remote management of trauma and critical care

... Page i Textbook of Neuroanaesthesia and Critical Care Page ii DEDICATION To our patients Page iii Textbook of Neuroanaesthesia and Critical Care Edited by Basil F Matta MB BCh ... 23 Intensive Care Management of Intracranial Haemorrhage Leisha S Godsiff, Basil F Matta 329 24 Postoperative Care in the Neurointensive Care Unit Helen L Smith 343 25 Management of Acute Ischaemic ... at increased risk of stroke Sensory Nerves and Head Pain The anatomy of the sensory innervation to the cranium is important for an understanding of the basis of certain types of headache Furthermore,...

Ngày tải lên: 10/08/2014, 00:21

... out of 76 patients in one study of head-injured patients and 11 of the 18 died.39 Tindall et al40 showed that a transient rise in PaCO2 often preceded the development of an A wave and Lassen and ... such as mannitol and dexamethasone can reduce posttraumatic and peritumoral oedema respectively and thus augment cerebral perfusion pressure and oxygen delivery Similarly, the use of haemodynamic ... mitochondria and cause efflux of Ca2+ and K+ into the cytosol and increases in levels of arachidonic acid, which is the rate-limiting substrate for prostanoid synthesis Increase of arachidonic...

Ngày tải lên: 10/08/2014, 00:21

... (ml) of blood and indicator, λb and λi the specific heat of blood and indicator, and ρb and ρi the density of blood and indicator If time is brought into the equation, the volumes become flows and: ... Kingdom and Ireland: a survey of practice and implications for management Crit Care Med 1996; 24: 1743–1748 Kety SS, Schmidt CF The determination of cerebral blood flow in man by the use of nitrous ... radiographic confirmation of catheter tip position (at the level of and just medial to the mastoid bone), withdrawal of blood at a rate < ml/min and careful attention to head position are mandatory Jugular...

Ngày tải lên: 10/08/2014, 00:21

... increase the level of the injury Careful handling of patients and the prevention of hypoxaemia and hypovolaemia are very important Large doses of methylprednisolone (30 mg/kg within h of injury followed ... environment during surgery and this requires a thorough understanding of the pathophysiology of carotid artery disease and careful anaesthetic management Research directed at areas of controversy, such ... example in spinal surgery and craniofacial operations Systolic blood pressures of 50 mmHg and above are well tolerated by children under the age of 10 and of 70 mmHg and above in children over...

Ngày tải lên: 10/08/2014, 00:21

... areas of the gland and inhibit the production of, in ascending order of occurrence: gonadotrophins, prolactin, ACTH and, rarely, TSH This results in secondary inhibition of the peripheral glands ... macroglossia and decreased mobility of the neck and temporomandibular joints Hypertrophy of pharyngeal and laryngeal soft tissue obscures the glottis Thyroid enlargement may distort the airway and cause ... AJ (eds) Management of trauma: pitfalls and practice, 2nd edn Williams and Wilkins, Baltimore, 1996, pp 212–213 93 Braken MB, Shepard MJ, Collins WF et al A randomised, controlled trial of methylprednisolone...

Ngày tải lên: 10/08/2014, 00:21

... management of paediatric head injury Page 323 ABCS Following trauma, care of the airway and the cervical spine merit equal priority and stabilization of the cervical spine with sandbags/tape or trauma ... Survey of critical care management of comatose, head-injured patients in the United States Crit Care Med 1995; 23: 560–567 20 Matta BF, Menon DK Severe head injury in the United Kingdom and Ireland: ... Anaesthetists of Great Britain and Ireland Recommendations for the transfer of patients with acute head injuries to neurosurgical units AAGBI, London, 1996 75 Royal College of Surgeons of England Report of...

Ngày tải lên: 10/08/2014, 00:21

... intensive management of certain parameters may be indicated The neurocritical care management of acute stroke and the benefit of specific monitoring modalities and interventions remain the subject of ... intensive care of acute stroke? • If so what should be offered in terms of monitoring and therapy? • In the light of the prevalence of stroke, these questions are of major importance to health -care ... evidence of beneficial effect with neuroanatomical and neurophysiological endpoints as well as clinical data Intensive Care Management of Acute Stroke Causes of Death in Stroke and Indicators of Poor...

Ngày tải lên: 10/08/2014, 00:21

... complications of BSD are highlighted in Tables 27.6 and 27.7 and Figure 27.1 and 27.2 Diagnosis of Brain Death The criteria for the diagnosis of brain death published by the Honorary Secretary of the ... continued high standard of nursing care, the use of invasive monitoring and prompt treatment to preserve organ function will increase the chances of successful organ donation The patient management ... Group of Conference of Medical Royal Colleges and their Faculties in the United Kingdom Diagnosis of death BMJ 1976; ii: 1187–1188 Working Group of Conference of Medical Royal Colleges and their...

Ngày tải lên: 10/08/2014, 00:21

... Critical Care February 2002 Vol No Ramakrishnan of hyperglycaemia in critically ill patients A total of 1548 medical and surgical patients were randomised on admission ... periods intensive care: that of harm minimisation and risk management Microcirculation and oxygen delivery Dr Can Ince of the Academic Medical Center, Amsterdam, The Netherlands, presented his ... assist the development of further trials of transfusion and appropriate use of blood products in ICU patients Most of the sessions on sepsis focused on the role of coagulation and the factors affecting...

Ngày tải lên: 12/08/2014, 18:21

... • 1265730 WorldDSL Local and Remote Management of HDSL and G.SHDSL Circuits Management Cards Ordering Information Description Model Number Part Number Management Card Management Card with External ... clicking on a discovered node, management is invoked quickly and easily w w w a d c c o m • + - - - 8 • - 0 - 6 - 6/03 • 1265730 WorldDSL Local and Remote Management of HDSL and G.SHDSL Circuits WorldDSL ... identical to viewing the front panel of the modem itself A double-click on the screen image of the modem of interest enables all of the management and control capabilities of the EES-897 w w w a d c ...

Ngày tải lên: 04/12/2015, 01:55

... one of six IMAI and IMCI guideline modules relevant for HIV care: ❖ ❖ ❖ ❖ ❖ ❖ IMAI Acute Care IMAI Chronic HIV Care with ARV Therapy and Prevention IMAI General Principles of Good Chronic Care ... instead of streptomycin ❖ If pregnant and HIV status not known, offer HIV testing and counselling and explain benefits of knowing HIV status (offer PMTCT interventions— see section 8.6 of Chronic ... “TB” refers to TB disease and not TB infection The order of the sections of this module corresponds to the order of the steps in the management of a TB patient Some parts of this module apply to...

Ngày tải lên: 06/03/2014, 04:20

... because of a variety of factors influencing GPs’ recognition and management of anxiety and depressive disorders These factors are related to (a) patients, such as lack of recognition of having ... depression and anxiety guidelines, collaboration with professionals and institutions specialised in mental healthcare and GPs’ levels of burnout This questionnaire is developed and used in the Netherlands ... Flowchart of participating patients Patient inclusion and exclusion criteria Inclusion criteria are an age of 18 years and older, a score on the Dutch version of the EK-10 of 20 or higher, and/ or...

Ngày tải lên: 10/08/2014, 11:20

... Critical Care April 2003 Vol No Scales Overall, I found the trauma scenarios to be well presented and educational More importantly, they were actually fun to work through, and seemed ... group of medical users I would highly recommend a visit to this site to anyone with an interest in trauma care Best feature Interactive nature of the clinical scenarios Worst feature Several of ... cardiac life support, of acute leg swelling and of acute coronary syndrome The cases are detailed and well presented Each ‘decision point’ has several correct answers, and I found that this made...

Ngày tải lên: 12/08/2014, 19:22

... intensive care unit (ICU) and up to week afterwards [6-9] Former ICU patients may have more short-term sleep disturbances caused by both the period of critical care and the high prevalence of concurrent ... in sleep quality after a critical care period Difficulties in falling asleep and the quality of sleep were affected and remained altered at 12 months in 38% and 20% of former ICU patients, respectively ... disturbances caused by both the period of critical care and the presence of concurrent diseases Chronic diseases are known to affect sleeping patterns, and the prevalence of sleep disturbances in such...

Ngày tải lên: 13/08/2014, 11:22

... diagnosis and management of head and neck cancer Overview of treatment of the primary tumour and neck This section addresses the first line treatment of head and neck cancer Management of recurrent ... in the recognition and management of acute and late radiation toxicity 29 diagnosis and management of head and neck cancer 10 Treatment: palliation of incurable disease Head and neck cancer may ... of the carotid sheath 13 diagnosis and management of head and neck cancer 5.2.2 surgical treatment Neck dissection removes both the soft tissue and the lymph nodes A number of modifications of...

Ngày tải lên: 14/02/2014, 22:20

... age and maturity of the child and the preferences of the child and the parents should be taken into account 1.2.2 Identification and classification of overweight and obesity 1.2.2.1 Healthcare ... rice and pasta • Eat at least five portions of a variety of fruit and vegetables each day, in place of foods higher in fat and calories • Eat a low-fat diet and avoid increasing your fat and/ or ... recommending and/ or providing ongoing support Delivery: for health professionals in primary and secondary care and community settings 1.1.7.2 Health professionals should discuss the range of weight management...

Ngày tải lên: 21/02/2014, 11:20

... the extent and structure of the demand for health care and health expenditures In the case of longterm care, there are other important effects that concern the structure of health care and institutional ... participation of women may affect the future supply of informal family care- giving and may increase the demand for professional home care and institutional care Second, changes in family structure and ... determining the extent and structure of the demand for health care and health expenditures The spectrum of diseases of the elderly is different from that of the younger population and the intensity...

Ngày tải lên: 05/03/2014, 18:20

... pace of adoption was influenced by several drivers First among these were the 2003 mandate of the US Department of Defense (DoD) and 2005 mandate by the United States Office of Management and ... structure and convenor of a “market venue”: what requirements and issues of market design and structure would be; price formation and price discovery, transaction and timing costs, and information and ... the validity and authenticity of the use of an address The efforts to improve the security of the routing system and offer capabilities to support the integrity of the operation of a market in...

Ngày tải lên: 06/03/2014, 21:20

... across all aspects of health and social care services, examining the present quality and accessibility of services, and the extent to which the needs of patients, clients, carers and communities ... representatives, independent care providers, and colleagues within health and social care in other parts of the UK and the Republic of Ireland (see Appendix for a full list of the stakeholders engaged ... new model of care is described and contrasted with the existing model of care using case studies The report details the impact of the new model across 10 areas of care Population Health and Wellbeing...

Ngày tải lên: 07/03/2014, 04:20

... occurred; and considering the nature of the environment and personal and other factors to understand why it has occurred Factors such as a person’s motivation, co-morbidities, and the costs and benefits ... for the Management of Overweight and Obesity in Adults xvii EVIDENCE-BASED STATEMENTS AND RECOMMENDATIONS MEASUREMENT There are no perfect clinical measures of overweight and obesity, and in some ... thermic effect of food, and the energy cost of physical activity.8 The basal metabolic rate and the thermic effect of food account for about 60 to 70 per cent and about 10 per cent of daily energy...

Ngày tải lên: 08/03/2014, 14:20