EXISTING EMERGENCY MANAGEMENT USED FOR VISARPA DISEASE

2020 ◽  
Vol 8 (9) ◽  
pp. 4478-4486
Author(s):  
Kendre Manchak ◽  
Jaybhaye Sulakshana

Emergency management in Visarpa is most challenging. The aim of this study is to review the existing Crit-ical care for Visarpa from basic Ayurveda classics as well as online. In this review article, after evaluation of emergency care from brihatrayai as well as laghutrai and available relevant 21 articles regarding Visarpa chikitsa, we discussed the need of development of Ayurveda diagnostic as well as intensive care units in present era. It is found that emergency treatment is not available to the satisfaction in Ayurveda literature. Therefore, possible strategy regarding emergency care research for this critical disease is provid-ed which is useful for Ayurveda researchers.

2011 ◽  
Vol 152 (24) ◽  
pp. 946-950 ◽  
Author(s):  
Miklós Gresz

According to the Semmelweis Plan for Saving Health Care, ”the capacity of the national network of intensive care units in Hungary is one but not the only bottleneck of emergency care at present”. Author shows on the basis of data reported to the health insurance that not on a single calendar day more than 75% of beds in intensive care units were occupied. There were about 15 to 20 thousand sick days which could be considered unnecessary because patients occupying these beds were discharged to their homes directly from the intensive care unit. The data indicate that on the whole bed capacity is not low, only in some institutions insufficient. Thus, in order to improve emergency care in Hungary, the rearrangement of existing beds, rather than an increase of bed capacity is needed. Orv. Hetil., 2011, 152, 946–950.


2015 ◽  
Vol 34 (5) ◽  
pp. 788-795 ◽  
Author(s):  
Corita Grudzen ◽  
Lynne D. Richardson ◽  
Kevin M. Baumlin ◽  
Gary Winkel ◽  
Carine Davila ◽  
...  

2005 ◽  
Vol 18 (2) ◽  
pp. 91-99
Author(s):  
Gourang P. Patel ◽  
Christopher W. Crank

Gram-negative resistance is an increasingly important consideration when initiating empiric antimicrobial therapy in intensive care units. Infection with a resistant organism has been associated with increased morbidity and mortality as well as increased hospital cost. Gram-negative resistance in intensive care units will likely continue to increase. Clinicians must aggressively manage infections in the intensive care unit while practicing the appropriate steps to minimize future resistance. This review article summarizes the epidemiology, risk factors, mechanisms of resistance, and management of infections due to resistant gram-negative organisms.


2009 ◽  
Vol 8 (2) ◽  
Author(s):  
Jannaina Sther Leite Godinho ◽  
Claudia Mara de Mello Tavares

2020 ◽  
Vol 20 (3) ◽  
pp. 245
Author(s):  
Khaloud S. Almukhaini ◽  
Najwa M. Al-Rahbi

Noninvasive ventilation (NIV) and high-flow nasal cannulae therapy (HFNCT) are first-line methods of treatment for children presenting with acute respiratory distress, with paediatric intensive care units (PICUs) providing an ideal environment for subsequent treatment monitoring. However, the availability of step-down units, where NIV and HFNCT can be safely utilised, has reduced the need for such patients to be admitted to PICUs, thereby leading to the better overall utilisation of critical care resources. In addition, NIV and HFNCT can also be used during transport instead of invasive ventilation, thus avoiding the complications associated with the latter approach. This review article examines the safety and applicability of these respiratory support approaches outside of paediatric intensive care as well as various factors associated with treatment success or failure.Keywords: Critical Care; Children; Pediatric Intensive Care Units; Noninvasive Ventilation; Nasal Cannulae; Transportation of Patients.


Author(s):  
Thabata Coaglio Lucas ◽  
Cristiane Rocha Fagundes Moura ◽  
Raquel Aparecida Monteiro ◽  
Valéria da Silva Baracho ◽  
Cintia Maria Rodrigues ◽  
...  

Author(s):  
ANUPRIYA A ◽  
DIEGO EDWIN ◽  
LALITHAMBIGAI J ◽  
PRABHUSARAN N

Objective: To evaluate laboratory turnaround time (TAT) and to find out the reasons for delay in TAT in diagnosing coronavirus disease (COVID) samples. Methods: This cross-sectional, descriptive, and observational study was conducted from August 2020 to March 2021 in a Tertiary care teaching hospital. TAT was calculated from sample reception to report dispatch. Results: Of the 4500 samples analyzed in Molecular Laboratory for the purpose of COVID diagnosis, 890 (19.7%) had delayed TAT. The average TAT of samples in Emergency and Intensive care units (ICU) is 3 h; and it is 3 h and 30 min in inpatient and outpatient (OP) services. The average prolonged TAT is 3 h and 30 min and 4 h 10 min in Emergency care, ICU services, and inpatient and OP services respectively. The reasons for prolonged TAT includes payment for tests in the cash unit, repetition of test, specimen related, reagent related, machine breakdown, and software related. Conclusion: The TAT demonstrates the need for improvement in the pre- and post-analytical period.


2020 ◽  
Author(s):  
Zhijian Wu ◽  
Muzheng Li ◽  
mingxian Chen ◽  
Yanxia Liu ◽  
Ilyas Tudahun ◽  
...  

Abstract ObjectiveAfter effective control of the 2019 Coronavirus Disease (COVID-19) in China, how to reopen the hospital and avoid the outbreak in the hospital is a problem that needs to be carefully considered. The aim of this descriptive study is to share the experience of prevention and emergency management in our hospital and cardiac intensive care units (CCU) when medical services were reopened after COVID-19 was under control.Methods and ResultsWe conducted a retrospective, descriptive and single-centre study. Management strategy and data were collected from the Second Xiangya Hospital of Central South University, Hunan and CCU. We have implemented some strategies to prevent the prevalence of covid-19 in hospitals while ensuring that more critical cardiac patients can be admitted to CCU. These measures are summarized as follows: 1. gradually expanding medical services; 2. risk classification and routine strict screening of patients admitted to CCU; 3. strengthening the management of hospitalized patients, accompanying person and medical staffs; 4. strengthening screening and isolation of suspected cases of inpatients; 5. other measures such as strengthening training of medical workers, protective equipment and environmental management, and so on.ConclusionWe share the experience of prevention and emergency management in our hospital and CCU when medical services were reopened after effective control of the COVID-19 epidemic and hope it will be helpful for cardiologist or critical care physician all around the world to continue to provide critical care in a safe and orderly manner.


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