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Báo cáo khoa học: "Clinical review: Tokyo – protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance" ppt

Báo cáo khoa học:

Báo cáo khoa học: "Clinical review: Tokyo protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance" ppt

... 23% of the hospital staff experienced secondary exposure [1]. The ReviewClinical review: Tokyo protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevanceSumie ... beimplemented in the event of a chemical mass casualty event.Conclusion The following is a summary of the methods that can beemployed to protect health care workers during a chemical mass casualty event. ... themselves in the event of a chemical mass casualty incident.Secondary exposure in the Tokyo subwaysarin attackNo primary decontamination was performed at the scene of the Tokyo subway sarin attack....
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Báo cáo y học: " Clinical review: Vasculitis on the intensive care unit part 1: diagnosis" doc

... vessel vasculitides is the ANCA. Indirectimmunofluorescence identifies two clinically important patterns of staining: cytoplasmic ANCA (cANCA) and perinuclearANCA (pANCA). In WG and MPA, these are ... diagnoses is important in assuringappropriate therapy. Particular attention is paid to the more fulminant presentations of these conditionsand the role of the critical care physician in their ... florid organfailure, and so they are unlikely to be the cause of a patient’sadmission to critical care. Conclusion The vasculitides remain an important diagnostic challenge to the critical care physician....
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Báo cáo y học: "Clinical review: Vasculitis on the intensive care unit part 2: treatment and prognosis" ppsx

... Wegener’s granulomatosis. Laryngoscope2003, 113:1304-1307.31. Langford CA, Sneller MC, Hallahan CW, Hoffman GS, KammererWA, Talar-Williams C, Fauci AS, Lebovics RS: Clinical featuresand therapeutic ... [33].Cardiovascular managementIn addition to the impaired gas exchange caused by pulmonaryhaemorrhage, large volumes of blood may be lost into the alveolar space before haemorrhage becomes apparent ... apparent ashaemoptysis. As a result, patients with severe systemicvasculitis are often anaemic. This combination of hypoxia andanaemia may dramatically reduce oxygen delivery to the tissues.On admission...
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Báo cáo khoa học: "Clinical review: The implications of experimental and clinical studies of recruitment maneuvers in acute lung injury" pptx

... impact of RMs on intracranial pressure andcerebral metabolism in patients with acute cerebral injury andrespiratory failure, they observed an increase in intracranialpressure at the end of RMs and ... Influence of gas composition on recurrence of atelectasis after a reexpansion maneuver during generalanaesthesia. Anaesthesiology 1995, 82:832-842.24. Tusman G, Böhm SH, Vázquez de Anda GF, do Campo ... cytoskele-ton via the focal adhesion complex [11]. When the basementmembrane is strained, adherent epithelial cells must changeshape and the ratio of their surface (plasma membrane) totheir volume...
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Báo cáo khoa học: "Clinical review: Corticotherapy in sepsis" pot

... glucocorticoids.Later, important progress in our understanding of the role played by the hypothalamic–pituitary–adrenal axis in the response to sepsis, and of the mechanisms of action of glucocorticoids ... Carlet J, Heyland DK, King D, Lansang MA,Fisher CJ Jr: Corticosteroid treatment for sepsis: a criticalappraisal and meta-analysis of the literature. Crit Care Med1995, 23:1430-1439.38. Annane ... treatment. The increase in mean arterial bloodpressure was associated with an increase in systemic resis-tance and a reduction in cardiac index and heart rate, sug-gesting that the effects of...
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Báo cáo khoa học: "Clinical review: Outreach — a strategy for improving the care of the acutely ill hospitalized patient" pps

... the Canadian healthcare system: a systematic review and analy-sis of leading practices in Canada with reference to key initia-tives elsewhere. A report to Health Canada. [http://www.hc-sc.gc.ca/english /care/ report/index.html].34. ... and organization of health care, and are not simply a consequence of human error by the responsible clinician who is the terminal link in the chain.To improve safety and quality in health care ... emergency teams in Australia, and outreach care in the UK. Critical care has a central role to play in all threedevelopments, which share the common aim of improving the safe care of acutely ill patients...
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Báo cáo khoa học: "Clinical review: Reappraising the concept of immediate defibrillatory attempts for out-of-hospital ventricular fibrillation" pptx

... cardiac death: United States 1999. MMWR MorbMortal Wkly Rep 2002, 51:123-126.2. American Heart Association: American Heart Association 2002Heart and Stroke Statistical Update. Dallas, TX: American ... can perform an analysis of the VFwaveform and score the electrical signal. If the score is highenough (or low enough, depending on the analysis), then a shock would be advised. If missing the ... wasmeasured from the time of dispatch of emergency vehicles until the time of arrival at the street address (not time of collapse to arrival at the patient’s side). Adapted from Wik and coworkers...
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Báo cáo khoa học: "Clinical review: New technologies for prevention of intravascular catheter-related infections" pdf

... minocycline–rifampin have the advan-tage of coating both the internal and external surfaces of the catheters, and have been associated with a lower rate of infec-tion than have C-SS impregnated catheters. ... antimicrobial activity, and new materials thatCritical Care June 2004 Vol 8 No 3 Cicalini et al.16222. Oda T, Hamasaki J, Kanda N, Mikami K: Anaphylactic shockinduced by an antiseptic-coated ... rigorous aseptic techniques.Antimicrobial lock solutionAntimicrobial lock is a novel technique in which an antimicro-bial solution, often consisting of an anticoagulant along with an antibiotic agent,...
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Báo cáo khoa học: "Clinical review: Bedside assessment of alveolar recruitment" doc

... resis-tances are constant during inspiration, the shape of the airway pressure–time curve indicates the change in compli-ance during inflation. A concave downward shape indicatesthat compliance increases ... Illustration of the concept proposed by Ranieri andcolleagues to monitor recruitment and overdistension during tidal normal breaths. A mathematical equation allows one to analyze the aspect of the inspiratory ... assessment of alveolar recruitmentJean-Christophe Richard1, Salvatore M Maggiore2and Alain Mercat31Medical Intensive Care Unit, Rouen University Hospital, Rouen, France2Department of Anaesthesiology...
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Báo cáo khoa học: "Clinical review: Influence of vasoactive and other therapies on intestinal and hepatic circulations in patients with septic shock" ppsx

... clearance of the glucose precursorsalanine, pyruvate and lactate. Similarly, the PCO2gap was notaltered. The authors avoided mean arterial pressure drop bycareful exclusion of hypovolaemia ... 22:880-887.70. Lehmann C, Taymoorian K, Wauer H, Krausch D, Birnbaum J, KoxWJ: Effects of the stable prostacyclin analogue iloprost on the plasma disappearance rate of indocyanine green in humanseptic ... computerizedsearches. We placed emphasis on prospective, randomized,controlled clinical trials.Anatomy of hepato-splanchnic vascular bed The splanchnic vasculature includes both serial and parallelvascular...
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