scholarly journals Exposure of the hands to ionizing radiation in the resuscitation room of an accident & emergency department.

1992 ◽  
Vol 9 (2) ◽  
pp. 220-224 ◽  
Author(s):  
R J Evans ◽  
S Cusack ◽  
T Parke
2018 ◽  
Vol 25 (4) ◽  
pp. e9-e17 ◽  
Author(s):  
Michael Bernhard ◽  
Stephanie Döll ◽  
Thomas Hartwig ◽  
Alexandra Ramshorn-Zimmer ◽  
Maryam Yahiaoui-Doktor ◽  
...  

Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 230-235 ◽  
Author(s):  
David Lewis

Clinical diagnosis of pneumothorax in the emergency department (ED) resuscitation room can be difficult and in certain circumstances chest radiography is either impractical or the delay is unacceptable. The diagnosis must also be considered in other clinical areas such as critical care, theatres, respiratory units and acute medical units. Erect chest radiography is the standard first-line diagnostic test for pneumothorax in the ED, but the sensitivity is low (59–81%). For many patients in ED, critical care and theatre, an erect chest radiograph is not possible as the patient must remain supine. The sensitivity for a supine chest radiograph has been reported as being 45–75%. Ultrasound has been shown to be more sensitive than chest radiography in the diagnosis of pneumothorax in certain settings. This paper outlines the evidence for ultrasound in the diagnosis of pneumothorax in the point of care setting; it describes the technique and discusses the clinical application of this imaging modality.


1987 ◽  
Vol 16 (3) ◽  
pp. 340-342 ◽  
Author(s):  
Richard E Grazer ◽  
Harvey W Meislin ◽  
Bryan R Westerman ◽  
Elizabeth A Criss

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenjuan Huang ◽  
Peng Yang ◽  
Feng Xu ◽  
Du Chen

Abstract Background To explore the predictive value of the quick Sequential Organ Failure Assessment (qSOFA) score for death in the emergency department (ED) resuscitation room among adult trauma patients. Methods During the period November 1, 2016 to November 30, 2019, data was retrospectively collected of adult trauma patients triaged to the ED resuscitation room in the First Affiliated Hospital of Soochow University. Death occurring in the ED resuscitation room was the study endpoint. Univariate and multivariate analyses were performed to explore the association between qSOFA score and death. Receiver operating characteristic (ROC) curve analysis was also performed for death. Results A total of 1739 trauma victims were admitted, including 1695 survivors and 44 non-survivors. The death proportion raised with qSOFA score: 0.60% for qSOFA = 0, 3.28% for qSOFA = 1, 12.06% for qSOFA = 2, and 15.38% for qSOFA = 3, p < 0.001. Subgroup of qSOFA = 0 was used as a reference. In univariate analysis, crude OR for death with qSOFA = 1 was 5.65 [95% CI 2.25 to 14.24, p < 0.001], qSOFA = 2 was 22.85 [95% CI 8.84 to 59.04, p < 0.001], and qSOFA = 3 was 30.30 [95% CI 5.50 to 167.05, p < 0.001]. In multivariate analysis, with an adjusted OR (aOR) of 2.87 (95% CI 0.84 to 9.87, p = 0.094) for qSOFA = 1, aOR 6.80 (95% CI 1.79 to 25.90, p = 0.005) for qSOFA = 2, and aOR 24.42 (95% CI 3.67 to 162.27, p = 0.001) for qSOFA = 3. The Area Under the Curve (AUC) for predicting death in the ED resuscitation room among trauma patients was 0.78 [95% CI, 0.72–0.85]. Conclusions The qSOFA score can assess the severity of emergency trauma patients and has good predictive value for death in the ED resuscitation room.


2011 ◽  
Vol 58 (4) ◽  
pp. S318
Author(s):  
M. Choi ◽  
H. Choi ◽  
J. Lee ◽  
S. Shin ◽  
S. Shin ◽  
...  

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