... assay andthe quantitative cardiac troponin T test in diagnosing AMI inthe ED according to the time of onset of chest pain To verify whether there was any improvement inthe diagnostic indices ... attending medical officers may be biased when reading the Cardio Detect® test result since they are not blinded to the history, physical examination, and ECG findings of the patient being investigated ... pain (categorical) as inthe inclusion criteria, including the timing of onset (numerical) of chest pain The dependent variables included the qualitative (positive or negative) outcome of the...
... albuterol enantiomer remain unknown and are the subject of ongoing work The wide variation inthe relationship between dose and levels has also indicated the difficulties in spot sampling methodology ... function and QTc interval in patients with acute severe asthma and COPD intheemergencydepartment International Journal of Emergency Medicine 2011 4:30 Submit your manuscript to a journal and benefit ... include paramedic, doctor and nursing staff Discussion This study reflects the variations inthe presentation of acute exacerbations of asthma and COPD in a typical emergencydepartment setting,...
... catheters were inserted in 99/178 patients (55.6%) with 14.1% (14/99) inserted inthe ED and 71.7% (71/99) inserted inthe first hours of ICU admission Chest tubes insertion was completed in ... CVC inserted had this procedure performed inthe 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 ... patients inthe 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 emergencydepartment The...
... Australia and New Zealand, andthe 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 ... guidelines for the diagnosis and management of asthma in 1991 .The guidelines were based on expert opinion and experience The purpose of the guidelines was to provide assistance to clinicians inthe ... Guidelines in USA With understanding of the importance of management intheemergency room, numerous clinical guidelines on acute exacerbation of asthma have been disseminated In November 1997, the...
... East, Abingdon, VA 24210 USA Authors’ contributions KC treated the patient inthe ED and was involved in drafting the manuscript LL cared for the patient inthe ED and was involved in drafting the ... revisions, and editing of the 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 ... of emergencydepartment crowding, emergency physicians should reevaluate nursing education on triaging abdominal pain to prevent delays in caring for well-appearing patients who have underlying...
... 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 ... and Cooney: Meningeal carcinomatosis diagnosed during stroke evaluation intheemergencydepartment International Journal of Emergency Medicine 2011 4:52 Submit your manuscript to a journal and ... 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 are sometimes obtained...
... (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 ... hypoxic brain damage occurred during the event Fourth, our trauma services were well organized; the emergency, surgery, and anesthesiology departments engage in joint teaching, training, research, ... 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...
... on clinical findings, on laboratory findings, and on bacteriologic findings throughout the admission course The WBC count andthe serum CRP andthe serum PCT levels were compared between infected ... 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 theEmergency Department, ... patients andin 18.4% of the noninfected patients (P < 0.001) (Table 4) In patients with SIRS (n = 69), there was no difference inthe proportion fulfilling the WBC count criteria between infected and...
... delivering high inspired oxygen concentration and eliminating the work of breathing during resuscitation inthe ED Elimination of work of breathing can reduce systemic oxygen consumption and demands, ... drawn for the utility of PAC during acute resuscitation inthe ED The technical expertise required and demand imposed on nursing for this type of monitoring has limited its use inthe ED setting A ... of shock inthe ED Gastric mucosal and sublingual PCO2 are measured using tonometric catheters inserted into the stomach or beneath the tongue, respectively [21,22] Gastric and sublingual PCO2...
... neurosurgical intervention, brain injury, and mortality [40] The Therapeutic Intervention Scoring System (TISS) evaluates the need in staffing, monitoring, and therapeutic intervention rather than ... certainty inthe effects of interventions provided inthe ED; improving the understanding of existing physiologic measurements and their influence on outcomes; reducing variations in individual clinical ... among the first scoring systems to be examined over the natural course of sepsis beginning inthe ED However, the mortality inthe study patients of 5.3% is exceedingly low compared with the more...
... also the national goal at the time Inthe US, the median ED LOS in 2008 was h and 34 [20] Inthe present study, hours was instead spent waiting for the first physician, as compared to 56 inthe ... patients waiting inthe ED for an in- hospital bed The LOS pattern in ED C and F is an example of a finding that will be useful for the individual ED to analyze further, e.g by using the conceptual ... other EDs Patient inflow over the day (Figures and 3) showed a homogenous pattern among the EDs All EDs had a large increase in inflow before noon and a slow inflow decline over the rest of the...
... VSS point, andthe VSS score was defined as the total sum of all VSS points in one time period The original MET calling criteria contain the criterion “concern”, which was not included inthe VSS ... the stay intheemergencydepartment was assessed in a multivariate logistic regression model including VSS initial andthe increase in VSS points (VSSmax - VSSinitial) as predictors and hospital ... VSS scores and predefined outcome variables, the following definitions were used: VSS initial denotes the VSS score inthe first 15 minutes after admission to theemergencydepartmentand VSSmax...
... 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 and ... drafted the manuscript All authors read and approved the manuscript's final version References 10 11 Martelletti P, Farinelli I, Steiner TJ: Acute migraine intheEmergency Department: extending ... 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...
... 0.05 to be independent indicators of bacterial/parasitic infection and retained them inthe model Continuous variables were transformed into dichotomous variables using the receiver operating curve ... the associations between various variables, including the diagnosis suspected by theemergency physician, elevated PCT, andthe final diagnosis of the experts (bacterial/parasitic and viral infection) ... determined the optimal threshold that minimized the distance to the ideal point (sensitivity = specificity = 1) on the ROC curve The discrimination ability of the final model was quantified by using...
... devise and implement a protocol for the management of stable adult patients presenting to theemergencydepartment with fever as their chief complaint and no localizing symptoms The overarching ... presenting to the SMF ED with a chief complaint of fever was devised according to the local infectious epidemiology by SMF emergency physicians in consultation with SMF medicine consultants and ... 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...
... analysis and review TM, JS, ES, BH, MM, CBH, and MA provided significant contribution inthe writing and revision of the manuscript Competing interests The authors declare that they have no competing ... from the University of Utah Institutional Review Board (IRB) patients (32.6%) presented with abdominal pain, and 68 patients (50.1%) presented with both vaginal bleeding and abdominal pain The ... participated inthe study had presented with pregnancy-related complaints of abdominal pain and/ or vaginal bleeding Research associates were present inthe ED days per week from a.m until midnight The...
... they were either discharged or referred by theemergency room physician Total ED length of stay was defined as the time the patient arrived inthe ED until the time they left the ED, either after ... emergencydepartment (ED) visit length of stay, and total emergencydepartment (ED) length of stay ED visit length of stay was defined as the time the patient arrived inthe ED until the time they ... 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...
... scientific presentations at national meetings in Canada andthe U.S and a few presentations at continuing education meetings in Canada Intervention sites We intend to pursue simple and inexpensive ... required by the Canadian C-Spine Rule, and were categorized as indeterminate cases Seven of these 845 patients had clinically important CSI Inthe analysis that excluded the indeterminate cases, the ... strategy that is inexpensive and easy to adopt In other words, we wish to determine whether the Canadian C-Spine Rule can actually be adopted into clinical practice and whether the efficiency of...
... the hidden layer and two inthe output layer, the latter indicating death versus survival Of the cohort 75% was used to train the network and 25% was used in testing The training criterion was ... test andthe area under the ROC curve in this set were 8.96 (P = 0.4321) and 0.7119, respectively R153 The neural network included all of the independent variables Their weight, by the smoothing ... obtain a simple indicator of the risk for death under clinical conditions compatible with severe infections The system uses variables taken from the initial clinical interview and physical examination,...
... issue of the prescription of antibiotics andthe potential added value of biomarkers like PCT Therefore we think that the next important steps in assessing PCT diagnostic values are the following: ... the etiological diagnosis of theemergency physician found inthe medical chart, we observed that administration of antibiotics was not always in accordance with that diagnosis, emphasizing the ... 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...