scholarly journals Comparison of anaphylaxis diagnostic criteria and management guidelines for the prehospital setting

2014 ◽  
Vol 11 (5) ◽  
Author(s):  
Yu-Tung Chang ◽  
Malcolm J Boyle
Keyword(s):  
Diagnostic Criteria ◽  
Healthcare Providers ◽  
Hospital Setting ◽  
Medical Emergency ◽  
International Guidelines ◽  
Rating Method ◽  
Life Threatening ◽  
Questionnaire Surveys ◽  
Threatening Situation ◽  
Diagnosis Criteria

IntroductionAnaphylaxis is a potentially life-threatening medical emergency and a challenge for emergency healthcare providers. There appears to be a lack of consistency in the international definition and management of anaphylaxis. The objective of this study was to review current international guidelines in diagnostic and management of anaphylaxis in the pre-hospital setting.MethodsA literature search was conducted of the medical related electronic databases, Ovid MEDLINE, Cinahl, Cochrane CENTRAL and EMBASE from 1980 to the end of May 2013. A previously published pre-hospital search filter was used in each of the databases including additional keywords, ‘anaphylaxis’, ‘diagnosis’, ‘hypersensitivity’, ‘allergy’, ‘allergic reaction’, ‘adrenaline’, ‘epinephrine’ and ‘antihistamine’. Articles were included if their primary aim was to report of the evidence used to create international guidelines of anaphylaxis diagnosis and management. The references of retrieved articles were also reviewed. Articles were excluded if they were not written in English.ResultsThere were 128 articles located by the search with 18 meeting the inclusion criteria. Of these, three were literature reviews and six reported on the introduction of anaphylaxis guidelines, including medical treatment in different countries. Three retrospective studies evaluated the efficiency of current diagnostic and management in hospital setting. Two questionnaire surveys were conducted internationally. There were two articles proposing diagnostic criteria and a rating method for anaphylaxis. Two were relevant to pre-hospital studies.ConclusionThe inconsistency of definition and diagnosis criteria increases the risk of under-diagnosis and under-treatment of patients with anaphylaxis. Emergency healthcare providers need a more explicit set of diagnosis criteria and guidelines for treatment to rapidly relieve patients’ anaphylactic reaction and potentially life-threatening situation. 

Medical Emergencies in Dental Office - A Review

2021 ◽  
Author(s):  
Abhinav Sharma
Keyword(s):  
Review Article ◽  
Basic Knowledge ◽  
Medical Emergency ◽  
Medical Facility ◽  
Dental Office ◽  
Different Types ◽  
Life Threatening ◽  
Medical Emergencies ◽  
Set Up ◽  
Threatening Situation

A medical emergency, no matter where it happens, demands immediate treatment. When it occurs in a dental set-up, it is expected of Dentist and his/her staff to have the basic knowledge to recognize, assess and manage a potentially life-threatening situation until the patient can be transported to a medical facility. For that, the staff in the clinic should be well trained to act accordingly in different types of medical emergencies that can occur at any given time. A mock drill can also be organized for their training purpose. This review article deals with different kinds of medical emergencies that can occur in a dental set-up and how that can be recognized and managed.

A Survey on Knowledge of Medical Emergencies and Its Management among the Under-Graduate (UG) Clinical Students of a Dental College in Pondicherry, India

2021 ◽  
Vol 9 (2) ◽  
pp. 25-31
Author(s):  
Kuldeep Singh Shekhawat ◽  
Sivakumar Beena
Keyword(s):  
Dental Treatment ◽  
Medical Emergency ◽  
Questionnaire Study ◽  
Life Threatening ◽  
Medical Emergencies ◽  
Study Population ◽  
Management Techniques ◽  
Threatening Situation ◽  
Retrospective Questionnaire

Introduction: Dentist can encounter a medical emergency during any phase of the dental treatment. It isessential for the clinician to accurately identify and manage a life threatening situation in patients undergoingdental treatment. The aim of the present study is to assess the knowledge on medical emergencies and itsmanagement among dental clinical students of a dental college in Pondicherry.Materials and Methods: A retrospective questionnaire study was conducted among 135 under-graduate(UG) students to assess their knowledge on various medical emergency conditions and its management fromtheir level of perception in clinical postings.Results: The overall knowledge regarding identification and management of medical emergencies amongthe study population was found to be inadequate.Conclusion: Every dentist must be prepared for an emergency and believing it can be a real possibilityis of paramount importance. It cannot be completely prevented but efficiently managed with appropriateknowledge of signs, symptoms and management techniques.

scholarly journals Early recognition of critically ill patients

2016 ◽  
Vol 63 (2) ◽  
pp. 27-34
Author(s):  
Dusanka Obradovic ◽  
Ivana Stojkovic
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Early Recognition ◽  
Prognostic Significance ◽  
Hospital Setting ◽  
Scoring Systems ◽  
Daily Work ◽  
Life Threatening ◽  
Threatening Situation ◽  
Vital Parameters

Background: Critically ill patients are the patients with life-threatening multiorgan disorders. In most cases the occurrence of life-threatening situation preceding the deterioration of basic vital parameters, which are often overlooked in outhospital and hospital conditions. For these reasons, the systematic monitoring of vital parameters is of great significance, and in that aim, the introduction in to the daily work, primarily in the hospital setting, the scoring system for the early identification of critically ill patients. There are several of these scoring systems, some of which are commonly used early warning scoring systems, which are measuring the vital parameters such as heart rate, blood pressure, respiratory frequency, temperature, oxygen saturation of peripheral blood and/or urine output, mental status changes. Numerous studies demonstrated the importance of the implementation of these systems in everyday clinical practice for the timely recognition of critically ill patients in the hospital setting in order to reduce mortality. According to some studies, these scoring systems have prognostic significance.

Pharmacology Update: Emergency Medications for Hypoglycemia in Diabetes

2021 ◽  
pp. 1942602X2098164
Author(s):  
Carol Schaumleffel
Keyword(s):  
Severe Hypoglycemia ◽  
Well Being ◽  
Healthcare Facility ◽  
Altered Mental Status ◽  
Physical Symptoms ◽  
Medical Emergency ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Life Threatening ◽  
Threatening Situation

Children and adults with Type 1 and Type 2 diabetes are at risk for severe hypoglycemia, an unpredictable and potentially life-threatening situation. Severe hypoglycemia creates low blood glucose levels in which a person has an altered mental status or physical symptoms that require assistance from another individual to treat the hypoglycemia. Treatment of severe hypoglycemia is a medical emergency and prompt treatment is important for the well-being of students with diabetes. If left untreated, severe hypoglycemia can lead to death. Glucagon is a medication used to treat severe hypoglycemia outside of a healthcare facility. Recently, more stable and easier to use formulations of glucagon have become available. The purpose of this pharmacology update is to describe two new formulations of ready to use glucagon: an intranasal and subcutaneous, autoinjector formulation.

Gendered Impact of Corruption in Healthcare Service Delivery in Nigeria

2013 ◽  
Vol 11 (1) ◽  
Author(s):  
Yetunde A. Aluko
Keyword(s):  
Service Delivery ◽  
Public Hospitals ◽  
Public Health Care ◽  
Women's Voices ◽  
Medical Supplies ◽  
Poor Women ◽  
Level Information ◽  
Life Threatening ◽  
Threatening Situation ◽  
The Impact

This paper supports the hypothesis that corruption and non-delivery of services in key sectors such as health have gender-specific poverty consequences. The study utilized qualitative micro-level information about the structures of corruption and its impact on poor women. Respondents expressed their perceptions on the occurrence of corrupt practices in public health care system and its wider impact on society. The findings revealed that the impact of corruption is felt disproportionately by women and the poor, who are most dependent on public services, and have no alternative even when facing corrupt practices in a life threatening situation, such as complicated birth delivery. Pregnant women denied access to doctors tended to deliver at home, which increased the likelihood of complications and maternal and child mortality. Medical supplies meant for public hospitals are sold to private clinics who charge more for drugs and supplies. There is need to strengthen sectoral oversight mechanisms and transparency as well as increase women’s voices in service delivery.

Sign in / Sign up

Export Citation Format

Share Document