Tadahiko Seki, Hidetada Fukushima
Background: There are few reports of chemical proctocolitis induced by transanal administration of alcohol. Case report: The patient was a 21-year-old male with no medical history. He transanally pumped 1.8 L of 35% alcohol, experienced melena and disturbance of consciousness, and was transported by ambulance to our hospital. Abdominal computed tomography and endoscopy findings indicated ischemic colitis. He was administered conservative treatment and discharged after 9 days of hospital stay. Conclusion: Reports on alcohol-induced chemical proctocolitis are rare...
2019: Open Access Emergency Medicine: OAEM
Chelsea Wolf, Ashley Curry, Jacob Nacht, Scott A Simpson
Alcohol withdrawal syndrome (AWS) is a common, heterogenous, and life-threatening complication of alcohol use disorder (AUD). AUD is a leading cause of worldwide mortality, and many patients with AUD will develop AWS during their ED course. This review summarizes the epidemiology, pathology, and management of AWS and AUD in the emergency setting. The time course of AWS and its impact on ED treatment is emphasized. Once AWS is diagnosed, symptom-triggered benzodiazepine administration remains the most commonly provided treatment but may not be appropriate for patients with significant medical or psychiatric comorbidity or pending discharge...
2020: Open Access Emergency Medicine: OAEM
Derwin K C Chan, Chun-Qing Zhang, Karin Weman-Josefsson
No abstract text is available yet for this article.
May 15, 2020: Infection Control and Hospital Epidemiology
T M Cook
Personal protective equipment has become an important and emotive subject during the current coronavirus disease 2019 epidemic. Coronavirus disease 2019 is predominantly caused by contact or droplet transmission attributed to relatively large respiratory particles which are subject to gravitational forces and travel only approximately 1 metre from the patient. Airborne transmission may occur if patient respiratory activity or medical procedures generate respiratory aerosols. These aerosols contain particles that may travel much longer distances and remain airborne longer, but their infective potential is uncertain...
July 2020: Anaesthesia
Nancy H L Leung, Daniel K W Chu, Eunice Y C Shiu, Kwok-Hung Chan, James J McDevitt, Benien J P Hau, Hui-Ling Yen, Yuguo Li, Dennis K M Ip, J S Malik Peiris, Wing-Hong Seto, Gabriel M Leung, Donald K Milton, Benjamin J Cowling
We identified seasonal human coronaviruses, influenza viruses and rhinoviruses in exhaled breath and coughs of children and adults with acute respiratory illness. Surgical face masks significantly reduced detection of influenza virus RNA in respiratory droplets and coronavirus RNA in aerosols, with a trend toward reduced detection of coronavirus RNA in respiratory droplets. Our results indicate that surgical face masks could prevent transmission of human coronaviruses and influenza viruses from symptomatic individuals...
April 3, 2020: Nature Medicine
Brit Long, Alex Koyfman, Michael Gottlieb
BACKGROUND: The spleen performs several important physiologic functions. However, patients can have functional asplenia or have their spleen removed for a number of reasons, which can put them at risk for several dangerous complications. OBJECTIVE: This narrative review provides a focused evaluation of adult asplenic patients and complications in the emergency departing setting. DISCUSSION: The spleen plays integral roles in the immune and reticuloendothelial systems and also modulates the inflammatory and coagulation cascades...
March 26, 2020: American Journal of Emergency Medicine
Brian M Killeen, Allan B Wolfson
No abstract text is available yet for this article.
December 2020: Academic Emergency Medicine
Robert Willmore
Cardiac arrest secondary to accidental hypothermia is rare in the United Kingdom. However, some evidence suggests that it is under-reported; furthermore, recognizing hypothermia as the cause of death is difficult in the postmortem setting. Urban and rural residents are exposed to cold winter conditions both at home and while undertaking recreational activities. Understanding the physiology underpinning hypothermic cardiac arrest is crucial in order to make informed clinical decisions in regard to triage and management by air ambulance services and in prevention of this rare presentation...
March 2020: Air Medical Journal
Patricia A Normandin, Stacey A Benotti, Mark A Mullins
No abstract text is available yet for this article.
January 2020: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Raghad Saadi, Kristin Bohnenberger
No abstract text is available yet for this article.
January 2020: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Maureen Judd
Nurses are responsible for ensuring that short-term enteral feeding tubes are placed correctly before using them for gastric emptying, enteral nutrition, or medication administration. This article reviews evidence-based methods for assessing tube placement and discusses the limitations of each method with a focus on nasogastric tube placement.
April 2020: Nursing
Mosopefoluwa S Oduyale, Nilesh Patel, Mark Borthwick, Sandrine Claus
BACKGROUND: Co-administration of multiple intravenous (IV) medicines down the same lumen of an IV catheter is often necessary in the intensive care unit (ICU) while ensuring medicine compatibility. AIMS AND OBJECTIVES: This study explores ICU nurses' views on the everyday practice surrounding co-administration of multiple IV medicines down the same lumen. DESIGN: Qualitative study using focus group interviews. METHODS: Three focus groups were conducted with 20 ICU nurses across two hospitals in the Thames Valley Critical Care Network, England...
January 16, 2020: Nursing in Critical Care
Helen Beckett
BACKGROUND: E-learning can provide nurses with the opportunity to undertake lifelong learning and continuing professional development (CPD) in a flexible, practical and engaging manner. However, much of the research focuses on pre-registration nursing students' experiences of e-learning, despite nursing students not always experiencing the same clinical demands as registered nurses. AIM: To explore the concept of e-learning and nurses' perception of its value for engaging with lifelong learning and CPD, as well as to determine attitudes towards e-learning, what influencing factors exist and how they affect the perceived value of e-learning...
March 26, 2020: Nursing Management (Harrow)
Barry Quinn
This article explores the concept of leadership in health and social care. All nurses have an important leadership role, which is reflected in the principles of the NHS Leadership Academy and in the new curriculum for nursing students. By critically applying the 'novice to expert' model of clinical competence to leadership, nurses are encouraged to consider the skills involved in moving from novice to expert alongside identifying the strengths and skills they wish to develop. Nurses are encouraged to reflect on leadership approaches operating in health and social care and to consider the type of leader they want to be...
March 26, 2020: Nursing Management (Harrow)
Allison Mikula
No abstract text is available yet for this article.
October 2019: Critical Care Nurse
Bachar Hamade, David T Huang
Procalcitonin is a biomarker that is generally elevated in bacterial infections. This review describes a conceptual framework for biomarkers using lessons from the history of troponin, applies this framework to procalcitonin with a review of observational studies and randomized trials in and out of the intensive care unit, and concludes with clinical recommendations and thoughts on how to test a test.
January 2020: Critical Care Clinics
Michael H E Hermans
GENERAL PURPOSE: The purpose of this learning activity is to provide an overview about burns and current burn care. TARGET AUDIENCE: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing education activity, you should be better able to:1. List factors affecting the types, size, and depth of burns...
January 2019: Advances in Skin & Wound Care
Jeffrey R Stowell, Paul Pugsley, Heather Jordan, Murtaza Akhter
Introduction: The emergency department (ED) serves as the primary access point to the healthcare system. ED throughput efficiency is critical. The percentage of patients who leave before treatment completion (LBTC) is an important marker of department efficiency. Our study aimed to assess the impact of an ED phlebotomist, dedicated to obtaining blood specimen collection on waiting patients, on LBTC rates. Methods: This study was conducted as a retrospective observational analysis over approximately 18 months (October 5, 2015-March 31, 2017) for patients evaluated by a triage provider with a door-to-room (DtR) time of > 20 minutes (min)...
July 2019: Western Journal of Emergency Medicine
George M Dillon, Stacie Stevens, Wendy L Dusenbury, Lori Massaro, Florence Toy, Barbara Purdon
Alteplase is a tissue plasminogen activator approved for treating acute ischemic stroke (AIS), acute myocardial infarction (AMI), and acute massive pulmonary embolism. Two additional tissue plasminogen activators, tenecteplase and reteplase, are also approved for AMI treatment. However, neither tenecteplase nor reteplase is approved for AIS treatment. The U.S. Food and Drug Administration has received reports of accidental administration of tenecteplase or reteplase instead of alteplase in patients with AIS, which can lead to potential overdose...
July 2019: Advanced Emergency Nursing Journal
Ishan S Kamat, Vignesh Ramachandran, Harish Eswaran, Danielle Guffey, Daniel M Musher
Because of the diverse etiologies of community acquired pneumonia (CAP) and the limitations of current diagnostic modalities, serum procalcitonin levels have been proposed as a novel tool to guide antibiotic therapy. Outcome data from procalcitonin-guided therapy trials have shown similar mortality, but the essential question is whether the sensitivity and specificity of procalcitonin levels enable the practitioner to distinguish bacterial pneumonia, which requires antibiotic therapy, from viral pneumonia, which does not...
June 25, 2019: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
2019-08-01 17:25:10
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