us for pediatric abdominal trauma
Báo cáo khoa học: "Bench-to-bedside review: Outcome predictions for critically ill patients in the emergency department" potx
... survival model for intubated trauma patients J Trauma 2003, 55:53-61 47 Ott R, Kramer R, Martus P, Bussenius-Kammerer M, Carbon R, Rupprecht H: Prognostic value of trauma scores in pediatric patients ... are being used clinically Scoring systems in trauma Trauma scoring systems have also been used in the triage of trauma patients and to predict their outcome Trauma scores have been used to characterize ... Physiologic Trauma Score These scoring systems have been used in a variety of trauma scenarios, including motor vehicle accidents, blunt and penetrating trauma, and even in pediatric polytrauma [43,45-49]...
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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
... venous catheterization and arterial cannualtion were more commonly preformed after transfer to an ICU setting Page of (page number not for citation purposes) Scandinavian Journal of Trauma, Resuscitation ... Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17:47 http://www.sjtrem.com/content/17/1/47 to the ED and are managed for prolonged periods of time despite ... sets to allow for the provision of optimal care beyond the acute resuscitation In addition, some ED's may not have the resources available to provide ongoing or prolonged care for critically...
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Adherence to and efficacy of an evidence based management algorithm for acute asthma in the emergency department
... evidence-based For example, there was no conclusive evidence for magnesium or adrenaline as second or third-line drugs in status asthmatics They were included in the algorithm because we felt that, ... of asthma have had a tremendous influence on therapy Because inflammation is considered an early and persistent component of asthma, therapy for persistent asthma must be directed toward long-term ... carried out to develop a simple and pragmatic procedure for applying the international consensus guidelines, to classify severity using information about symptoms, pulmonary function and asthma...
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Báo cáo hóa học: " Transvaginal evisceration progressing to peritonitis in the emergency department: a case report" potx
... strangulation, but was unsuccessful because of the large amount of bowel present and to the patient’s discomfort during the attempt Intravenous morphine was administered for pain control Sterile moist ... experienced rigors Repeat abdominal exam showed diffuse abdominal tenderness with peritoneal signs that rapidly progressed to frank peritonitis The herniated bowel had become dark and dusky A second large ... triage classifications, abdominal pain represents an urgent condition that requires prompt care, but will not cause life or limb threat if not treated for several hours Abdominal pain is the most...
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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
... admission, which is usually accompanied by numerous invasive tests The diagnosis of AMI has to be accurate and precise In the unfortunate event that a patient is mistakenly treated for AMI without ... [reference USMKK/ PPP/JEPeM 199.3(10)] A short-term grant was approved by the School of Medical Sciences, USM The eligible population was the source population fulfilling the inclusion and exclusion ... duration of onset Exclusion criteria Patients with a history of recent muscle injury (< days), including intramuscular injection Patients with acute or chronic skeletal muscle damage or disorders...
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Báo cáo hóa học: " Meningeal carcinomatosis diagnosed during stroke evaluation in the emergency department" docx
... Genesee, Syracuse, New York 13202, USA 2Department of Emergency Medicine and Undersea and Hyperbaric Medicine, SUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA Authors’ ... condition and arrange for multi-disciplinary management after stabilization and pain management Consent Consent was obtained for publication of the details of this case and for publication of associated ... Careful exam and history should be used to guide the clinician in determining the need for additional imaging or other diagnostics Despite intra-reservoir or intravenous chemotherapy, survival is merely...
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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
... not exhibit Gaussian distributions Statistical analyses were undertaken with Statview 5.0.1 (SAS Institute Australia Pty Ltd., NSW, Australia) and SPSS 15.0 for Windows (SPSS Australasia Pty ... been using long-acting b2agonists were found to be more likely to have used less racalbuterol in the previous 24 h before presentation (p = 0.02) Acute COPD Thirty-seven patients were recruited for ... statistical significance Linear regression was used for the relationship between continuous variables Spearman rank correlation and Mann-Whitney tests were used to assess the relationship between the...
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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
... times before the start of a successful resuscitation with extracorporeal circulation [8] CPS using a compact mobile CPB machine is a modality that originated in the late 1980s, primarily for use ... catheterization laboratory for assisted angioplasty and resuscitation [9] This became possible after the development of thin-walled cannulas that allowed for percutaneous femoral cannulation using the Seldinger ... the writing of the manuscript, except for the cardiopulmonary perfusion section, which was written by JAC All authors read and approved the final manuscript Consent Written informed consent was...
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Báo cáo khoa học: " Procalcitonin as a marker of bacterial infection in the emergency department: an observational study" pptx
... Pseudomonas aeruginosa (4), Enterococcus faecalis (3), Staphylococcus aureus (2), Serratia marcescens (2), Klebsiella pneumoniae (1), Proteus mirabilis (1), Citrobacter diversus (1), Pseudomonas species ... Staphylococcus aureus (6), Pseudomonas aeruginosa (5), Streptococcus pneumoniae (2), Klebsiella pneumoniae (2), Acinetobacter baumanii (2), Hemophilus influenzae (1), Escherichia coli (1), Proteus mirabilis ... Staphylococcus aureus (2), Viridans streptococcus (2), Prevotella species (2), Escherichia coli (1), Klebsiella pneumoniae (1), Proteus vulgaris (1), Bacteroides species (1), Peptostreptococcus (1),...
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Báo cáo y học: "Bench-to-bedside review: Resuscitation in the emergency department" ppsx
... modified form of central venous catheterization has been developed to measure central venous pressure (CVP) and central venous oxygen saturation (ScvO2) simultaneously during acute resuscitation ... benefits and harms of the resuscitation endeavor The physician responsible for initiating resuscitation or life-sustaining therapy must fulfill that task [50] Life-sustaining therapy that simply ... standard’ markers for assessing the adequacy of resuscitation A variety of strategies exist to assess circulatory status, including hemodynamic monitoring, tissue perfusion measurement, and use of anaerobic...
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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
... study is analogous to the use of the sum of failing organs for the calculation of organ dysfunction scores in intensive care [37-39] and we previously used a similar approach for patients admitted ... Santiano N, Young L: Guidelines for the uniform reporting of data for Medical Emergency Teams Resuscitation 2006, 68:11-25 Merz et al Critical Care 2011, 15:R25 http://ccforum.com/content/15/1/R25 ... TM and DB performed the statistical analysis The manuscript was drafted by TM, assisted by JW and JT All authors read and revised the manuscript drafts and approved the final manuscript Competing...
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báo cáo hóa học: " A protocol for the emergency department management of acute undifferentiated febrile illness in India" potx
... need for antimicrobials Total defervesced without need for antimicrobials Page of *Percentages calculated using subcategory as denominator Bold items highlighted to illustrate the potential for ... study design and edited the manuscript JSD reviewed the available literature, edited for content, and prepared the manuscript All authors read and approved the final manuscript Page of 10 11 12 13 ... that is informed by local infectious epidemiology [2] In this pilot study, investigations were or could have been avoided in 75.2% of patients, and antimicrobial therapy was unnecessary for fever...
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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
... neuroserpin, which is unusual for a serpin that spontaneously forms polymers in vitro and in vivo [19] The polymers of mutant neuroserpin that form in FENIB are analogous to polymers that form with mutants ... higher than that for Ser49Pro neuroserpin (49.9 °C) [6] Previous studies have shown an inverse relationship between rate of polymer formation and Tm [19], and thus it was unusual to find that ... b-sheet A to form a latent conformer [16] However, this is unlikely as the latent conformer of the serpins is unable to form polymers [17,18] Other characteristics of the latent conformer are a...
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báo cáo hóa học: " Folic acid use in pregnant patients presenting to the emergency department" pptx
... folic acid fortification Am J Public Health 2006, 96(11):2040-7 US Preventive Services Task Force: Folic acid for the prevention of neural tube defects: US Preventive Services Task Force recommendation ... with minor trauma in the emergency department West J Emerg Med 2010, 11(2):133-7 14 U.S Census Bureau: Racial and ethnic classifications used in Census 2000 and beyond.[http://www.census.gov/population/www/socdemo/race/ ... Carriquiry AL, Devine O: Predicted contribution of folic acid fortification of corn masa flour to the usual folic acid intake for the US population: National Health and Nutrition Examination Survey...
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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
... patients who should be tested for troponin and be treated for acute coronary syndrome Acknowledgements We thank Dr James Maskalyk for his kind editorial support for the manuscript Funding Sources/Grants ... sites used Troponin I (cTnI) as their cardiac marker Two of the sites used the Beckman Coulter TnI immunoassay, and one site used the Abbott Architect TnI immunoassay The cutoff troponin levels used ... Committee for Practice Guidelines: ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation – executive summary Eur Health J 2006, 27:1979-2030 The Task Force for the...
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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
... subcutaneous, intramuscular or intravenous formulations, has been shown to be effective and well tolerated [2], and its intravenous administration has been advocated in the management of status migrainosus ... rate should have been assessed There is a need for effective and low cost drugs for the acute treatment of severe migraine and status migrainosus Sumatriptan is a very effective but expensive ... Analog Scale) who attended the emergency room because the pain had not improved with their usual home treatment Every patient provided written informed consent to participate in the study http://www.head-face-med.com/content/5/1/21...
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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
... (CI) for non-Gaussian distributions Comparison of two means was performed using the Student's t-test, comparison of two medians using the MannWhitney test, and comparison of two proportions using ... non-infectious aetiologies of fever The viral category was divided into acute (for instance, influenza) and chronic (for example, HIV, or hepatitis B or C virus) viral infec- Page of (page number not for ... were included; therefore, the prevalence of bacterial infection in that previous study was much lower Moreover, in that previous study [2] we used a less sensitive assay for PCT measurement (LUMitest...
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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
... treatment on antibiotic use and outcome in lower respiratory tract infections: cluster-randomised, single-blinded intervention trial Lancet 2004, 363:600-607 Page of (page number not for citation purposes) ... A, Bertrand M, Langeron O, Coriat P, Riou B, Bernard M, Hausfater P: Valeur diagnostique de la procalcitonine en chirurgie aortique abdominale Ann Fr Anesth Réanim 2007, 26:R460 Fellahi JL, Hedoire ... PCT measurement; thirdly, 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...
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Báo cáo y học: " Risk scoring systems for adults admitted to the emergency department: a systematic review" potx
... available for 51.4% of the patients 40 in the development cohort sample-size divided for validation purposes, 6,947 used for development sample-size divided for validation purposes, 6,736 used for ... Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2010, 18:8 http://www.sjtrem.com/content/18/1/8 or to adjust for case-mix when benchmarking the performance of clinical units ... validation purposes, 6,736 used for development only specified for validation cohorts sample-size divided for validation purposes, 9,497 used for development either AVPU or GCS Urine production was...
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