scholarly journals Emergency department critical care unit for critically ill cardiovascular patients: An observation study

2017 ◽  
Vol 80 (4) ◽  
pp. 233-244 ◽  
Author(s):  
Ken-Hui Fu ◽  
Yin-Ru Chen ◽  
Ju-Shin Fan ◽  
Yen-Chia Chen ◽  
Hsien-Hao Huang ◽  
...  
POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.


1990 ◽  
Vol 5 (2) ◽  
pp. 119-129 ◽  
Author(s):  
Michael S. Jastremski ◽  
Ronald J. Lagoe

AbstractThis study describes a series of mechanisms to alleviate overcrowding of hospital emergency departments by distributing critically ill patients among facilities with available resources. The initial mechanism, which was based on the availability of critical care beds, was used successfully between 1982 and 1986, but had to be abandoned when several new factors caused the availability of emergency department resources to become the limiting factor. A second approach, based on the availability of critical care and emergency department resources, produced limited success over a one-year period. The system currently in use, implemented in 1989, includes a distribution system based on the availability of emergency department resources and critical care beds, as well as a mechanism for diversion of ambulances to hospitals in neighboring counties at times of extremely high utilization. This experience demonstrates that mechanisms for planning the distribution of emergency and critically ill patients have universal applicability.


Author(s):  
Eelco F.M. Wijdicks ◽  
Sarah L. Clark

Drugs are used to treat, salvage, and protect the brain. This book provides information on how to prescribe and monitor the drugs most frequently used in the emergency department and the neurosciences critical care unit. Each drug is discussed in great detail to allow for its efficient use and to allow the recognition of drug-related problems. The book explains how these drugs work and what the body does with the drug in the acutely ill neurologic patient. It provides guidance on how these drugs are best administered and revisits how we can most effectively practice medication reconciliation. This manual has multiple useful concise tables and graphs summarizing over 150 drugs.


2020 ◽  
Vol 19 (3) ◽  
pp. 68-92
Author(s):  
Jesús Llor Lozano ◽  
Ana Myriam Seva Llor ◽  
José Luis Díaz Agea ◽  
Luis Llor Gutiérrez ◽  
César Leal Costa

Objetivo: Analizar el nivel y la relación entre habilidades de comunicación, autoeficacia percibida y síndrome de Burnout en profesionales de la salud del servicio de urgencias hospitalario y unidad de cuidados críticos de un hospital comarcal. Método: Se plantea un estudio observacional y transversal en una muestra de 90 profesionales sanitarios de un Hospital Comarcal, 19 médicos (21,1%), 47 enfermeros (52,2%), 24 auxiliares de enfermería (26,7%). Se han usado la Escala sobre Habilidades de Comunicación en Profesionales de la Salud, el Maslach Burnout Inventory Human Services Survey y la escala de la Autoeficacia percibida.Resultados: Se obtiene una correlación negativa entre las diferentes dimensiones de la Escala sobre Habilidades de Comunicación en Profesionales de la Salud, la realización personal en el trabajo del Maslach Burnout Inventory y la autoeficacia percibida con las dimensiones agotamiento emocional y despersonalización del Maslach Burnout Inventory. Por otro lado, se observa una correlación positiva y estadísticamente significativa entre las dimensiones de las habilidades de comunicación con la dimensión realización personal en el trabajo del Maslach Burnout Inventory y la autoeficacia percibida.Conclusiones: Las habilidades de comunicación y la autoeficacia percibida de los profesionales sanitarios en los servicios de urgencias hospitalarios y las unidades de cuidados críticos están relacionadas con un menor agotamiento emocional y despersonalización, y una mayor realización personal en el trabajo. Aim: To analyze the level and relationship between communication skills, perceived self-efficacy and Burnout syndrome in health professionals from the hospital emergency department and the critical care unit of a regional hospital.Method: An observational and cross-sectional study was conducted with a sample of 90 health professionals from a Regional Hospital, 19 physicians (21.1%), 47 nurses (52.2%), 24 nursing aides (26.7%). The Communication Skills Scale for Health Professionals, the Maslach Burnout Inventory Human Services Survey and the Scale of Perceived Self-Efficacy were utilized.Results: A negative correlation was obtained between the different dimensions of the Communication Skills Scale for Health Professionals, the personal accomplishment at work of the Maslach Burnout Inventory and the perceived self-efficacy with the emotional exhaustion and depersonalization dimensions of the Maslach Burnout Inventory. On the other hand, a positive and statistically significant correlation was observed between the dimensions of communication skills with the personal accomplishment dimension in the Maslach Burnout Inventory work and the perceived self-efficacy.Conclusions: The communication skills and the perceived self-efficacy of the health professionals in the emergency department and critical care unit are related to less emotional exhaustion and depersonalization, and greater personal accomplishment at work.


Author(s):  
Nehad J. Ahmed ◽  
Abdulrahman G. Alharbi

Aim: This study aimed to identify antibiotics using pattern in surgery department of a maternity and children hospital in Alkharj. Methodology: This is a retrospective review of the drugs that were prescribed in maternity and children hospital in Alkharj from January 2018 to August 2020. Results: The most prescribed antibiotics by emergency department for surgery patients were metronidazole (45.59%) and ceftriaxone (42.65%). Metronidazole IV was the most commonly prescribed antibiotic (38.73%) by inpatient department for surgery patients followed by ceftriaxone (38.73%). Vancomycin vial (43.75%) was the most commonly prescribed antibiotic by critical care unit for surgery patients. The most commonly prescribed antibiotic outpatient department and day case unit for surgery patients by was fusidic acid ointment (35.00%). Conclusion: The study showed that the most commonly prescribed antibiotics for surgery patients were metronidazole and ceftriaxone. Continuous monitoring for antibiotics prescribing is vital to increase the judicious use of these medications and more educational programs and awareness workshops for surgeons are needed.


Author(s):  
K Werdan ◽  
B Patel ◽  
M Girndt ◽  
H Ebelt ◽  
J Schröder ◽  
...  

The prognosis of critically ill cardiac patients in the critical care unit and intensive cardiac care unit depends not only on the underlying cardiac disease, but also on the development of secondary organ complications and failures. Therefore, close monitoring of vital organs is mandatory in all critically ill cardiac patients to detect the development of non-cardiac organ failure as early as possible.


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