Emergency group call over eMBMS

2014 ◽  
Author(s):  
JunHyuk Song ◽  
Rick Phung
Keyword(s):  
Emergency Group

scholarly journals Pregnancy Outcomes and SARS-CoV-2 Infection: The Spanish Obstetric Emergency Group Study

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 853
Author(s):  
Sara Cruz Melguizo ◽  
María Luisa de la Cruz Conty ◽  
Paola Carmona Payán ◽  
Alejandra Abascal-Saiz ◽  
Pilar Pintando Recarte ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Perinatal Outcomes ◽  
Preterm Births ◽  
Hypertensive Disorder ◽  
Obstetric Emergency ◽  
Increased Risk ◽  
Emergency Group ◽  
Adverse Perinatal Outcomes ◽  
Maternal Disease ◽  
The Relationship

Pregnant women who are infected with SARS-CoV-2 are at an increased risk of adverse perinatal outcomes. With this study, we aimed to better understand the relationship between maternal infection and perinatal outcomes, especially preterm births, and the underlying medical and interventionist factors. This was a prospective observational study carried out in 78 centers (Spanish Obstetric Emergency Group) with a cohort of 1347 SARS-CoV-2 PCR-positive pregnant women registered consecutively between 26 February and 5 November 2020, and a concurrent sample of PCR-negative mothers. The patients’ information was collected from their medical records, and the association of SARS-CoV-2 and perinatal outcomes was evaluated by univariable and multivariate analyses. The data from 1347 SARS-CoV-2-positive pregnancies were compared with those from 1607 SARS-CoV-2-negative pregnancies. Differences were observed between both groups in premature rupture of membranes (15.5% vs. 11.1%, p < 0.001); venous thrombotic events (1.5% vs. 0.2%, p < 0.001); and severe pre-eclampsia incidence (40.6 vs. 15.6%, p = 0.001), which could have been overestimated in the infected cohort due to the shared analytical signs between this hypertensive disorder and COVID-19. In addition, more preterm deliveries were observed in infected patients (11.1% vs. 5.8%, p < 0.001) mainly due to an increase in iatrogenic preterm births. The prematurity in SARS-CoV-2-affected pregnancies results from a predisposition to end the pregnancy because of maternal disease (pneumonia and pre-eclampsia, with or without COVID-19 symptoms).

TP6.1.9 Prolonged post-operative stay following emergency and elective laparoscopic cholecystectomies and its contributing factors

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
James Lucocq ◽  
Ganesh Radhakishnan ◽  
John Scollay ◽  
Pradeep Patil
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gallstone Disease ◽  
Contributing Factors ◽  
Surgical Decision ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Surgical Units ◽  
Emergency Group ◽  
Elective Group ◽  
Heterogenous Population

Abstract Aims Patients who undergo laparoscopic cholecystectomy (LC) for gallstone disease are a heterogenous population with many variables involved in their management. The aim was to identify the proportion of patients who have a prolonged post-operative stay (PPS; &gt;3days) following elective and emergency LC and the variables that most contribute to PPS. Methods We retrospectively collected data for all patients who underwent an elective and emergency LC across three surgical units from 2015 to 2020. Rates of PPS were compared between elective and emergency groups and variables associated with PPS were identified using multivariate logistic regression models. Results 2769 patients were included in the study (median age, 53years(range, 13-92); M:F,1:2.7; emergency:elective,1:3.6) The rate of PPS was higher in the emergency versus elective group (25.1% versus 6.6%; p&lt;0.0001). Pain was one of the major causes in both groups. In the elective group, factors associated with PPS included cholecystitis (OR,1.96; p=0.008), previous gallstone related admissions (OR,1.48; p=0.008), pre-operative ERCP (OR,3.58;p&lt;0.0001), ASA (OR,1.82; p=0.001) and age (years) (OR,1.03;p=0.001). In the emergency group, factors associated with PPS include cholecystitis (OR,5.3;p&lt;0.0001), ASA (OR,1.96; p = 0.01) and pre-operative ERCP (OR,4.44;p=0.001). Conclusions The rate of PPS following laparoscopic cholecystectomy is significant, particularly in the emergency group. Although the possibility of PPS cannot be avoided, patient information regarding the possibility of PPS is important, particularly for those at risk. The risk factors for PPS should be used to guide surgical decision making and should be followed by targeted management of these patients including optimised pain relief.

Emergency presentations of head and neck cancer: a modern perspective

2016 ◽  
Vol 130 (6) ◽  
pp. 571-574 ◽  
Author(s):  
M Bannister ◽  
V Vallamkondu ◽  
K W Ah-See
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Oropharyngeal Cancer ◽  
Female Patients ◽  
Patient Demographics ◽  
Patient Profile ◽  
Emergency Presentation ◽  
Emergency Group ◽  
Presentation Group

AbstractBackground:Head and neck cancer emergency presentations are uncommon but persistent. However, there is little published literature on this aspect of cancer and patient demographics. This study aimed to assess the incidence, patient profile, tumour site and stage of emergency cancer presentations in our region.Method:Retrospective review of regional cancer database over a five-year period.Results:Emergency presentations accounted for 7 per cent of all cases. There was no difference in patient age and risk factors between the emergency and non-emergency presentations. The emergency presentation group showed a greater proportion of female patients compared to the non-emergency presentation group (30 vs 15 per cent). In all emergency presentations, the cancer was at advanced stages. Oropharyngeal cancer was the commonest emergency presentation of cancer, but the third commonest in the non-emergency group.Conclusion:Emergency presentations are increasing annually. Female patients and oropharyngeal cancer showed greater representation compared to male patients and laryngeal cancer.

Principles of Abdominal Surgery in Patients on Intermittent Peritoneal Dialysis

1983 ◽  
Vol 3 (3) ◽  
pp. 146-149 ◽  
Author(s):  
Mervyn Deitel ◽  
Douglas A. Thompson ◽  
Fredrick L. Moffat ◽  
Stavros Karanicolas ◽  
Taras R. Mycyk
Keyword(s):  
Peritoneal Dialysis ◽  
Abdominal Surgery ◽  
Ventral Hernia ◽  
Wound Complications ◽  
Platelet Dysfunction ◽  
Inguinal Herniorrhaphy ◽  
Emergency Group ◽  
Elective Group ◽  
Abdominal Operations ◽  
Watertight Closure

Abdominal operations were required in 21 patients on intermittent peritoneal dialysis (IPD) -13 elective, eight emergency. There was one death in the elective group (inguinal herniorrhaphy) and four deaths in the emergency group (three spontaneous colonic perforations and one strangulated ventral hernia). Wound complications occurred in seven patients. Wounds require secure, watertight closure to prevent dialysis leak. In elective abdominal surgery, IPD should be carried out shortly before operation to delay dialysis for a few days after operation and also to decrease platelet dysfunction. Hernias should be repaired electively. Constipation should be avoided. Preoperative transfusion for anemia is generally unnecessary. Drains should be avoided or removed before resumption of IPD. Postoperative IPD should be done with one-liter exchanges. In certain instances, transfer to hemodialysis is indicated.

A STudy of Psychiatric Emergencies: Part III. Findings on Followup

1971 ◽  
Vol 2 (2) ◽  
pp. 133-137 ◽  
Author(s):  
Sheldon I. Miller ◽  
Charles H. Browning ◽  
Robert L. Tyson
Keyword(s):  
Large Fraction ◽  
Hospitalization Rate ◽  
Psychiatric Emergency ◽  
Consultation Service ◽  
Psychiatric Emergencies ◽  
National Rate ◽  
Psychiatric Hospitalizations ◽  
Emergency Group

Criteria to measure the effectiveness of a psychiatric emergency consultation service include (1) whether or not the recommendations made were followed, and (2) the rate of hospitalizations in the followup period. Negro females were identified as following outpatient recommendations least often of any group. With this finding, the suitability of the classical recommendations available is discussed. The hospitalization rate for the psychiatric emergency group in the followup period is significantly higher than the national rate. This finding is independent of (1) hospitalizations effected at the time of the emergency evaluations and (2) psychiatric hospitalizations in the followup period. This result suggests that a large fraction of the psychiatric emergency population presents with extensive pathology which is not or cannot be dealt with in the context of the emergency consultation.

scholarly journals Impact of Recommended Maternal Vaccination Programs on the Clinical Presentation of SARS-CoV-2 Infection: A Prospective Observational Study

2020 ◽  
Author(s):  
Maria Luisa de la Cruz Conty ◽  
Maria Begoña Encinas Pardilla ◽  
Marta Garcia Sanchez ◽  
Laura Gonzalez Rodriguez ◽  
Marta Luisa Muner-Hernando ◽  
...  
Keyword(s):  
Latin American ◽  
Clinical Presentation ◽  
Vaccination Campaign ◽  
Vaccination Status ◽  
Vaccination Programs ◽  
Maternal Vaccination ◽  
Emergency Group ◽  
Education Campaigns ◽  
Multicenter Prospective Study ◽  
Lower Adherence

The COVID-19 pandemic has raised questions about the possible cross immunity resulting from common vaccination programs and SARS-CoV-2 infection. Therefore, the Spanish Obstetric Emergency group performed a multicenter prospective study on the vaccination status of Influenza and Tdap (diphtheria, tetanus and pertussis vaccine boost administered in adulthood) in consecutive cases of SARS-CoV-2 infection in a pregnancy cohort, in order to assess its possible association with the clinical presentation and severity of symptoms of SARS-CoV-2 infection, as well as to determine the factors that may affect vaccination adherence. 1,150 SARS-CoV-2 positive pregnant women from 78 Spanish hospitals were analyzed: 183 had not received either vaccine, 23 had been vaccinated for Influenza only, 529 for Tdap only and 415 received both vaccines. No association was observed between the vaccination status and the clinical presentation of SARS-CoV-2 infection and/or the severity of symptoms. However, a lower adherence to the administration of both vaccines was observed in the Latin-American subgroup. Based on the results above, we reinforce the importance of maternal vaccination programs in the actual pandemic. Health education campaigns should be specially targeted to groups less likely to participate in these programs, as well as for a future SARS-CoV-2 vaccination campaign.

scholarly journals Delayed appendicectomy in patients with non-perforated acute appendicitis

2017 ◽  
Vol 4 (8) ◽  
pp. 2766
Author(s):  
Anandaravi B. N. ◽  
Krishna S. R. ◽  
Pradeep Kumar H. D. ◽  
Mayank Garg
Keyword(s):  
Acute Appendicitis ◽  
Hospital Stay ◽  
Readmission Rate ◽  
Operative Time ◽  
Perforated Appendicitis ◽  
Length Of Hospital Stay ◽  
Perforation Rate ◽  
Significant Difference ◽  
Emergency Group ◽  
Delayed Group

Background: Appendicitis remains one of the most common diseases encountered by the surgeon in practice. Appendicectomy is the most common urgent or emergency general surgical operation performed. Emergency appendicectomy is believed to be the standard treatment protocol for patients with acute appendicitis. This study was conducted to verify whether acute non-perforated appendicitis requires immediate surgery or can be delayed to be taken up on elective basis.Methods: This is a retrospective study of all the cases undergoing appendicectomy for acute appendicitis over the period of January 2016 to December 2016 in K. R. hospital, Mysuru, Karnataka, India. The cases were divided into two comparison groups: emergency group (operated within 12 hours of admission) and delayed group (operated between 12-72 hours). Parameters like age, sex, duration of symptoms, total leucocytes count, temperature, haemoglobin, radiological investigations, operative procedure, operative time, length of hospital stay, length of post-operative stay were collected and the end points for comparison were: Operative time, perforation rate, post-operative complication, length of hospital stay, readmission rate. Cases of perforated appendicitis in preoperative diagnosis, interval appendicectomy and appendicectomy done in association with other abdominal conditions were excluded from the study.Results: During this one-year period 283 patients have undergone appendicectomy. Out of this 189 (66.8%) patients have undergone surgery within 12 hours of admission and 94 (33.2%) have undergone surgery between 12 to 72 hours of admission. There was no significant difference between the two groups in operative time, per operative perforation rate, post-operative complication rate, readmission rate. Length of the hospital stay was greater in delayed group as compared to emergency group. But there was no significant difference between the post-operative length of hospital stay.Conclusions: Acute appendicitis can be treated surgically in a delayed elective basis without increasing morbidity.  

scholarly journals Review of code blue system and audit

2019 ◽  
Vol 7 (5) ◽  
pp. 1809
Author(s):  
Vishwanath C. Patil ◽  
Jignesh N. Shah ◽  
Prashant P. Jedge ◽  
Sanjivani V. Patil
Keyword(s):  
Success Rate ◽  
Communication Systems ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Respiratory Arrest ◽  
Medical Emergency ◽  
Research Centre ◽  
Dialysis Unit ◽  
Code Blue ◽  
Emergency Group

Background: Code Blue systems are communication systems that ensure the most rapid and effective resuscitation of a patient in respiratory or cardiac arrest. Code blue was established in Bharati Hospital and Research Centre in Sept 2011 in order to reduce morbidity and mortality in wards. The aim of the study was to evaluate the current code blue system and suggest possible interventions to strengthen the system.Methods: It was retrospective observational descriptive study. The study population included all consecutive patients above the age of 18 years for whom code blue had been activated. Data was collected using code blue audit forms. The data was analysed using SPSS (Statistical Package for social sciences) software.Results: A total of 260 calls were made using the blue code system between September 2011 to December 2012. The most common place for blue code activation was casualty. The wards were next, followed by dialysis unit and OPD. The indications for code blue team activation were cardio-respiratory arrest (CRA) (88 patients, 33.84%), change in mental status (52 patients, 20%), road traffic accidents RTA (21, 8.07%), convulsions (29 patients 11.15%), chest pain (19 patients, 8.46%), breathlessness (18 patients,6.92%) and worry of staff about the patient (17 patients, 6.53%), presyncope (10 patients, 3.84%), and others (6 patients, 2.30%). The average response time was 1.58±0.96 minutes in our study. Survival rate was more in medical emergency group 46.15% than in CRA group 31.61%. Initial success rate was 35.2% and a final success rate was 34.6%.Conclusions: Establishment of code blue team in the hospital enabled us to provide timely resuscitation for patients who had “out of ICU” CRA. Further study is needed to establish the overall effectiveness and the optimal implementation of code blue teams. The increasing use of an existing service to review patients meeting blue code criteria requires repeated education and a periodic assessment of site-specific obstacles to utilization.

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