transfusion in the emergency department
Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
... East, Abingdon, VA 24210 USA Authors’ contributions KC treated the patient in the ED and was involved in drafting the manuscript LL cared for the patient in the ED and was involved in drafting the ... of emergency department crowding, emergency physicians should reevaluate nursing education on triaging abdominal pain to prevent delays in caring for well-appearing patients who have underlying ... transvaginal evisceration was discussed by Guttman et al in 1990 and parallels the approach taken in our case: stabilization including fluid therapy, wrapping the exposed bowel in saline-soaked...
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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
... assay and the quantitative cardiac troponin T test in diagnosing AMI in the ED according to the time of onset of chest pain To verify whether there was any improvement in the diagnostic indices ... pain (categorical) as in the inclusion criteria, including the timing of onset (numerical) of chest pain The dependent variables included the qualitative (positive or negative) outcome of the ... lower than TnT in the remaining groups, a finding that was not in keeping with previous studies [33] However, the AUC for Cardio Detect did increase over time before declining after the 24-h period...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
... or impingement of nerve roots or the spinal cord Careful exam and history should be used to guide the clinician in determining the need for additional imaging or other diagnostics Despite intra-reservoir ... appropriate for the ED setting Meningeal biopsy and non-specific biomarkers are sometimes obtained during the inpatient evaluation Emergency department management of seizure includes benzodiazepines and ... like amitriptyline, gabapentin, carbamazepine, or benzodiazepines may be prescribed for chronic pain Acute worsening of headache, neck pain, or back pain could be related to worsening complications,...
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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
... written informed consent had been obtained The remaining serum samples (collected in VACUETTE® Z Serum Sep C/A tubes) were then transferred to the investigators after being kept at the Pathology Department ... the Department of Respiratory Medicine, RHH Acute COPD sample and data collection Serum aliquots were obtained from the remaining samples after routine blood examination was performed according ... correlation test a Dose administered in the preceding 24 h, including dose administered prior to the hospital presentation b Dose administered by health-care officer, as recorded in hospital medical...
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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
... (Medtronic, Inc., Minneapolis, MN) CPB was initiated within 10 minutes of the decision for its use and 58 minutes after the arrival of the patient to the ED; the patient's core temperature was 25°C An initial ... tin time was 32.6 seconds, and international normalized ratio was 1.23 It was determined that he had sustained a myocardial infarction during his perihypothermic time interval (creatinine kinase ... 60 minutes of conventional warming therapies that included warm fluid instillation (intravenous, gastric, and intrapleural), use of a warming blanket, and CPR in a trauma room that was 27°C The...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
... intensive care unit of other hospitals, were included in the study than phlebotomy for the study proteins Three groups of patients were defined based on clinical findings, on laboratory findings, ... to further support the presence of infection and to predict the disease severity Competing interests None declared Acknowledgements The authors are indebted to the staff of the Emergency Department, ... showed convincing results in detecting infection in immunosuppressed and leukopenic patients, shall we assay PCT routinely in all these patients? Further studies with a special focus to the immunosuppressed...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
... Milrinone Dopexamine Combined Dopamine Epinephrine Vasomotor Norepinephrine Phenylephrine Vasopressin resuscitation outcomes (Table 3) Adequacy and timing of acute resuscitation, as well as definitive ... and noninvasive measurement for the diagnosis and estimation of the severity of shock in the ED Gastric mucosal and sublingual PCO2 are measured using tonometric catheters inserted into the stomach ... [36] Blood transfusion There has been growing concern regarding the relationship between blood transfusion and the incidence of nosocomial infections, organ dysfunction, and mortality in the critically...
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Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
... certainty in the effects of interventions provided in the ED; improving the understanding of existing physiologic measurements and their influence on outcomes; reducing variations in individual clinical ... of the total GCS score for predicting ED intubation, neurosurgical intervention, brain injury, and mortality [40] The Therapeutic Intervention Scoring System (TISS) evaluates the need in staffing, ... established in a validation group, with an area under the ROC curve of 0.76 in this group [61] MEDS is among the first scoring systems to be examined over the natural course of sepsis beginning in the...
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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
... patients in 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 ... CVC inserted had this procedure performed in the ED The majority of patients requiring a central venous catheter (30/56, 53.6%) had the CVC inserted within the first hours of admission to the ... catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted in the ED and 71.7% (71/99) inserted in the first hours of ICU admission Chest tubes insertion was completed in...
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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
... score in the first 15 minutes after admission to the emergency department and VSSmax denotes the maximum VSS score throughout the total stay in the emergency department Hence, VSSmax represents the ... score during the stay in the emergency department was assessed in a multivariate logistic regression model including VSS initial and the increase in VSS points (VSSmax - VSSinitial) as predictors ... extracted from the hospital database Secondary outcome was the combined endpoint ICU admission or death in ED The combined endpoint was chosen to account for the fact that death occurring in the ED before...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
... Canadian Clinical Practice Guidelines) Recommendations are similar to the ones in the United States: Beta2-agonists are the first-line therapy for the management of acute asthma in the emergency department; ... Guidelines in USA With understanding of the importance of management in the emergency room, numerous clinical guidelines on acute exacerbation of asthma have been disseminated In November 1997, the ... Zealand, and the Singapore Ministry of Health in 2002 Though some specific steps are different among these guidelines, the outline of the main points is the same, containing four sections: Measures...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
... protocol for the management of stable adult patients presenting to the emergency department with fever as their chief complaint and no localizing symptoms The overarching goal of the protocol ... emergency department management of acute undifferentiated febrile illness in India International Journal of Emergency Medicine 2011 4:57 Competing interests The authors declare that they have ... according to the protocol and received no investigations (Table 1) Of these, 75.4% (49/65) experienced spontaneous defervescence, while the remainder underwent investigation per the protocol at the...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
... participated in the study had presented with pregnancy-related complaints of abdominal pain and/or vaginal bleeding Research associates were present in the ED days per week from a.m until midnight The ... and MA provided significant contribution in the writing and revision of the manuscript Competing interests The authors declare that they have no competing interests Received: February 2011 Accepted: ... Mulinare J, Berry RJ, Friedman JM, Erickson JD: Raceethnicity differences in folic acid intake in women of childbearing age in the United States after folic acid fortification: findings from the...
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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
... they were either discharged or referred by the emergency room physician Total ED length of stay was defined as the time the patient arrived in the ED until the time they left the ED, either after ... disputed data The intra-rater reliability was determined using the Cohen’s kappa rating, aiming for a minimum inter-rater reliability of 80% All three sites used Troponin I (cTnI) as their cardiac ... emergency department (ED) visit length of stay, and total emergency department (ED) length of stay ED visit length of stay was defined as the time the patient arrived in the ED until the time they...
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báo cáo khoa học: " A matched-pair cluster design study protocol to evaluate implementation of the Canadian C-spine rule in hospital emergency departments: Phase III" ppt
... mechanism of injury (subjective complaint by the patient of any pain in the posterior midline or posterolateral aspect of the neck); or ii) no neck pain, but all of the following: some visible injury ... recognized increasingly that other factors (i.e., problems of information processing in busy clinical surroundings) intervene between intentions and behaviors that could result in failure to follow the ... entered into the study Patient eligibility will be determined based on these criteria at the time of arrival in the ED "Trauma to the head and neck" will include patients with either: i) neck pain...
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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
... were recorded at the same time points Methylergonovine was administered intravenously diluted in ml of saline at an initial dosage of 0.15 mg If pain intensity was still above in pain VAS, an additional ... lergonovine receiving one (grey bars) or two doses period in patients Pain intensity over the monitored time (black bars) of methyPain intensity over the monitored time period in patients receiving ... described with the use of intravenous prochlorperazine, a Figure systolic blood pressure Correlation among individual changes in pain intensity and Correlation among individual changes in pain intensity...
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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
... 1) on the ROC curve The discrimination ability of the final model was quantified by using the area under the ROC curve with its 95% CI The calibration of the final model was assessed using the ... bacterial/parasitic infection, including 17 with concomitant chronic viral infection, and two with secondary influenza infection Thirty-five patients (14.5%) had a viral infection; in 33 of these patients the infection ... bacterial/parasitic infection (according to emergency physician diagnosis), antibiotic treatment was not initiated in emergency room in nine (5%) patients, although five of them had positive PCT values, including...
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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
... the etiological 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 ... issue 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, assess the LR 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...
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Báo cáo hóa học: " Red blood cell transfusion in the critically ill patient" docx
... anemia or in bleeding patients in whom RBC administration can increase both oxygen arterial content and cardiac output However, in the absence of bleeding, the increase in hemoglobin concentration ... “triggers” (hemoglobin level) rather than clinical or physiologic findings Data from the CRIT study [5], in which there was little evidence that age or comorbidities significantly influenced transfusion ... in a study of early goal-directed therapy in patients with severe sepsis or septic shock admitted to an emergency department, a decrease in ScvO2 < 70% initiated a therapeutic intervention, including...
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báo cáo hóa học: " The New Wave: Time to bring EEG to the Emergency Department" pdf
... managing these patients Prior work investigated the effects of incorporating an EEG in the workup of patients with mental status in the ED typically by comparing the initial Page of diagnosis of the ... read the EEGs using standard computers of their choosing The responding neurologist logs in to access the EEG for review and provides a written interpretation The interpretation is sent back to the ... read the EEGs using standard computers of their choosing The responding neurologist logs in to access the EEG for review and provides a written interpretation The interpretation is sent back to the...
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