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Matthijs Ter Horst, Marieke C Hovinga-de Boer, Menno H Raber, Joost M Klaase
A 50-year old female presented herself with abdominal bloating and pain in the Emergengy Department. The symptoms persisted and a clinical evaluation was made. A lesion suspect for a giant duodenal diverticulum was seen on the CT-scan, which was confirmed by enteroclysis. Surgical resection was performed. The diagnosis was histological confirmed after surgery. Small bowel diverticula are relatively common, with an estimated 5 - 22% incidence in the healthy population. They are usually asymptomatic, but can present with abdominal pain and weight loss...
December 2011: Gastroenterology Research
Eleonora Losiouk, Silvana Quaglini, Enrico Visetti, Francesca Perfetti, Giordano Lanzola
The paper illustrates a pilot study involving nurses and paramedic staff to evaluate a mobile platform for rendering and distributing emergengy care protocols. Its specific features were developed to simplify the consultation and reduce the factors that negatively affect the adherence to standards. The study was planned to last one month and two questionnaires are administered to the participants: one at the starting phase, pre-intervention, and one at the end, post-intervention. Here we report the results and considerations coming from the first administration...
2016: Studies in Health Technology and Informatics
Liesbeth De Waele, Paul Boon, Berten Ceulemans, Bernard Dan, Anna Jansen, Benjamin Legros, Patricia Leroy, Francoise Delmelle, Michel Ossemann, Sylvie De Raedt, Katrien Smets, Patrick Van De Voorde, Helene Verhelst, Lieven Lagae
Over the past decades, it has become clear that the most efficient way to prevent status epilepticus is to stop the seizure as fast as possible, and early treatment of prolonged convulsive seizures has become an integral part of the overall treatment strategy in epilepsy. Benzodiazepines are the first choice drugs to be used as emergency medication. This treatment in the early phases of a seizure often implies a 'pre-medical' setting before intervention of medically trained persons. In this paper, we propose "good practice points" for first line management of prolonged convulsive seizures in children and adults in a 'pre-medical' setting...
December 2013: Acta Neurologica Belgica
Pankaj Bhan, Shatha Al-Hilli
Spontaneous rupture of spleen due to factor XIII defieciency is a rare cause of abdominal pain with disastrous consequences and can be easily confused with other abdominal pathologies until a strong possibility is entertained.The patients usually present in emergengy with acute abdomen and diagnosis is difficult.The diagnosis is usually made on high degree of clinical suspicion and falling hematorit and failure of conservative management or by imaging. The radiologist need to be aware of this potentially fatal complication since early intervention is life saving...
January 2010: Polish Journal of Radiology
N Buchbinder, A Benzdira, A Belgaïd, D Dufour, J-C Paon, A Morel, P Le Roux
UNLABELLED: The French Health Agency (Afssaps) recommands the resort to the streptocoque rapid test strip for a better targetting of antibiotics prescription. OBJECTIVES: To evaluate the systematic use of the test in a pediatric emergengy department. METHODS: Comparison of results of the test to the laboratory cultures. Our study took place between January and December 2004. Two thousand one hundred (and) forty-four children with acute pharyngitis have been included (mean age: 4...
September 2007: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Regina Célia de Oliveira, Ana Elisa Bauer de Camargo, Silvia Helena Bortoli Cassiani
This study identified situations indicating medication errors or near misses by analyzing medication orders and the nursing staff's performance. It also implemented a cycle of lectures and a course on safety in medication administration for professionals at the emergency room in a hospital in the northeastern region of Brazil. The results showed that of 1,585 orders under analysis, 83,9% did not clearly express the medication presentation and 84.6% did not define the dosage from prescribed medication, in 34...
July 2005: Revista Brasileira de Enfermagem
P Queneau, B Trombert, F Carpentier, A Trinh-Duc, B Bannwarth, J Bouget et al.
Various studies have shown that adverse drug effects (ADEs) are a substantial cause of hospital admissions. However, little is known about the incidence and severity of ADEs resulting in hospital visits. To address this issue, we conducted a prospective survey in primary care and emergency departments of French public hospitals. This study was performed over two periods of one week, one in January, February and one in June 2003, in primary care and emergengy departments of four university hospitals and three general hospitals throughout France...
March 2005: Annales Pharmaceutiques Françaises
P F Salvi, G Leone, F Corona, R Tiberi, F Priore, A Stagnitti, M De Pascalis, F Schillaci, F Stagnitti
The use of self-expandable metallic stents in colorectal stenoses, both benign and malignant, is a recently born treatment, quickly widespread because of its simplicity and therapeutic efficacy. It is particulary useful, like emergency temporany treatment, in malignant colonic obstruction; in these cases the temporary endoprosthesis positioning allows the intestinal transit and to overcame the emergengy phase. After patient conditions improvement, he can be operated and the endoprosthesis removed within operating specimen...
June 2004: Il Giornale di Chirurgia
C T Touré, M Dieng, M Mbaye, A Sanou, G Ngom, A Ndiaye, A Dia
PURPOSE: The aim of this study was to evaluate the results of emergency colectomies for the management of colon volvulus. PATIENTS AND METHODS: This retrospective study was undertaken on 50 cases of colon volvulus operated in the Surgical Department of the Aristide Le Dantec teaching hospital of Dakar from January 1994 to December 2000. It concerned 42 men and 8 women with an mean age of 42 years. All patients presented an occlusive syndrome suggestive of colon volvulus, which required a laparotomy, through a xypho-pubic incision...
March 2003: Annales de Chirurgie
T L Hilker
We examined six factors that may help to explain why parents take their children to hospital emergency departments: arrival time; travel time; who decided the patient should go; did the patient have a physician; did the parent attempt physician contact, and where the parent would have preferred to have gone for treatment. Results indicate that 47% of the nonemergency visits occurred during the time when physicians maintain office hours. Most visits were made by patients living less than 15 minutes away from the hospital...
January 1978: JACEP
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