scholarly journals Mass casualty incidents - evolution of management plan in a tertiary care hospital using post event analysis

2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A200-A200
Author(s):  
R. Sayyed ◽  
H. Zafar ◽  
M. S. Effendi
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Management Plan ◽  
Mass Casualty ◽  
Mass Casualty Incidents ◽  
Care Hospital ◽  
Event Analysis

scholarly journals Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ramesh Parajuli
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Treatment Method ◽  
Management Plan ◽  
Nasal Packing ◽  
Care Hospital ◽  
Treatment Methods ◽  
Central Nepal ◽  
Threatening Condition ◽  
Chemical Cautery

Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed.Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis.Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015.Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation.Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

scholarly journals Critical analysis of disaster management plan in a tertiary care hospital

2021 ◽  
Vol 9 (4) ◽  
pp. 1163
Author(s):  
Ravi Kumar Gupta ◽  
Aditi Mehra ◽  
Sonali Shamdasani
Keyword(s):  
Disaster Management ◽  
Emergency Response ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Management Strategies ◽  
Management Plan ◽  
Hospital Treatment ◽  
Care Hospital ◽  
Hospital Emergency ◽  
Trained Manpower

Background: Disaster in hospital is when the resources of the hospitals (infrastructure, trained manpower and organization) are over-whelmed beyond its normal capacity and additional contingency measures are required to control the event. The calculation of hospital treatment capacity provides a baseline for Hospital Administration to plan accordingly. Critical anaylsis of the disaster management strategies as per the hospital emergency response checklist – an all hazards tool for hospital administrators and emergency managers helps in identifying the gaps and strengthening the disaster management plan.Methods: The study is a retrospective analysis of the response of a tertiary care hospital vis a vis hospital emergency response checklist.Results: The disaster preparedness was analyzed according to the hospital emergency response checklist and gaps were identified.Conclusions: The need for a comprehensive and easily deployable disaster management plan cannot be emphasized enough. The tools of continuous quality improvement can be used and analysis may be used to further strengthen the plan. 

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ca 125 ◽  
Care Hospital ◽  
Serum Samples ◽  
Roc Curve Analysis ◽  
Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

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