were classified as non-Caucasian Patients were asked about their medical care during ... “Have you been to a health care professional (OB, family practitioner, midwife) for care during this pregnancy?” Patients were asked to report the date of the first day of their last menstrual period, ... a primary care provider for prenatal care prior to the ED visit (53% vs 49.3%, p = 0.663, OR = 1.16, 0.59-2.28) Among those who were seen by a primary care provider (n = 69), rates of prenatal...

Ngày tải lên: 21/06/2014, 02:20

... 2009/2010 Summer Medical Student Scholarships of the Heart and Stroke Foundation of Ontario (Emily Austin) Author details Department of Medicine, Division of Emergency Medicine, University of Toronto, ... the diagnosis of acute coronary syndrome in the chart by the staff cardiologist or internist) Patients whose charts indicated Referral patterns and ED length of stay A total of 55% of patients ... fibrillation In our study, 14.7% of all those with at least one set of troponins and 26.6% of those with two or more sets had positive troponins Of importance, 98% of patients with positive troponins...

Ngày tải lên: 21/06/2014, 03:20

... 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, namely non-steroidal antiinflamatory ... selected, continuous monitoring of the ECG was performed during the all the observation period Data were analyzed by means of GraphPad Prism version 5.0 (GraphPad Software, San Diego, California, ... assessed by means of a Visual Analog Scale (VAS) just before drug administration and 5, 10, 15, Complete disappearance of pain was reached by 66 (52.8%) patients 30 minutes after dosing and by 93...

Ngày tải lên: 11/08/2014, 20:20

... diagnoses of the patients are summarized in Table Agreement between the two experts occurred in 89% of cases for the diagnosis of bacterial/parasitic infection and in 93% of cases for the diagnosis of ... 2.5% of them [11,12] During the duration of the present study, the patients included accounted for 1.3% of the total number of medical emergency consultations, assuming that the majority of febrile ... judgement of etiology Conversely, one might speculate that knowledge of PCT measurement in some cases of intermediate pre- Page of (page number not for citation purposes) Critical Care Vol 11...

Ngày tải lên: 13/08/2014, 03:21

... 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 complex issue of the ... 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: Firstly, ... in subgroups of patients, according to the pretest probability determined by the physician; secondly, test an algorithm that includes PCT measurement; thirdly, test the usefulness of PCT on the...

Ngày tải lên: 13/08/2014, 08:21