scholarly journals ADAPTATION OF EVIDENCE-BASED CLINICAL PRACTICEGUIDELINES FOR EMERGENCY MANAGEMENT OFDISTURBED LEVEL OF CONSCIOUSNESS IN CHILDRENATTENDING EMERGYENCY ROOM IN ALEXANDRIA UNIVERSITY CHILDREN HOSPITAL

2021 ◽  
Vol 3 (4) ◽  
pp. 80-81
Author(s):  
Elham Elsakka ◽  
Shaimaa Mohamed ◽  
Marwa Shehata
Keyword(s):  
Emergency Management ◽  
Evidence Based ◽  
Level Of Consciousness

Fear, history, stigma, and bias in the COVID-19 pandemic

2020 ◽  
Vol 18 (7) ◽  
pp. 177-182
Author(s):  
Kevin Kupietz, PhD ◽  
Lesley Gray, MPH
Keyword(s):  
Emergency Management ◽  
Disease Outbreaks ◽  
Social Effects ◽  
Evidence Based ◽  
Stigma And Discrimination ◽  
Emergency Managers ◽  
Global Pandemic ◽  
New Concepts ◽  
History Of ◽  
The Relationship

Introduction: The greatest enemy of a global pandemic is not the virus itself, but the fear, rumor, and stigma that envelopes people. This article explores the context and history of fear and stigma relating to pandemic, summarizing key actions to mitigate the harms during an active pandemic.Method: Our article draws from accounts in literature and journalist accounts documenting the relationship between infectious diseases and major disease outbreaks that have garnered fear and stigmatization. Results: Fear, stigma, and discrimination are not new concepts for pandemics. These social effects run the risk of diverting attention from the presenting disease and government responses. Reactions to fear, stigma, and discrimination risk sabotaging effective efforts to contain, manage, and eradicate the disease.Conclusion: Emergency managers have an important role in dispelling myths, disseminating appropriate and evidence-based information without exacerbating fears. Knowledge about the roots of fear and bias along with a good understanding of historical plagues and pandemics is vital to ensure those in the field of emergency management can effectively manage irrational fears.

scholarly journals Compliance with guidelines for emergency management of asthma in adults: experience at a tertiary care teaching hospital

CJEM ◽  
2004 ◽  
Vol 6 (05) ◽  
pp. 321-326 ◽  
Author(s):  
Valerie F. Krym ◽  
Brent Crawford ◽  
Russell D. MacDonald
Keyword(s):  
Inner City ◽  
Emergency Management ◽  
Teaching Hospital ◽  
Interobserver Reliability ◽  
Tertiary Care ◽  
Evidence Based ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Treatment Variation ◽  
Canadian Association

ABSTRACTObjectives:Despite evidence-based clinical practice guidelines for the emergency management of asthma, substantial treatment variation exists. Our objective was to assess compliance with the Canadian Association of Emergency Physicians (CAEP) / Canadian Thoracic Society (CTS) Asthma Advisory Committee’s “Guidelines for the emergency management of asthma in adults” in the emergency department (ED) of a university-affiliated tertiary care teaching hospital.Methods:This retrospective study was conducted in a Canadian inner city adult ED. Investigators reviewed all ED records for the period from Jan. 1, 2001, to Dec. 31, 2001, and identified adult patients (i.e., >18 years of age) with a primary ED diagnosis of asthma. Hospital records were then reviewed to document compliance with the CAEP/CTS asthma guidelines. Descriptive statistics, including means, standard deviations and frequencies were used to summarize information.Results:Overall compliance with the guidelines was 69.6%, (95% confidence interval, 64.7%–74.5%), but compliance ranged from 41.4% for severe asthma, 67.1% for moderate asthma, and 88.6% for mild asthma. Interobserver reliability for compliance assessment was excellent.Conclusions:Despite publication and dissemination of evidence-based guidelines for the management of acute asthma in adults, guideline compliance at a university-affiliated, inner city, tertiary care teaching hospital ED is suboptimal.

scholarly journals Development of a GIS platform for Multi-Disciplinary Community Databases to enable Earthquake Resilience and Research

2020 ◽  
Author(s):  
Ilan Noy ◽  
Emily Lambie ◽  
Hayden Rickard ◽  
Sally Owen
Keyword(s):  
Emergency Management ◽  
Urban Areas ◽  
Evidence Based ◽  
Research Projects ◽  
Data Standards ◽  
Flexible Approach ◽  
Earthquake Resilience ◽  
Event Based ◽  
Gis Platform

This poster describes the initial steps and benefits in the creation of a GIS platform that will enable the hosting, sharing, and linking of spatial, geotechnical, structural, social, and economic datasets. This will enable interested parties to pursue multi-disciplinary research projects that aim to solve what are inherently complex and multi-faceted problems. A span of datasets will be linked to existing multi-storey buildings and integrated into an easy-to-use GIS platform that will have a range of purposes, including: (1) providing the best scientific knowledge spanning numerous disciplines to inform earthquake resilience research; (2) allowing different organisations, including local councils and iwis to make evidence based decisions regarding event-based planning and emergency management and (3) fostering engagement and sharing of data between separate research communities across different disciplines. Urban areas of Dunedin and Palmerston North are currently being used as repeatable case studies to test the feasibility and relationships required to enable the GIS platform’s capabilities. Researchers are being involved in a collaborative, multi-disciplinary, and flexible approach to ensure the GIS platform can benefit a wide array of groups and individuals. Building in flexibility to extend the GIS platform nationwide to construct a national, multi-disciplinary building database using consistent data standards is a primary, long-term goal for the project.

Stroke: Prevention, Diagnosis, and Management

2014 ◽  
pp. 941-950
Author(s):  
Galen V. Henderson
Keyword(s):  
Ischemic Stroke ◽  
Primary Prevention ◽  
High Risk ◽  
Secondary Prevention ◽  
Emergency Management ◽  
Stroke Prevention ◽  
Evidence Based ◽  
Functional Impairments ◽  
Diagnosis And Management ◽  
Evidence Based Guideline

Primary prevention of stroke, which remains a major healthcare problem and a leading cause of functional impairments, is particularly important because >70% of strokes are first events. As discussed in the evidence-based guideline-supported sections that follow, high-risk or stroke-prone individuals can now be identified and targeted for specific interventions for primary prevention and some information regarding secondary prevention treatments and emergency management of ischemic stroke.

scholarly journals Long-term Effects of an Evidence-based Guideline for Emergency Management of Pediatric Syncope

2020 ◽  
Vol 5 (6) ◽  
pp. e361
Author(s):  
Kristen H. Shanahan ◽  
Michael C. Monuteaux ◽  
Dalton Brunson ◽  
Sabrina E. Guse ◽  
Mark E. Alexander ◽  
...  
Keyword(s):  
Emergency Management ◽  
Evidence Based ◽  
Long Term Effects ◽  
Evidence Based Guideline

“Go Hard, Go Early”: Preliminary Lessons From New Zealand’s Response to COVID-19

2020 ◽  
Vol 50 (6-7) ◽  
pp. 598-605 ◽  
Author(s):  
Thomas Jamieson
Keyword(s):  
New Zealand ◽  
Best Practices ◽  
Emergency Management ◽  
Evidence Based ◽  
The Novel ◽  
Management Research ◽  
National Unity ◽  
The Public ◽  
The Government ◽  
Novel Coronavirus

Although the full impact of the novel coronavirus (COVID-19) pandemic is yet to be realized, New Zealand has suffered comparatively less than other countries, and there were no active cases in the country by June 8, 2020. Building from best practices in emergency management research, several preliminary lessons emerge from the country’s response to the crisis that could be adapted for other settings. In particular, the government acted early and decisively, developed national unity to combat the virus, communicated effectively with the public, and adapted to changing circumstances, especially to address shortcomings in the response. These preliminary lessons provide some guidance in how to effectively respond to the virus through proactive, evidence-based, well-communicated policies.

scholarly journals Evidence-Based Minireview: Mortality and thrombosis in patients receiving prothrombin complex concentrates or andexanet alfa for the management of direct oral factor Xa inhibitor–associated major bleeding

Hematology ◽  
2019 ◽  
Vol 2019 (1) ◽  
pp. 204-208 ◽  
Author(s):  
Miriam Kimpton ◽  
Deborah M. Siegal
Keyword(s):  
Computed Tomography ◽  
Major Bleeding ◽  
Factor Xa ◽  
Evidence Based ◽  
Factor Xa Inhibitor ◽  
Prothrombin Complex Concentrates ◽  
Pharmacological Agents ◽  
Previous Stroke ◽  
Level Of Consciousness ◽  
Andexanet Alfa

Abstract A 77-year-old man with atrial fibrillation and a CHA2DS2Vasc score of 6 for hypertension, age, diabetes, and previous stroke is brought to the emergency department with decreased level of consciousness. He is anticoagulated with rivaroxaban (a direct oral factor Xa inhibitor [FXaI]) and received his last dose about 4 hours before presentation. Urgent computed tomography of the head shows intracerebral hemorrhage. Because of his previous stroke, the patient’s family is concerned about treating the bleed with pharmacological agents that may increase the risk of stroke. What are the risks of thrombosis and mortality related to the use of prothrombin complex concentrates (PCCs) and andexanet alfa for patients with direct oral FXaI-associated major bleeding?

Implementasi Evidence Based Nursing pada Pasien dengan Stroke Non-Hemoragik: Studi Kasus

2019 ◽  
Vol 4 (3) ◽  
pp. 601
Author(s):  
Filya Kharti Gempitasari ◽  
Feni Betriana
Keyword(s):  
Glasgow Coma Scale ◽  
Oxygen Saturation ◽  
Nursing Care ◽  
Clinical Syndrome ◽  
Evidence Based ◽  
Coma Scale ◽  
Level Of Consciousness ◽  
Evidence Based Nursing

<p><em>Stroke is a clinical syndrome which is characterized by loss of brain function acutely and can lead to death. Patients with stroke often experience declining of consciousness which lead to decreasing the quality of life. To reach the good outcome of nursing care, it is needed to implement evidence-based nursing. This case study is the implementation of evidence-based nursing by providing murrotal therapy and head-up positioning 30 degree to increase patient’s level of consciousness and oxygen saturation. The murrotal therapy was implemented for seven days and head-up positioning 30 degree was implemented for three days. After each implementation, the patient was evaluated by assessing the Glasgow Coma Scale (GCS) and oxygen saturation. The results showed an increasing of the level of consciousness after murrotal therapy was given from GCS 7 in the first day of implementation to GCS 11 in the 7<sup>th</sup> day. Oxygen saturation increased for 1.5% in average. To reach optimal outcome, implementation of evidence-based nursing in providing nursing care is highly recommended.</em></p><p> </p><p><em>Stroke merupakan suatu sindrom klinis yang ditandai dengan hilangnya fungsi otak secara akut dan dapat menimbulkan kematian. Pasien dengan stroke seringkali mengalami penurunan kesadaran sehingga menyebabkan kualitas hidup menurun. Untuk mencapai hasil perawatan yang baik, diperlukan implementasi evidence-based nursing. Studi kasus ini merupakan implementasi evidence-based nursing dengan memberikan terapi murrotal dan pengaturan posisi kepala head-up 30 derajat untuk meningkatkan tingkat kesadaran dan saturasi oksigen pada pasien dengan stroke. Terapi murrotal diaplikasikan selama tujuh hari dan pengaturan posisi kepala head-up 30 derajat diaplikasikan selama tiga hari. Setelah setiap intervensi yang dilakukan, pasien dievaluasi dengan penilaian Glasgow Coma Scale (GCS) dan saturasi oksigen. Hasil menunjukkan bahwa terdapat peningkatan kesadaran pasien setiap hari setelah dilakukan terapi murotal dari GCS 7 pada hari ke-1 menjadi GCS 11 pada hari ke-7. Saturasi oksigen mengalami peningkatan rata-rata 1,5%. Untuk mencapai hasil perawatan yang optimal, penerapan evidence-based nursing dalam memberikan asuhan keperawatan sangat direkomendasikan.  </em></p>

Sign in / Sign up

Export Citation Format

Share Document