Результаты поиска

[Abdominal surgical emergencies in patients with acquired immunodeficiency syndrome].

UNLABELLED: Patients with Acquired Immunodeficiency Syndrome (AIDS) may present acute abdomen with modified clinical manifestations which may lead to errors and delays in preoperative diagnosis, with frequent delays in treatment. PURPOSE: To study clinical signs, diagnostic criteria, etiology, surgical management and mortality in patients with AIDS submitted to exploratory laparotomy. METHODS: We reviewed the records of thirty-one AIDS patients admitted in the period 1986-1993 at the Emergency Surgical Service--Hospital das Clínicas, University of São Paulo submitted to exploratory celiotomy

Nurse-aid management of ear and nose emergencies: 2.

There are many disorders that affect the nose and interfere with its normal functioning. This article, the second in a two-part series, examines the common disorders and outlines the nurse-aid management.

Managing hypertensive emergencies and urgencies in the geriatric patient.

The aging cardiovascular and renal systems put the elderly patient at increased risk of end-organ damage from marked hypertension. Thus, the office-based physician needs to be skilled in making the diagnosis of a hypertensive urgency or emergency based on accurate blood pressure readings and an assessment of the heart, brain, retina, and kidney. Hypertension urgency and emergency are distinguished from each other by the clinical decision of how quickly the blood pressure must be lowered. The clinician has a wide variety of agents from which to choose for pharmacologic treatment, with the goal

Bedside evaluation in cardiac emergencies. Criteria for rapid diagnosis.

Because timely diagnosis and treatment are essential in cardiac emergencies, every physician who provides primary critical care should master the art of cardiovascular examination. In particular, this requires patience and skill at auscultation, as subtle differences in murmurs, for example, often differentiate two conditions. With a tentative diagnosis, the physician can then choose only the necessary confirmatory tests.

Acute and chronic drug abuse emergencies in Metropolitan Toronto.

From 3,548 drug overdose or abuse cases presenting at 21 Metropolitan Toronto hospitals' Emergency departments, data concerning demographic and medical characteristics, investigative and management procedures, drug analysis services, and disposition of patients were collected. Of the 3,548 cases, 2,723 (77%) were acute overdose and 816 (23%) were drug abuse. Drug overdose was more common than drug abuse for both sexes, but was more characteristic of females. The drugs most frequently alleged ingested were benzodiazepines (34%), ethanol (32%), salicylates (16%), and barbiturates (14%). The freq

[The most important abdominal surgical emergencies in the newborn].

The neonatal period should be considered, in itself, as one of high risk, due to its natural anatomical and physiological lability. It is in this age, when characteristic pathological processes do occur, mainly digestive abnormalities, neonatal nectrotizing enterocolitis, Hirschsprung's disease and others. The authors report a four years statistical analysis in the Pediatric Surgery Service of the General Hospital "La Raza" Medical Center. There were 126 patients operated in the neonatal period. The treatment given in each case and the results obtained were compared with reports from the inter

Office emergencies: an outline of causes, symptoms, and treatment.

Conscientious dental practitioners are aware of the increasing chances for medical emergencies to arise in the dental office. New treatment modalities and drugs have increased potential life spans, but have also presented greater responsibilities to the dentist for properly managing these patients. Additionally, widely diversified sources are available to the dentist for acquiring and assembling all necessary information to train his personnel and organize equipment and drugs so he is constantly ready to handle any emergency. We have attempted to give a simple, thorough outline that provides b…

[Tracheobronchial ruptures seen in emergencies. Viewpoint of the anesthesiologist].

At the Marie Lannelongue surgical centre between 1964 and 1975, out of 278 patients with trauma of the thorax, we noted only 10 cases of tracheal-bronchial rupture admitted as an emergency = 9 ruptures due to closed trauma of the thorax, one with division of the lower part of the trachea. Analysis of these cases showed in particular:-the notion of violent trauma in -young subjects (average age: 20 years). In these thoracic injuries suspected of tracheal-bronchial rupture, the anaesthetist intervenes in four early stages: 1) arrival of the injured patient 2) bronchoscopy-diagnosis 3) surgical o

Musculoskeletal ultrasound in traumatic emergencies: what radiologists need to know.

While conventional radiography (CR) and computed tomography (CT) remain diagnostic staples in emergency settings, ultrasound (US) is a critical tool offering a rapid, dynamic, and noninvasive alternative for acute musculoskeletal (MSK) pathologies assessment. Prompt identification of conditions such as unstable fractures, soft tissue or muscular hematomas, joint effusions, and tendon ruptures is essential to prevent or mitigate long-term patient morbidity. This review summarizes the role of US in the emergency department, providing a practical overview of targeted scanning techniques and key s

Virtual reality simulation for tracheostomy emergencies: a randomized educational intervention.

BACKGROUND: Despite a high incidence of tracheostomy-related airway complications with potentially life-threatening implications, nonsurgical tracheostomy first responders receive limited formal education on the management of tracheostomy emergencies. While the United Kingdom has developed multidisciplinary guidelines and education for tracheostomy emergencies, such programs have not been widely implemented in the United States. OBJECTIVE: We evaluated the feasibility and effectiveness of an immersive virtual reality (VR) simulation training as a potential generalizable and scalable approach …

Male Dromedary Reproductive Emergencies: Clinical Presentation, Diagnosis, Management and Prognosis.

Reproductive emergencies in male dromedary camels (Camelus dromedarius) threaten fertility, health, and welfare but remain poorly documented. This review consolidates knowledge on the diagnosis, management, and prognosis of acute reproductive pathologies, including traumatic injuries (testicular trauma, penile hematoma, and preputial laceration), obstructive conditions (urethral obstruction, phimosis, and paraphimosis), vascular emergencies (spermatic cord torsion, priapism), inflammatory diseases (orchitis, epididymitis, pizzle rot), congenital anomalies (persistent frenulum), iatrogenic comp…

Картографические данные о возможностях участия общин: методологические анализы чрезвычайных ситуаций в области здравоохранения.

Вовлечение общин все чаще рассматривается в качестве одного из ключевых компонентов мер, принимаемых в области общественного здравоохранения в связи с чрезвычайными ситуациями в области здравоохранения. Недавние вспышки эпидемии -- от Эболы в Западной Африке до COVID-19 во всем мире -- высветили важность работы через существующие структуры и выявления заслуживающих доверия местных лидеров, которые могут помочь реагирующим работникам в разработке соответствующих контексту мероприятий. Однако усилия по вовлечению общин часто основываются на однородном понимании «общины», которое недооценивает зн

Совпадение в аннотации оригинала
Community engagement is increasingly seen as a key component of public health responses to health emergencies. Recent outbreaks, from Ebola in West Africa to COVID-19 across the world, have highlighted the importance of working through existing structures and identifying trusted local leaders who can help response workers design context-appropriate intervent…

Chiropractic students versus emergency care practitioners in simulated musculoskeletal emergencies.

BACKGROUND: As primary contact practitioners, chiropractors and emergency care practitioners (ECPs) are first points of access for patients … imulated assessment, chiropractic students demonstrated equivalent competence to ECPs in diagnosing emergencies, but outperformed them in managing an MSK condition. These preliminary findings suggest chiropractors could contribute to the management of MSK burden in emergency departments. CONTRIBUTION: MHSc chiropractic training enhances diagnostic proficienc …