scholarly journals Design and realization of the emergency unit of video frequency switch matrix

2017 ◽  
Author(s):  
Yue Feng ◽  
Wei Yu
Keyword(s):  
Emergency Unit ◽  
Video Frequency

Diving Accident Evacuations by Helicopter and Immersion Pulmonary Edema

2020 ◽  
Vol 91 (10) ◽  
pp. 806-811
Author(s):  
Laëtitia Corgie ◽  
Nicolas Huiban ◽  
Jean-Michel Pontier ◽  
François-Xavier Brocq ◽  
Jean-François Boulard ◽  
...  
Keyword(s):  
Pulmonary Edema ◽  
Decompression Sickness ◽  
Mediterranean Coast ◽  
Military Hospital ◽  
Emergency Unit ◽  
Diving Accident ◽  
Landing Zone ◽  
Diving Accidents ◽  
Non Invasive Ventilation ◽  
Life Threatening

BACKGROUND: Scuba diving activities expose divers to serious accidents, which can require early hospitalization. Helicopters are used for early evacuation. On the French Mediterranean coast, rescue is made offshore mainly by a French Navy Dauphin or at a landing zone by an emergency unit EC 135 helicopter.METHODS: We retrospectively analyzed diving accidents evacuated by helicopter on the French Mediterranean coast from 1 September 2014 to 31 August 2016. We gathered data at the Center for Hyperbaric Medicine and Diving Expertise (SMHEP) of the Sainte-Anne Military Hospital (Toulon, France), the 35 F squadron at Hyres (France) Naval Air Station, and the SAMU 83 emergency unit (Toulon, France).RESULTS: A total of 23 diving accidents were evacuated offshore by Dauphin helicopter and 23 at a landing zone on the coast by EC 135 helicopter without hoist. Immersion pulmonary edema (IPE) accounted for one-third of the total diving accidents evacuated by helicopter with identified causes. It was responsible for at least half of the deaths at the dive place. A quarter of the rescued IPE victims died because of early cardiac arrest.DISCUSSION: Helicopter evacuation is indicated when vital prognosis (IPE and pulmonary overpressure in particular) or neurological functional prognosis (decompression sickness) is of concern. IPE is the primary etiology in patients with serious dive injuries that are life-threatening and who will benefit from helicopter evacuation. A non-invasive ventilation device with inspiratory support and positive expiratory pressure must be used, in particular for IPE.Corgie L, Huiban N, Pontier J-M, Brocq F-X, Boulard J-F, Monteil M. Diving accident evacuations by helicopter and immersion pulmonary edema. Aerosp Med Hum Perform. 2020; 91(10):806811.

Factors Affecting Nurses' Performance In Emergency Unit

2016 ◽  
Vol 7 (4) ◽  
pp. 392-405
Author(s):  
Wessam Abdel-Moniem Mohammad ◽  
Manal Housien ◽  
Asmaa Said Ali
Keyword(s):  
Emergency Unit ◽  
Factors Affecting

scholarly journals Delayed treatment of bacteremia during the COVID-19 pandemic

Diagnosis ◽  
2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Taiju Miyagami ◽  
Yuki Uehara ◽  
Taku Harada ◽  
Takashi Watari ◽  
Taro Shimizu ◽  
...  
Keyword(s):  
Blood Culture ◽  
Delayed Diagnosis ◽  
Chest Ct ◽  
Blood Cultures ◽  
Emergency Unit ◽  
Medical Providers ◽  
Delayed Treatment ◽  
Clinical Measures ◽  
Primary Measure ◽  
Antimicrobial Administration

Abstract Objectives Coronavirus disease (COVID-19) blindness, that is, the excessive consideration of the disease in diagnosis, has reportedly led to delayed diagnosis of some diseases. We compared several clinical measures between patients admitted for bacteremia during the two months of the COVID-19 pandemic and those admitted during the same period in 2019. We hypothesized that the pandemic has led to delayed treatment of bacteremia. Methods This retrospective observational study compared several measures undertaken for patients who visited the emergency unit in two hospitals between March 1 and May 31, 2020, during the COVID-19 pandemic and whose blood cultures tested positive for bacteremia with those for corresponding patients treated during the same period in 2019. The primary measure was time from consultation to blood culture/antimicrobials. Results We included 29 eligible patients from 2020 and 26 from 2019. In 2020, the time from consultation to antimicrobial administration was significantly longer than in 2019 (mean [range], 222 [145–309] min vs. 139 [102–179] min, p=0.002). The frequency of chest computed tomography (CT) was significantly higher in 2020 (96.6 vs. 73.1%, p=0.021). Significant differences were not observed in the time to blood culture or chest CT preceding the blood culture between the two periods. Conclusions Our findings suggested that due to the COVID-19 epidemic/pandemic, focusing on the exclusion of its infection using CT scans leads to an overall delay in the diagnosis and treatment of bacteremia. Medical providers must be aware of COVID-19 blindness and evaluate patients objectively based on rational criteria and take appropriate action.

scholarly journals Strategies to Enhance Knowledge and Practical Skills of Triage amongst Nurses Working in the Emergency Departments of Rural Hospitals in South Africa

2021 ◽  
Vol 18 (9) ◽  
pp. 4471
Author(s):  
Thabo Arthur. Phukubye ◽  
Masenyani Oupa. Mbombi ◽  
Tebogo Maria. Mothiba
Keyword(s):  
South Africa ◽  
Emergency Departments ◽  
Rural Hospitals ◽  
Practical Skills ◽  
Emergency Unit ◽  
Continuous Training ◽  
Face To Face ◽  
Interview Method ◽  
Qualitative Research Design ◽  
Knowledge And Practice

Purpose: Lack of knowledge and practical skills on triage remains a global problem, especially within rural hospitals, and very little is known about enhancing the knowledge and skills of emergency nursing staff in rural hospitals of South Africa. The objective was to describe the perceived strategies for enhancing knowledge and practices of triage among nurses working in the emergency departments (EDs) of rural hospitals in South Africa. Research methods: A descriptive qualitative research design was applied to achieve the research objective. A non-probability sampling method was applied to select 17 professional nurses from rural hospitals. An unstructured face-to-face interview method was used to collect data. Data collected were analyzed using Tesch’s method of data analysis. Results: The study findings highlighted the academic needs of nurses working in the ED of rural hospitals. Two themes emerged from this study; (1) The consistent description of the importance of triage training for emergency unit staff, and (2) The description of measures to enhance triage practices amongst emergency unit staff. Findings indicated that triage knowledge and practice remains a challenge, but with formulated strategies like continuous training by workshops, refresher courses, and offering a training module on triage, evaluation of developed guidelines and benchmarks is often enhanced. Conclusions: The study describes the strategies to enhance the conversion of knowledge and practice of triage amongst nurses working in the ED of rural hospitals. The paper argues that the knowledge and practical skills of nurses working in ED are enhanced through the provision of continuous training as workshops, triage module, evaluating the developed guidelines to implement triage, and benchmarking with other hospitals.

Causes of acute peritonitis in 1188 consecutive adult patients in Ghana

2005 ◽  
Vol 35 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Michael Ohene-Yeboah
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Communicable Diseases ◽  
Adult Patients ◽  
Emergency Unit ◽  
Ileal Perforation ◽  
Acute Peritonitis ◽  
Generalized Peritonitis ◽  
Previous Series

In a five-year prospective study,1188 consecutive adult patients were admitted and treated for acute generalized peritonitis at the Surgical Emergency Unit of the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively. Other conditions (gastroduodenal perforations, ruptured abscesses, traumatic bowel perforations and amoebic colonic perforations) accounted for fewer than 25% of cases. This paper notes that acute appendicitis and typhoid perforation remain the leading causes of peritonitis in Ghana. Compared with previous series, the importance of appendicitis in acute peritonitis has diminished. The complications of communicable diseases now cause peritonitis more commonly than 35 years ago. This may reflect deteriorating conditions of sanitation and housing during the intervening period.

Characteristics Of Anaphylaxis In a Pediatric Emergency Unit

2014 ◽  
Vol 133 (2) ◽  
pp. AB22
Author(s):  
Beatriz Ameiro ◽  
Blanca Noguerado ◽  
Gabriela Zambrano ◽  
Cristina Morales ◽  
Miguel Guzmán ◽  
...  
Keyword(s):  
Pediatric Emergency ◽  
Emergency Unit

Left Ventricle Tissue Doppler Imaging Predicts Disease Severity in Septic Patients Newly Admitted in an Emergency Unit

2015 ◽  
Vol 49 (6) ◽  
pp. 907-915 ◽  
Author(s):  
Thiago Martins Santos ◽  
Daniel Franci ◽  
Marcelo Schweller ◽  
Diego Lima Ribeiro ◽  
Carolina Matida Gontijo-Coutinho ◽  
...  
Keyword(s):  
Left Ventricle ◽  
Disease Severity ◽  
Tissue Doppler Imaging ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Emergency Unit

The inhaled pin inaccessible to the bronchoscope: a management conundrum

2009 ◽  
Vol 123 (12) ◽  
pp. 1399-1401 ◽  
Author(s):  
D V T Harischandra ◽  
J Swanevelder ◽  
R K Firmin
Keyword(s):  
Open Surgery ◽  
Left Lung ◽  
Treatment Protocol ◽  
Emergency Unit ◽  
Combined Approach ◽  
Unique Challenge ◽  
Basal Segment ◽  
Accident And Emergency ◽  
Sharp Foreign Body

AbstractObjective:The inhaled sharp foreign body is usually amenable to bronchoscopic extraction. When this fails, management poses a challenge. We present a logical approach to the inhaled pin inaccessible to the bronchoscope.Case report:A 12-year-old girl presented to the accident and emergency unit after accidentally inhaling a pin. Multiple attempts with both rigid and flexible bronchoscopy failed to access the pin, which had lodged distally in the anteromedial basal segment of the left lung. Eventually, the pin was extracted at thoracotomy.Conclusion:We discuss the reasons for extracting such pins, as opposed to leaving them in situ, and when to proceed from endoscopy to open surgery. Such knowledge is useful, not only to guide the multidisciplinary team in their combined approach to this unique challenge, but also to explain to the patient the rationale for the proposed treatment protocol.

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