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International Journal of Critical Illness and Injury Science

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https://read.qxmd.com/read/30662870/lethal-cardiac-tamponade-after-misplacement-of-a-dialysis-catheter
#1
Jenna Elizabeth Zauk, Thomas John Papadimos
No abstract text is available yet for this article.
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662869/critical-aortic-stenosis
#2
Robert D Cooper, Julian Macedo, David P Bahner
A case of a 52-year-old male with ventricular tachycardia and atrial fibrillation associated with aortic stenosis is outlined. Focused cardiac ultrasound images obtained in the emergency department are presented. A discussion of aortic stenosis and emergency ultrasound in the above clinical context is included. Republished with permission from: Cooper RD, Macedo J, Bahner DP. Bedside sonography primer: Critical aortic stenosis. OPUS 12 Scientist 2011;5:11-2.
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662868/pneumoscrotum-value-as-an-early-diagnostic-sign-of-tension-pneumothorax-in-blunt-thoracic-trauma
#3
Ammar Humayun, Louis F Chai, Matthew E Pontell, Marcin A Jankowski
Pneumoscrotum is a rare complication that can result from various etiologies and can be essential in the diagnosis of those causative factors, especially life-threatening ones such as infection or trauma. We present here a case of a patient who presented in posttraumatic cardiac arrest and an extensive, grossly obvious, and rapidly expanding pneumoscrotum. Based on our patient's clinical presentation and a history of a high-speed mechanism with obvious torso trauma, a diagnosis of tension pneumothorax was quickly made resulting in immediate treatment...
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662867/osborne-waves-in-the-hot-summer
#4
Modupeola Diyaolu, Ted Shaub, Michael S Firstenberg
Osborn waves are produced when the J-point deviates from baseline. While there are many known causes of Osborne waves, hypothermia remains the most common. Previous studies have been inconsistent about the risk of Osborne waves progressing to a deadly arrhythmia. Commonly, once patients are rewarmed, they no longer exhibit Osborne waves or experience cardiac arrhythmias. This patient presented with hypothermia on a hot, humid August day demonstrating two factors known to cause Osborne waves - hypothermia and hypocalcemia...
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662866/exploring-the-association-between-initial-serum-alcohol-concentration-and-polysubstance-use-more-than-a-simple-gateway-drug-effect
#5
Ashley Jordan, Philip Salen, Thomas R Wojda, Marissa S Cohen, Aliaskar Hasani, Joshua Luster, Jacqueline Seoane, Stanislaw P Stawicki, Holly Stankewicz
Introduction: Polysubstance abuse (PSA) is a significant problem affecting our society. In addition to negatively affecting the health and well-being of substance users, alcohol and/or drug abuse is also associated with heavy injury burden. The goal of this study was to determine if elevated serum alcohol (EtOH) levels on initial trauma evaluation correlate with the simultaneous presence of other substances of abuse (SOAs). We hypothesized that PSA would be more common among patients who present with EtOH levels in excess of the legal blood alcohol content (BAC) (≥0...
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662865/assessment-of-acute-kidney-injury-in-neurologically-and-traumatically-injured-intensive-care-patients-receiving-large-vancomycin-doses
#6
Casey C May, Beth L Erwin, Margaret Childress, Josh Cortopassi, Garrett Curtis, Tyson Kilpatrick, Jennifer Taylor, Bonnie Vance, Doug Wylie
Background: Previous reports note that in a mixed patient population, vancomycin doses >4 g/day are associated with increased rates of acute kidney injury (AKI). Objective: The objective of the study is to determine if vancomycin regimens >4 g/day are associated with a higher incidence of AKI in neurocritical care unit (NCCU) and trauma/burn Intensive Care Unit (TBICU) patients. Materials and Methods: This single-centered, retrospective study enrolled adult patients initiated on vancomycin in the NCCU and TBICU at an academic medical center during 2016...
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662864/knowledge-attitude-and-clinical-skill-of-emergency-medical-technicians-from-tehran-emergency-center-in-trauma-exposure
#7
Khosro Shakeri, Masoud Fallahi-Khoshknab, Hamidreza Khankeh, Mohammadali Hosseini, Mohammad Heidari
Introduction: Prehospital care is the first part of the trauma treatment and care system. Diagnostic and therapeutic measures taken before these patients arrive at the hospital plays significantly reduce mortality and improve their outcomes. Therefore, the present study aimed to determine the knowledge, attitude, and clinical skill of emergency medical technicians in Tehran Emergency Center in trauma exposure. Methods: In this descriptive study, 213 participants were selected through stratified random sampling...
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662863/caregivers-satisfaction-with-intensive-care-unit-services-in-tertiary-care-hospital
#8
Ramappa M Thimmapur, Prabhu Raj, Birudu Raju, T R Kanmani, N Krishna Reddy
Background: Caregivers play a vital role in intensive care unit (ICU) because critically ill patients cannot make their own decisions due to their illness. Measuring family satisfaction on quality of ICU care is essential. Hence, the current paper aimed to measure the family caregiver satisfaction in ICU care in tertiary care hospital. Methods: The study adopted descriptive research design conducted from July 2016 to January 2017 at ICU in Emergency and Trauma Care center...
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30662862/what-s-new-in-critical-illness-and-injury-science-the-association-between-initial-blood-alcohol-concentration-and-polysubstance-use-may-be-indicative-of-a-gateway-drug-effect
#9
EDITORIAL
Victor R Davila, David L Stahl, Sujatha P Bhandary, Thomas J Papadimos
No abstract text is available yet for this article.
October 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181978/undiagnosed-autoimmune-hepatitis-causing-prolonged-mechanical-ventilation
#10
David W Mattingley, Thomas J Papadimos
No abstract text is available yet for this article.
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181977/massive-air-embolism-while-removing-a-central-venous-catheter
#11
Gil Myeong Seong, Jaechun Lee, Misun Kim, Jay Chol Choi, Su Wan Kim
Air embolism is a rare but mostly iatrogenic complication of medical or surgical procedures and may have a serious outcome. On the removal of a central venous catheter (CVC), minor carelessness can lead to a venous air embolism sometimes accompanied by arterial embolism. We experienced the case of a 61-year-old male who suffered from a paradoxical systemic air embolism while we removed a CVC. Immediate resuscitation and venovenous extracorporeal membrane oxygenation support saved his life. Multiple end-organ damage related to the systemic air embolism was noted, including the kidney, liver, and brain...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181976/multidrug-resistant-burkholderia-cepacia-bacteremia-in-an-immunocompetent-adult-diagnosed-with-dengue-and-scrub-coinfection-a-rare-case-report
#12
Sai Saran, Afzal Azim, Mohan Gurjar
Burkholderia cepacia is an opportunistic nosocomial pathogen causing infections in immunocompromised hosts. Infection by Burkholderia in an immunocompetent host is a rare entity. We report a case of dengue and scrub coinfection complicated by B. cepacia bloodstream infection along with literature review of such infections in immunocompetent adults. Before the introduction of automated technologies, it was difficult to differentiate this organism from other aerobic Gram-negative nonfermenters, which have different intrinsic resistance profiles...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181975/prognostic-significance-of-nonthyroidal-illness-syndrome-in-critically-ill-adult-patients-with-sepsis
#13
Rajesh Padhi, Sobhitendu Kabi, Baikuntha Nath Panda, Snehalata Jagati
Aim: This study was performed to investigate the association of non-thyroidal illness syndrome (NTIS) with 28-day mortality in adults with sepsis. Methods: We performed a prospective observational analysis of adult patients with sepsis. Patients' demographic data, comorbidities, the blood test results including thyroid hormone analysis at admission, Acute Physiologic and Chronic Health Evaluation II score and Sequential Organ Failure Assessment score were compared between 28-day survivors and non-survivors...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181974/inferior-vena-cava-diameter-as-a-guide-in-hypotensive-patients-for-appropriate-saline-therapy-an-observational-study
#14
Mojtaba Chardoli, Mitra Ahmadi, Omid Shafe, Hooman Bakhshandeh
Background: Knowledge of intravascular volume (IV) status of a hypotensive patient is of utmost importance. Clinical evaluation and central venous pressure (CVP) measurement are routinely used as a guide for evaluation of IV in these patients. However, clinical assessment may be inaccurate, and CVP measurement is invasive. Moreover, CVP changes slowly with saline therapy, which is unfavorable for fluid resuscitation. Aim: Our aim is to find the correlation and sensitivity of inferior vena cava (IVC) diameter measured by ultrasound to provide a noninvasive method for evaluation of IV among patients with hypotension and hypovolemia in the emergency department (ED)...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181973/the-acute-care-diagnostics-collaboration-performance-assessment-of-contrast-enhanced-ultrasound-compared-to-abdominal-computed-tomography-and-conventional-ultrasound-in-an-emergency-trauma-score-bayesian-clinical-decision-scheme
#15
Amado Alejandro Baez, Laila Cochon
Background: Bayes' theorem describes the probability of an event, based on conditions that might be related to the event.[1] We developed the Bayesian Diagnostic Gains (BDG) method as a simple tool for interpreting diagnostic impact.[234567]. Aim: We aimed to evaluate the clinical diagnostic impact of contrast-enhanced ultrasound (CEUS) compared to traditional abdominal computed tomography (CT) and standard ultrasound (US) in a Bayesian Clinical Decision Scheme...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181972/the-relationship-between-fluid-resuscitation-and-intra-abdominal-hypertension-in-patients-with-blunt-abdominal-trauma
#16
Soudabeh Vatankhah, Rahim Ali Sheikhi, Mohammad Heidari, Parisa Moradimajd
Background: Excessive fluid administration for saving patients from hypovolemic shocks is one of the main causes of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). The purpose of this paper is to survey the relationship between fluid resuscitation and increase intra-abdominal pressure (IAP). Materials and Methods: The present descriptive-analytical study recruited 100 patients with confirmed abdominal trauma and presenting to emergency departments...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181971/vasoactive-ventilation-renal-score-in-predicting-outcome-postcardiac-surgery-in-children
#17
Shahzad Alam, Shalini Akunuri, Akanksha Jain, Rufaida Mazahir, Rajesh Hegde
Objective: The objective of this study was to evaluate vasoactive-ventilation-renal (VVR) score to predict outcome postcardiac surgery in children and establish the time at which the score is best to predict outcome. Materials and Methods: This prospective cohort included children ≤18 years recovering from cardiac surgery for congenital heart disease. Data were collected from the Intensive Care Unit (ICU) and vasoactive-inotropic score (VIS) and VVR scores calculated at admission, 24 h, and 48 h postoperatively...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181970/acute-care-for-the-three-leading-causes-of-mortality-in-lower-middle-income-countries-a-systematic-review
#18
REVIEW
Cassidy M Dahn, Olindi Wijesekera, Grace E Garcia, Konrad Karasek, Gabrielle A Jacquet
According to the World Health Organization, the three leading causes of mortality in lower-middle-income countries (LMIC) are ischemic heart disease (IHD), stroke, and lower respiratory infections (LRIs), causing 111.8, 68.8, and 51.5 annual deaths per 100,000, respectively. Due to barriers to healthcare, patients frequently present in critical stages of these diseases. Measured implementations in critical care in LMIC have been published; however, the literature has not been formally reviewed. We performed a systematic review of the literature indexed in PubMed as of October 2017...
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/30181969/what-s-new-in-critical-illness-and-injury-science-revalidation-of-vasoactive-ventilation-renal-scoring-in-predicting-outcome-in-postcardiac-surgery-children-and-the-importance-of-replicating-studies
#19
EDITORIAL
Thomas John Papadimos
No abstract text is available yet for this article.
July 2018: International Journal of Critical Illness and Injury Science
https://read.qxmd.com/read/29963416/wild-tuber-poisoning-arum-maculatum-a-rare-case-report
#20
K N J Prakash Raju, Kishen Goel, D Anandhi, Vinay R Pandit, R Surendar, M Sasikumar
Arum maculatum , commonly known as wild Arum , is a woodland plant species of the Araceae family. All parts of this plant are considered toxic. We report a case of a young man who allegedly consumed poisonous wild tuber with suicidal intention. He presented to our emergency department 3 h later with features of angioedema. He was managed successfully with adrenaline and hydrocortisone. He was discharged after 4 days of observation. Later, the wild tuber plant was identified to be A. maculatum . We recommend that all patients who present with unknown substance poisoning should be managed according to the principles of intensive care, irrespective of the diagnosis...
April 2018: International Journal of Critical Illness and Injury Science
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