Application of Ultrasound Medicine in Clinical Emergency

Dermatoporosis is a chronic cutaneous insufficiency/fragility syndrome with a high prevalence in older adults. Dermatoporotic skin becomes thin and fragile and tends to tear. It may lead to deep dissecting haematomas (DDHs) as a final stage of dermatoporosis, which is a clinical emergency. Management can be challenging, as patients with lower-limb haematomas are frequently older and affected by multiple comorbidities, or are probably on medications that negatively influence wound healing. This article describes the essential role of nurses in prevention, early recognition and wound management of DDHs in patients with dermatoporosis.

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ANALYSIS OF COMPLICATIONS OF ONCOLOGICAL PATIENTS DIED IN THE EMERGENCY HOSPITAL

EMERGENCY MEDICAL CARE ◽

10.24884/2072-6716-2020-21-4-30-35 ◽

2021 ◽

Vol 21 (4) ◽

pp. 30-35

Author(s):

Yu. S. Korneva ◽

Yа. А. Rudenko

Keyword(s):

Emergency Medicine ◽

Cancer Patients ◽

Emergency Hospital ◽

Clinical Hospital ◽

Oncological Patients ◽

Oncological Diseases ◽

Clinical Emergency

The article analyzes the autopsy reports of cancer patients who died in the Clinical Emergency Medicine Clinical Hospital in Smolensk in order to study the complications? Related to oncologycal disease in these patients. The complications of oncological diseases that doctors have to deal with in emergency hospitals and their specific manifestations depending on the location of the tumor are also analyzed.

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Clinical, Aetiologic, And Evolution-Related Aspects Of Pleurisy In Children

ARS Medica Tomitana ◽

10.1515/arsm-2015-0048 ◽

2015 ◽

Vol 21 (4) ◽

pp. 212-216

Author(s):

Frecus Corina ◽

Balasa Adriana ◽

Ungureanu Adina ◽

Mihai Larisia ◽

Cuzic Viviana ◽

...

Keyword(s):

Environmental Factors ◽

Clinical Manifestations ◽

Clinical Aspects ◽

Age Group ◽

Adequate Treatment ◽

Radiologic Imaging ◽

Specific Pathogen ◽

Laboratory Investigations ◽

Group Distribution ◽

Clinical Emergency

Abstract Objectives: Establishing the frequency of pleurisy from the total number of admissions in the Paediatrics Department, as well as the frequency of pleurisy from the total number of respiratory ailments that required hospitalization; evaluating age group distribution and determining the influence of environmental factors; describing clinical manifestations, laboratory, radiologic, and bacteriological investigations in patients with pleurisy; quantifying clinical manifestations and investigations so as to establish an appropriate therapeutic approach; identifying clinical aspects that indicate a favourable/unfavourable evolution; analyzing the evolution of cases after treatment as revealed by radiologic imaging. Method: Retrospective study on 47 patients diagnosed with pleurisy and admitted in the Paediatrics Department of Constanta Clinical Emergency Hospital, over a span of 3 years (2011-2013), based on data collected from observation sheets. Results: A downward trend in what regards the frequency of pleurisy can be observed from 2011 to 2013. Rural provenience and other environmental factors continue to play an important role. Clinical manifestations tend to be more significant for younger patients and they are directly related to the specific pathogen identified during laboratory investigations. Conclusion: Following an early diagnosis and a subsequent adequate treatment, evolution tends to be favourable in most cases, although certain post-hospitalization measures still need to be implemented in order to ensure full recovery and restitution ad integrum.

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Therapeutic tactics in the deep forms of rectal abscesses complicated by fournie gangrene

Wiadomości Lekarskie ◽

10.36740/wlek202002116 ◽

2020 ◽

Vol 73 (2) ◽

pp. 293-297

Author(s):

Oleh E. Kanikovskyi ◽

Andrii V. Osadchyі ◽

Sergey I. Androsov ◽

Anatolii V. Tomashevsky ◽

Oleh A. Yarmak ◽

...

Keyword(s):

Surgical Treatment ◽

Antibacterial Therapy ◽

Treatment Duration ◽

Complex Treatment ◽

Surgical Interventions ◽

Results Of Treatment ◽

Surgical Clinic ◽

Modern Technologies ◽

Clinical Emergency ◽

Early Surgical Treatment

The aim: To conduct an analysis of the complex treatment of severe forms of rectal abscesses complicated by NF. Materials and methods: The results of treatment in 471 patients with deep forms of RA was performed. In 38(8%) the spread of the process and rotten-necrotic affection of the perineal fascia. Patients were treated at the surgical clinic of the medical faculty №2, VNPMMU, and Vinnytsya Clinical Emergency Hospital in the period from 2010-2018. Results: Total lethality 8(1,7%). Mortality in GF was 8(19,5%). It is worth noting the reduction of the treatment duration against the background of the modern technologies usage in the period from 2016 to 12 days in relation to the total figure of 15 days. Conclusions: Early surgical treatment, adequate necrectomy, fasciotomy and antibacterial therapy stop the necrotic process. The active aspiration reduces the timing of wound cleansing and further ensures the accelerated implementation of reconstructive surgical interventions.

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Quality assessment of medical care according to data of annual reports (as exemplified by Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital")

Acta Medica Leopoliensia ◽

10.25040/aml2021.01-02.083 ◽

2021 ◽

Vol 27 (1-2) ◽

pp. 83-100

Author(s):

A.B. Zimenkovsky ◽

◽

T.G. Gutor ◽

O.M. Lesniak ◽

◽

...

Keyword(s):

Medical Care ◽

Surgical Complications ◽

Care Quality ◽

Annual Reports ◽

Absolute Increase ◽

Non Profit ◽

Emergency Hospital ◽

Post Surgery ◽

Positive Tendency ◽

Clinical Emergency

Aim. The medical care quality remains one of the most pressing issues of the health care system, especially at the stage of reforming of the medical sector. Medical-statistical information comprising reporting forms is the basis for analyzing the status of medical care quality and incorporating management decisions to improve it. Material and Methods. The study was performed by the means of analysis of the annual reports of the Urology Department of Municipal Non-profit Enterprise "Lviv Clinical Emergency Hospital" over a ten-year period: from 2010 to 2019. Statistical analysis included the analysis of average and relative values, as well as the calculation of indicators of the dynamic range: growth rate and absolute increase. Results and Discussion. Analysis of the use of bed stock of the Urology Department of MNELCEH during 2010-2019 showed that the average quantity of inpatient days is 251.12-340.18 days per year. Inpatient turnover was in the range of 30.28-36.55 patients per year. The indicator of surgical activity increased by 5.4 percentage points (from 33.0% in 2010 to 38.4% in 2019). There was also a positive tendency of decrease of the duration of post-surgery stay of patients at the inpatient department of the Urology Department (from 9.25 in 2010 to 8.55 in 2019). During the study period of 2010-2019, the ratio of post-surgical complications remained relatively stable and did not exceed 5.1% (the indicator is in the range of 4.38% -5.09%). The analysis of the total mortality among all treated patients was in the range of 0.06%-0.65%. Conclusion. The indicators analyzed in the annual reports make it possible to identify the main problematic issues in the work of the department. In order to provide professional specialized care, quality and rational use of property and human resources, algorithms should be developed to increase treatment of patients with malignant tumors and urolithiasis at the department, as in recent years we could observe an outflow of patients with these diagnoses to other healthcare establishments. There is a need for individual analysis of the causes of post-surgical complications and mortality. These issues can be resolved by introducing clinical audit into the work of the department

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