A Twenty-Year Follow-Up Survey of Medical Emergency Education in U.S. Dental Schools

2006 ◽  
Vol 70 (12) ◽  
pp. 1316-1319 ◽  
Author(s):  
Morris S. Clark ◽  
Benjamin E. Wall ◽  
Tad C. Tholström ◽  
Edward H. Christensen ◽  
Brandon C. Payne
Keyword(s):  
Medical Emergency ◽  
Emergency Education ◽  
Dental Schools

Medical emergency education in American dental schools

1985 ◽  
Vol 49 (3) ◽  
pp. 179-181
Author(s):  
MS Clark ◽  
CS Heine ◽  
GE Fryer
Keyword(s):  
Medical Emergency ◽  
Emergency Education ◽  
Dental Schools

Early localized Vitiligo, a medical emergency: long term follow up study

2021 ◽  
Author(s):  
Samia M. Esmat ◽  
Dalia Bassiouny ◽  
Rehab Hegazy ◽  
Suzan Shalaby ◽  
Nanis Ragab ◽  
...  
Keyword(s):  
Medical Emergency ◽  
Follow Up Study ◽  
Long Term Follow Up

scholarly journals P456 Longer-term outcomes in acute severe colitis

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S407-S407
Author(s):  
R CAMPBELL ◽  
R Haddock ◽  
K Parman ◽  
J MacDonald ◽  
J P Seenan
Keyword(s):  
Medical Therapy ◽  
Medical Emergency ◽  
Response To Treatment ◽  
Electronic Patient Records ◽  
Readmission Rates ◽  
Original Cohort ◽  
Faecal Calprotectin ◽  
Biochemical Remission ◽  
Acute Severe Colitis

Abstract Background Acute severe ulcerative colitis (ASUC) is a medical emergency. Rescue medical therapy is increasingly used in steroid-refractory patients but has historically been considered to delay rather than prevent colectomy. We have previously described short-term outcomes from our unit of cases of ASUC, as defined by Truelove and Witt’s criteria, over a 1 year period (July 2016 to June 2017). Data on longer-term outcomes is now available. Methods Electronic patient records (EPRs) of cases included in the original study were reviewed. Outcomes including readmission rates, need for colectomy, steroid use, medical escalation and rates of biochemical remission (as defined by faecal Calprotectin (FC) <250μg/l) were recorded. Results In total, 58 cases (51 patients) were included in original cohort. 19 failed initial medical therapy with steroids with 10 successfully treated using rescue medical therapy thus avoiding colectomy. Only 1/10 required subsequent colectomy during our median follow-up period of 32 months. 29/51 (56.9%) patients settled with steroids alone. 3 died of unrelated causes so were excluded from further analysis. Further oral steroids were prescribed in 53.8% (14/26). 6 patients were already receiving an immunomodulator (azathioprine or mercaptopurine) prior to initial presentation. 75% of the remainder (15/20) were discharged on aminosalicylates as their only maintenance therapy but the majority (60%, 9/15) subsequently required medical escalation with only 30% (6/20) continuing aminosalicylate monotherapy. 1 colectomy also occurred in this group. 17 readmissions occurred in 12 patients with the majority (52.9%, 9/17) within 1 year. At the end of follow-up two out of three patients (66.7%, 12/18) were considered to be in biochemical remission (FC <250 μg/l). Conclusion Rescue medical therapy for ASUC provides sustained benefit with the vast majority avoiding delayed colectomy. Patients admitted with ASUC have significant readmission rates, particularly within 1 year with frequent need for further steroids and/or escalation of medical therapy. Long-term remission rates are high but aminosalicylate monotherapy is rarely adequate to achieve this. All patients with an adequate response to treatment for ASUC should be considered for initiation of immunomodulator and/or biologic Rx prior to discharge. ASUC patients should be considered for more intensive follow-up and early, aggressive medical escalation. An enhanced inpatient liaison service and early review clinic is planned to support this.

THE IMPACT OF AN EPILEPSY-CARE BUNDLE ON THE MANAGEMENT OF ACUTE SEIZURES IN A LARGE LONDON-BASED DISTRICT GENERAL HOSPITAL

2015 ◽  
Vol 86 (11) ◽  
pp. e4.107-e4
Author(s):  
Aravindhan Baheerathan ◽  
Kohilan Gananandan ◽  
Orlando Swayne
Keyword(s):  
District General Hospital ◽  
Business Case ◽  
Medical Emergency ◽  
Initial Assessment ◽  
Care Bundle ◽  
Staff Turnover ◽  
Acute Seizures ◽  
Neuro Imaging ◽  
The Impact

IntroductionSeizures account for 2–3% of presentations to the Accident & Emergency department. The National Audit of Seizure management in Hospitals (NASH) has demonstrated significant variances with regards to initial assessment and subsequent management. Standardised management protocols are crucial in optimising the care of this commonly encountered medical emergency.MethodsThe care of 30 patients admitted with seizures over a 1–month period was retrospectively reviewed. Following this a trust-wide seizure bundle was implemented and another 30 patients were reviewed. Data collection specifically assessed: ▸ Demographics of patients admitted, ▸ Immediate assessment & initial investigations, ▸ Consequent neuro-imaging & specialist investigations, ▸ Referral pathway.ResultsThe results showed poor uptake of the bundle and consequently management was broadly unchanged. The most significant results were:▸ 24% of cases did not have a senior review▸ 70% of cases were not discussed with neurology▸ 36% of cases did not have any follow up arrangedConclusionThe implementation of a seizure bundle can be challenging in the context of a unit that has a rapid staff turnover and is heavily staffed by locum physicians. Repeated staff education is required. This evidence is being used in a business case to employ an epilepsy nurse at Northwick Park. (Aravindhan Baheerathan and Kohilan Gananandan will both be presenting authors and contributed equally to this abstract).

scholarly journals Policies and practices of European dental schools in relation to smoking; a ten-year follow-up

BDJ ◽  
2005 ◽  
Vol 198 (7) ◽  
pp. 423-425 ◽  
Author(s):  
B E McCartan ◽  
D B Shanley
Keyword(s):  
Dental Schools ◽  
Policies And Practices

scholarly journals Medical Emergency Education Using Emergency Care Simulators in the School of Pharmaceutical Sciences

2008 ◽  
Vol 128 (7) ◽  
pp. 1045-1055 ◽  
Author(s):  
Jin TOKUNAGA ◽  
Norito TAKAMURA ◽  
Kenji OGATA ◽  
Hiroki YOSHIDA ◽  
Kazuhiro TOTORIBE ◽  
...  
Keyword(s):  
Emergency Care ◽  
Medical Emergency ◽  
Pharmaceutical Sciences ◽  
Emergency Education

scholarly journals Awareness of medical emergencies among dental practitioners in three Egyptian Dental Schools: A cross-sectional study

2021 ◽  
Vol 24 (4) ◽  
Author(s):  
Heba Hussein ◽  
Mohamed A. Abdelbaqy ◽  
Abdelrahman A. Ibrahim ◽  
Shahenda Farid ◽  
Suzan Ibrahim
Keyword(s):  
Private School ◽  
Prosthetic Heart Valve ◽  
Medical Emergency ◽  
Educational Models ◽  
Cross Sectional ◽  
Study Results ◽  
Dental Practitioners ◽  
Dental Staff ◽  
Medical Emergencies ◽  
Dental Schools

Objectives: To evaluate the awareness of medical emergencies among dental practitioners in three dental schools. Material and methods: The study group included 384 dental practitioners, including dental staff members, post-graduate students, and dental interns. These professionals were attending three dental educational institutions in Egypt. Two of them were governmental and one was a private school. The educational model is almost the same in most Egyptian dental schools. Results: The response rate was 100%. Most of the participants worked in private academia (44.16%) or practice (42.34%) and 65.20% of them were females. The participants recorded medical history and filled a form (91.17%, 80.52 % respectively) while only 41.82% obtained the vital signs. Among the participants, 48.57 % were confident about handling medical emergency and 74.29 % reported their capability of intramuscular injection while only 25.71 % for intravenous injection and 49.35% knew about emergency kits. Management knowledge of airway obstruction and prosthetic heart valve patients was reported by 80.27 % and 71.94 % respectively, while less percentage for activation of EMS, chest compression, CPR ratio, and infant rescue breathing. The mean preparedness percent score was 54.57% and it was inversely correlated to the years of experiences and directly correlated to the degree of confidence in their ability to manage the dental emergency. Conclusion: The current study results reflected a deficiency in the dental practitioner awareness about the medical emergency especially the practical part.     Keywords Dentists; Cross-sectional studies; Emergencies; Educational models; Dental schools.

Intensive care unit organization and management

2019 ◽  
pp. 591-643
Author(s):  
Carl Waldmann ◽  
Andrew Rhodes ◽  
Neil Soni ◽  
Jonathan Handy
Keyword(s):  
Critical Care ◽  
Severity Of Illness ◽  
Scoring Systems ◽  
Medical Emergency ◽  
Critically Ill Patient ◽  
Aeromedical Evacuation ◽  
Organization And Management ◽  
Medical Emergency Teams ◽  
Unit Organization

This chapter discusses ICU organization and management and includes discussion on consent on the ICU, rationing in critical care, ICU layout, medical staffing, ICU staffing (both nursing and staffing for supporting professions), fire safety in the ICU, legal issues and the Coroner, patient safety, Severity of Illness Scoring systems, comparison of ICUs, critical care disaster planning, health technology assessment, transfer of the critically ill patient, aeromedical evacuation, outreach and medical emergency teams, critical care follow-up, rehabilitation, and managing antibiotic resistance.

Medical emergency education in dental hygiene programs

1995 ◽  
Vol 59 (3) ◽  
pp. 425-427
Author(s):  
DJ Stach ◽  
GN Cross-Poline ◽  
CS Heine-Draznin ◽  
MS Clark
Keyword(s):  
Dental Hygiene ◽  
Medical Emergency ◽  
Emergency Education ◽  
Dental Hygiene Programs
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