burns and smoke inhalation
Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
Ngày tải lên :
12/08/2014, 22:21
... scores, the four-item symptom score and the six-item clinical score, were tested and validated in different cohorts in Taiwan and were found to have good sensitivity and specificity for predicting ... size and power for the development and validation of the model [21,75-79]; analysis of the relationships among the predictive variables and actual patient outcome for overall calibration and reliability ... prospective, observational cohort study, patients were enrolled and their scores were computed at ED admission, ED discharge, and at 24, 48 and 72 hours in the ICU The authors applied these scoring...
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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
Ngày tải lên :
13/08/2014, 23:20
... phase and the initial 24 hours after ICU admission and included patient demographics, ED diagnosis, Canadian Triage Acuity score (CTAS), critical care procedures performed, and the ED and hospital ... conceived and designed the study JM reviewed and extracted patient data Both RG and JM analyzed the data RG prepared the manuscript, and both authors have read and approved the final manuscript Acknowledgements ... the ED LOS and procedures completed which are reported are valid Finally, the number of patients included in this study was relatively small and trauma patients, cardiac patients and patients...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
Ngày tải lên :
26/09/2015, 11:07
... Design: A non-randomized, controlled trial Subjects were adults aged > 14 years with a diagnosis of acute asthma exacerbation We compared treatment and outcome before (n= 330, 2000) and after (n=344, ... of nebulized salbutamol and ipratropium as first line treatment; 2) intravenous hydrocortisone and magnesium sulfate with repeat nebulizations as second line treatment and 3) oral prednisolone ... bronchoconstriction and airway edema 1.1.4 Further understanding of the pathogenesis As mentioned before, asthma is not a single disease entity but rather a syndrome with a multitude of presentations and, most...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
Ngày tải lên :
20/06/2014, 23:20
... manuscript LP was involved in critical editing and revisions of the manuscript LL and LP participated in its design and coordination All authors read and approved the final manuscript Authors’ information ... appearing well and in no acute distress, with a temperature of 36.8 C°, pulse of 70, and blood pressure of 142/97 mmHg Initial abdominal examination demonstrated no tenderness to palpation and no peritoneal ... eviscerated bowel, and the gynecology department was immediately consulted for surgical management of the patient The patient was given a bolus of l normal saline and intravenous ertapenam and metronidazole...
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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
Ngày tải lên :
20/06/2014, 23:20
... and sent home [5] The morbidity and mortality in these patients were high Patients could be misdiagnosed and inappropriately discharged especially if they presented with atypical chest pain and ... for both test kits Sensitivity, specificity, PPV, NPV, and ROC were obtained for the Cardio Detect and TnT (individually and in combination) and for the repeated Cardio Detect test All diagnostic ... supply and demand It occurs when myocardial ischemia exceeds a critical threshold and overwhelms myocardial cellular repair mechanisms that are designed to maintain normal operating function and...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
Ngày tải lên :
21/06/2014, 01:20
... patients with MC, and seizure was only noted in 14% [2] The fact that the patient exhibited aphasia, extremity weakness, and facial droop is likely secondary to the patient’s brain mass and edema Although ... times less specific and sensitive than MRI Contrast-enhanced MRI is preferred, and larger doses of gadolinium are thought to reduce the false-negative rate [2] Hydrocephalus and contrast enhancement ... enhancement of the meninges and sulci are common findings Other testing, such as CSF flow studies and PET scans are not appropriate for the ED setting Meningeal biopsy and non-specific biomarkers...
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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
Ngày tải lên :
21/06/2014, 03:20
... Relationship between QTc interval and albuterol levels Recorded QTc interval and (R)-, (S)- and total albuterol levels and are shown in (a), (b) and (c) respectively (R)-, (S)- and total albuterol levels ... (Buckingham, UK) Page of brought to room temperature, and the internal standard and ammonia buffer were added to each aliquot before solid-phase extraction and analysis by LC-MS or LCMS/MS The lower limit ... digoxin toxicity and a probable atrial flutter, respectively Six subjects (3 male and female) were identified with prolonged QTc intervals ( > 440 ms and > 450 ms for males and females respectively);...
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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
Ngày tải lên :
11/08/2014, 23:21
... oxygen, and warming blankets The decision was made for extracorporeal rewarming and resuscitation 0845 – 0900 Patient was heparinized, CPS unit was assembled and primed, and arterial and venous ... established and patient was intubated Vitals were bradycardia with HR 33/minute, BP of 86/51 mm Hg, and tympanic temperature of 25.5°C Warm IV fluids were given and hot packs were applied to groins and ... mg, and liters of warm 0.9% NaCl As the aircraft landed, a pulse and blood pressure became unobtainable He arrived on a backboard with a cervical collar in place, his trachea intubated, and a...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
Ngày tải lên :
12/08/2014, 20:20
... patients (P < 0.001) The median serum CRP and PCT concentrations in infected and noninfected patients were 102.75 and 5.30 mg/l (P < 0.001) and 0.93 and 0.47 ng/ml (P = 0.001), respectively (Fig ... patients was only 50.9%, and that for PCT was only 50.0% (Table 4) The BT and the CRP level (r = 0.37, P < 0.001), the WBC count and the CRP level (r = 0.32, P = 0.001), and the CRP and PCT levels (r ... Shu-Chin Tsai, Mei-Chuang Chang, and Li-Ling Lin for their help, and thank Mr Jackson Lin and Level Biotech Co for technical assistance and support Dr Chan, Dr Chang and Dr Tseng contributed equally...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
Ngày tải lên :
12/08/2014, 20:20
... and splanchnic perfusion, and can precipitate multiple organ dysfunction [34,35] Aggressive fluid resuscitation should focus on the use of efficient plasma volume expanders such as colloids and ... method has distinct advantages, they also each have limitations, and it is important for the clinician to understand the strengths and limitations of the method employed in order to utilize the ... attempt to normalize CVP and ScvO2 can improve global oxygenation and result in better survival Cardiac output can be measured continuously using the lithium dilution method and arterial waveform...
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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
Ngày tải lên :
14/08/2014, 07:21
... department and hospital length of stay and were assessed with less time delay by an emergency physician (Table 2) Table summarizes the number of patients and hospital mortality per VSSinitial and VSSmax ... evaluation and treatment of a population of approximately 1.5 million With regard to structure and organisation our institution is comparable to other university hospitals in Switzerland and in other ... Hospital and University of Bern, Freiburgstrasse, 3010 Bern, Switzerland 2Department of Emergency Medicine, Bern University Hospital and University of Bern, Freiburgstrasse, 3010 Bern, Switzerland...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
Ngày tải lên :
21/06/2014, 00:20
... collection and edited manuscript; and AR supervised the study design and edited the manuscript JSD reviewed the available literature, edited for content, and prepared the manuscript All authors read and ... eligible patient was stable and had had less than days of fever, all investigations and antimicrobial therapy were deferred, and the patient was prescribed antipyretics and asked to return to the ... more modest goals of reducing costs, avoiding unnecessary testing and inappropriate therapies, and reducing antibiotic resistance and rates of misdiagnosis We have described a protocol that represents...
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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
Ngày tải lên :
07/03/2014, 16:20
... spectropolarimeter The path length and slit width were 1.0 cm and nm, respectively The fluorescence and CD measurements were performed at the incubation times of 3, 6, 12, and 24 h to confirm equilibrium ... an average of and mg for wild-type and Ser49Pro neuroserpin, respectively, when expressed under the same conditions Wild-type, Ser49Pro and Ser52Arg neuroserpin migrated as single bands on SDS, ... snap-frozen in liquid nitrogen, and stored until the completion of the experiment They were then thawed and boiled for Proteins were separated by SDS/PAGE [10% (w/v) gel] and visualized by staining...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
Ngày tải lên :
21/06/2014, 02:20
... study TM, JS, ES, BH, MM, CBH, and MA contributed to the data analysis and review TM, JS, ES, BH, MM, CBH, and MA provided significant contribution in the writing and revision of the manuscript ... patient and physician may affect the efficacy of physician counseling and recommendations We have not specifically evaluated the multiple questions related to the provider-patient dynamic and how ... day of their last menstrual period, and gestational age was calculated based on this The survey was one that we developed and that underwent internal revision and validation without an external...
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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
Ngày tải lên :
21/06/2014, 03:20
... age > 75 years, diabetes, and points for transient ischemic attack or stroke Table Troponin testing and results Total one set of troponins were 374 and 289.5 min, and 808 and 375.5 min, respectively ... trial and data collection, and drafted the manuscript EA was a data abstractor, helped with literature review, and edited the first draft of the manuscript RM provided statistical advice and analyzed ... between January and December 2008 were generated by the health records departments at each center All patients with the primary and secondary diagnosis of atrial fibrillation and atrial flutter...
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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
Ngày tải lên :
11/08/2014, 20:20
... Authors' contributions AINM, GCG and WMB diagnosed and treated patients EPC and FR participated in the design of the study and drafted the manuscript All authors read and approved the manuscript's ... associated to an antiemetic and, on the other hand, is not available worldwide Methylergonovine is available in many countries, both in oral and parenteral formulations, and has a very low acquisition ... systolic blood pressure and pain intensity Results One hundred and twenty five patients participated in the study One hundred and eleven (88.8%) suffered migraine without aura and 14 (11.2%) migraine...
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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
Ngày tải lên :
13/08/2014, 03:21
... of biomarkers in the different febrile groups: Valuesand viral, bacterial and parasitic infections none (noninfectious), and viral, bacterial and parasitic infections (a) Procalcitonin (PCT) (b) ... infection and in 93% of cases for the diagnosis of viral infection Study design flow diagram and outcomes F, female; M, male; PCT, outcomes procalcitonin All statistical comparisons were two-tailed, and ... Bacteraemia of unknown origin 12 (6) 12 - - Ear nose and throat infection (4.5) (55) (45) - Wound and soft tissue infection (3.5) - Bone and joint infection (1.5) Peritonitis (1.5) - Viral meningitis...
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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
Ngày tải lên :
13/08/2014, 08:21
... Müller B: 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 ... accordance with that diagnosis, emphasizing the complex issue of the prescription of antibiotics and the potential added value of biomarkers like PCT Therefore we think that the next important ... test the usefulness of PCT on the outcome (antibiotic administration, morbidity, mortality) in a randomized study as recently performed by Christ-Crain et al [4] References Grimes DA, Schulz KF...
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