scholarly journals Sepsis- what is the role for acute medicine?

2012 ◽  
Vol 11 (4) ◽  
pp. 235-237
Author(s):  
Ron Daniels ◽  
Keyword(s):  
The United States ◽  
The Body ◽  
Acute Medicine ◽  
Major Health ◽  
Medical Unit ◽  
Coronary Syndrome ◽  
Acute Medical Unit ◽  
Critical Care Admission ◽  
Life Threatening ◽  
The Cost

Sepsis- the life-threatening response of the body to an infection- is one of the more common reasons for presentation to an Acute Medical Unit, and a major health and economic burden to our healthcare system, with an estimated 37,000 deaths occurring annually in the U.K. In the United States, recent evidence suggests that the incidence of sepsis has been rising by between 8 and 13% per annum over the last decade, and that it is now higher than that of Acute Coronary Syndrome.1 Across Europe, the cost of a hospital admission for sepsis (due to the frequent need for prolonged Critical Care admission) has been estimated at between 25,000 and 55,000 Euros.2 For the NHS, this means an estimated expenditure of £2.5 billion per year.

Neuroscience20 (BRAIN20, SPINE20, and MENTAL20) Health Initiative: A Global Consortium Addressing the Human and Economic Burden of Brain, Spine, and Mental Disorders Through Neurotech Innovations and Policies

2021 ◽  
pp. 1-39
Author(s):  
Kevin Morris ◽  
Mohammad Nami ◽  
Joe F. Bolanos ◽  
Maria A. Lobo ◽  
Melody Sadri-Naini ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Neurological Disorders ◽  
World Economy ◽  
Disease Burden ◽  
The United States ◽  
Fast Tracking ◽  
The World ◽  
Life Threatening ◽  
The Cost ◽  
The Impact

Neurological disorders significantly impact the world’s economy due to their often chronic and life-threatening nature afflicting individuals which, in turn, creates a global disease burden. The Group of Twenty (G20) member nations, which represent the largest economies globally, should come together to formulate a plan on how to overcome this burden. The Neuroscience-20 (N20) initiative of the Society for Brain Mapping and Therapeutics (SBMT) is at the vanguard of this global collaboration to comprehensively raise awareness about brain, spine, and mental disorders worldwide. This paper aims to provide a comprehensive review of the various brain initiatives worldwide and highlight the need for cooperation and recommend ways to bring down costs associated with the discovery and treatment of neurological disorders. Our systematic search revealed that the cost of neurological and psychiatric disorders to the world economy by 2030 is roughly $16T. The cost to the economy of the United States is $1.5T annually and growing given the impact of COVID-19. We also discovered there is a shortfall of effective collaboration between nations and a lack of resources in developing countries. Current statistical analyses on the cost of neurological disorders to the world economy strongly suggest that there is a great need for investment in neurotechnology and innovation or fast-tracking therapeutics and diagnostics to curb these costs. During the current COVID-19 pandemic, SBMT, through this paper, intends to showcase the importance of worldwide collaborations to reduce the population’s economic and health burden, specifically regarding neurological/brain, spine, and mental disorders.

scholarly journals Dissecting the Diagnosis – An Unusual Case of Pericarditis

2017 ◽  
Vol 16 (4) ◽  
pp. 200-203
Author(s):  
Louise Mundy ◽  
◽  
Purav Desai ◽  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Unusual Case ◽  
Correct Diagnosis ◽  
Timely Manner ◽  
Medical Unit ◽  
Coronary Syndrome ◽  
Acute Medical Unit

Chest pain is an extremely common presenting complaint on the acute medical unit. It is important to distinguish between patients who have serious pathology and those without. Often, the focus is on ruling out an acute coronary syndrome and inadequate consideration is given to other possible causes. This case highlights the importance of performing relevant investigations in a timely manner, in order to ensure that a correct diagnosis is made.

scholarly journals Delivering outpatient antibiotic therapy (OPAT) in an Acute Medical Unit

2011 ◽  
Vol 10 (1) ◽  
pp. 22-25
Author(s):  
Yin May Yan ◽  
◽  
Karl Tonks ◽  
Manjit Singh ◽  
J Kavi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Antibiotic Therapy ◽  
Inner City ◽  
City Hospital ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
The United Kingdom ◽  
Acute Hospitals ◽  
The Cost ◽  
Delivery Models

Outpatient antibiotic therapy (OPAT) is being developed and practised in an increasing number of acute hospitals within the United Kingdom. This article is a review of the OPAT service delivered by a large inner city hospital over the last two years. The service demonstrates the key elements of OPAT demonstrating different delivery models, aspects of patient selection, spectrum of infections treated, choice and delivery of antimicrobials, efficacy, patient safety, outcomes, and the cost-effectiveness of this programme.

The Transparent Body

2030 ◽  
2010 ◽  
Author(s):  
Rutger van Santen ◽  
Djan Khoe ◽  
Bram Vermeer
Keyword(s):  
Early Stage ◽  
Three Dimensional ◽  
The United States ◽  
The Body ◽  
Western World ◽  
Depth Information ◽  
Tennis Ball ◽  
Dimensional Image ◽  
Life Threatening ◽  
The Difference

The “easy” diseases have pretty much been beaten in the Western world, leaving doctors to contend with the more complex illnesses that stealthily overrun the body. Two-thirds of the deaths in the United States are now attributable to cancer or coronary disease. By the time these conditions manifest themselves, it’s often too late to intervene. Treatment is only likely to succeed if early signs of cancerous growth or clogging arteries can be detected. A tumor measuring a few millimeters across is plainly less threatening than one the size of a tennis ball, not least because there is less risk of metastasis at an early stage. The focus is therefore on enhancing rapid diagnosis, which in turn means improving medical imaging. Eighty percent of all diagnoses are based on images. Yet many small but life-threatening physical processes are still missed by the scanners, echographs, and other devices that peer inside our bodies. Growths measuring less than a centimeter tend to be overlooked, so scientists are constantly working on techniques capable of offering a more detailed internal picture. Breakthroughs in imaging technology can mean the difference between life and death. They’ll enable us to intervene sooner, boosting the patient’s survival chances. Little more than a generation ago, X-rays were the only means we had of looking inside the human body. The images they produce are flat, however, and lacking in depth information, which can make them hard to interpret. An ingenious technique was therefore devised in the 1970s that allowed a single three-dimensional image to be created by combining a series of X-ray photographs. The CT (computerized tomography) scan was the first technique to produce a genuine three-dimensional image of our insides. Doctors could now tell, for instance, whether an abnormality was located on top of a bone or beneath it. Several other techniques for producing three-dimensional images of the body have since become available, some of which require patients to be injected with a contrast agent to highlight specific parts of the body.

scholarly journals PATOMEKANISME PENYAKIT GAGAL JANTUNG KONGESTIF

el–Hayah ◽  
2014 ◽  
Vol 4 (2) ◽  
pp. 81 ◽  
Author(s):  
Lailia Nur Rachma
Keyword(s):  
Heart Failure ◽  
Clinical Manifestations ◽  
The United States ◽  
Clinical Syndrome ◽  
The Body ◽  
Reduced Ejection Fraction ◽  
Patients With Heart Failure ◽  
Male Patients ◽  
Failure Prognosis ◽  
The Cost

<em>Heart failure is a clinical syndrome characterized by abnormalities in the structure or function of the heart, resulting in inability of heart to pump blood to meet the metabolic needs of the body tissue. Heart failure is characterized by clinical manifestations such as circulation congestion, tightness, fatigue, and weakness. Heart failure is a major problem in industrial and developing Country. Currently, the incidence and prevalence of heart failure tends to increase, it is also accompanied by an increase in mortality of heart failure cases. In the United States, 1 million patients hospitalized due to heart failure cases, which contribute to 50,000 deaths each year. While the number of visits to the hospital due to heart failure estimated at 6.5 million. Heart failure prognosis is generally poor despite the patients accepted adequate therapy. From the data obtained, only about 35% of male patients and 50% female patients who survived after the onset of acute heart failure. Generaly, the data obtained high mortality are occurs in patients with grade IV (presence of symptoms at rest) is about 30-70%, grade III (presence of symptoms with mild activity) 10-20%, class II (presence of symptoms when the activity being 5-10 %). Higher mortality was found in older patients, men, patients with reduced ejection fraction, and in patients with coronary disease. Once someone is suffering from heart failure, then he shall bear the very high cost. In America, the cost of issued for heart failure therapy between 15-40 trillion US$. In this review, we will discuss about pathomechanism of heart failure. So it is expected to be a reference to the diagnosis of patients with heart failure, which is expected to be recognized early on that could ultimately improve the quality of heart failure patient life, and reduce the number of mortality due to heart failure</em>

scholarly journals Trainee Update September 2014

2014 ◽  
Vol 13 (3) ◽  
pp. 131-131
Author(s):  
Nerys Conway
Keyword(s):  
Internal Medicine ◽  
Chief Executive ◽  
Important Work ◽  
Acute Medicine ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
The Family ◽  
The Uk ◽  
Southmead Hospital ◽  
New Jobs

I hope you have all settled well into your new jobs and a very warm welcome to those that have recently joined the ‘family’ of acute medicine. I would first of all like to thank Ruth Johnson for all her hard work as trainee representative over the last 18 months and wish her all the best as she ventures into consultant territory: her replacement will be announced later in the autumn. July was a busy month, dominated by our Acute Medicine Awareness Week, during which AMUs across the UK undertook events to raise the profile of the speciality and the important work they were doing locally. Barnsley completed a 25 mile virtual marathon, Crosshouse Hospital made £350 in a cake sale, Salford Royal staff walked around every acute medical unit in Greater Manchester, North Staffordshire staff ran a half marathon and there was more cake on sale in Kings College and Leicester Royal. The AMU staff at Southampton raised over £400 with their cake sale and cycle challenge, during which they were joined by the Trust Chief Executive for a ‘virtual’ 120 miles on an exercise bike situated outside the hospital entrance. The highlight, however was the contribution of Dr Nigel Lane, an acute medicine trainee from Southmead Hospital in North Bristol, who put together an outstanding weekly programme of events. This included a visit from the Chief Executive of the trust, visit from local GPs to the unit, daily MDT teaching, daily ‘messages of the day’ located on the trust website and lots of screensavers, banners and information scattered throughout the hospital. I am delighted to announce that Nigel has received the SAM awareness week prize. This involves the opportunity to join the European School of Internal Medicine and attend the winter EFIM school camp in Latvia. Nigel will also be joining us as one of the speakers in the trainee session at SAM Brighton. He will be speaking on “Preparing for your PYA”. There will also be talks in the trainee session on “Keeping your e-portfolio updated”, “Choosing your specialist skill” and “Preparing for your consultant job”. The session will be aimed at both junior and senior trainees. The trainee that has produced the best poster at Brighton will also have a chance to win a place to attend the summer EFIM school camp. The day before the conference starts there will be a SCE revision session. I attended last year and found it extremely helpful! Looking forward to seeing you all in Brighton. In the meantime if you have any problems or suggestions please tweet or email me at the addresses below.

A Review of the Evaluation and Management of Syncope in the Acute Medical Unit

2007 ◽  
Vol 6 (1) ◽  
pp. 14-19
Author(s):  
Sean Butler ◽  
◽  
MTF Bacon ◽  
Anne Brickwood ◽  
Emma Wood ◽  
...  
Keyword(s):  
Comprehensive Assessment ◽  
Significant Percentage ◽  
Medical Unit ◽  
Diagnosis And Management ◽  
Acute Presentation ◽  
Acute Medical Unit ◽  
Cardiac Syncope ◽  
Life Threatening ◽  
Routine Investigations ◽  
Careful History

Syncope is a common acute presentation and frequently results in hospitalisation. Cardiac syncope is potentially life threatening. The diagnosis and management of syncope demands a careful history, witness account wherever possible, and a comprehensive assessment. This, in combination with routine investigations, will provide an answer in a significant percentage of patients.

scholarly journals Focused Acute Medicine Ultrasound (FAMUS) – point of care ultrasound for the Acute Medical Unit

2016 ◽  
Vol 15 (4) ◽  
pp. 193-196
Author(s):  
Nicholas Smallwood ◽  
◽  
Martin Dachsel ◽  
Ramprasad Matsa ◽  
Eugene Tabiowo ◽  
...  
Keyword(s):  
Intensive Care ◽  
Point Of Care ◽  
Medical Patient ◽  
Surgical Patient ◽  
Point Of Care Ultrasound ◽  
Acute Medicine ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Examination Techniques ◽  
Core Part

Point of care ultrasound (POCU) is becoming increasingly popular as an extension to clinical examination techniques. Specific POCU training pathways have been developed in specialties such as Emergency and Intensive Care Medicine (CORE Emergency Ultrasound and Core UltraSound Intensive Care, for example), but until this time there has not been a curriculum for the acutely unwell medical patient outside of Critical Care. We describe the development of Focused Acute Medicine Ultrasound (FAMUS), a curriculum designed specifically for the Acute Physician to learn ultrasound techniques to aid in the management of the unwell adult patient. We detail both the outline of the curriculum and the process involved for a candidate to achieve FAMUS accreditation. It is anticipated this will appeal to both Acute Medical Unit (AMU) clinicians and general physicians who deal with the unwell or deteriorating medical or surgical patient. In time, the aspiration is for FAMUS to become a core part of the AIM curriculum.

scholarly journals What's the Cost? Measuring the Economic Impact of Pediatric Sepsis

2021 ◽  
Vol 9 ◽  
Author(s):  
Erin F. Carlton ◽  
Scott L. Weiss ◽  
Hallie C. Prescott ◽  
Lisa A. Prosser
Keyword(s):  
United States ◽  
Economic Impact ◽  
Organ Dysfunction ◽  
Spillover Effects ◽  
The United States ◽  
Life Threatening ◽  
Pediatric Sepsis ◽  
The Cost ◽  
Financial Impacts ◽  
The Impact

Sepsis, life-threatening organ dysfunction secondary to infection, hospitalizes nearly 75,000 children each year in the United States. Most children survive sepsis. However, there is increasing recognition of the longer-term consequences of pediatric sepsis hospitalization on both the child and their family, including medical, psychosocial, and financial impacts. Here, we describe family spillover effects (the impact of illness on caregivers) of pediatric sepsis, why measurement of family spillover effects is important, and the ways in which family spillover effects can be measured.

scholarly journals The Acute Medicine – Speciality Interface: Experience in a District General Hospital

2011 ◽  
Vol 10 (2) ◽  
pp. 89-90
Author(s):  
Charlotte Cannon ◽  
Keyword(s):  
Emergency Department ◽  
General Hospital ◽  
District General Hospital ◽  
Acute Medicine ◽  
Medical Unit ◽  
Princess Margaret Hospital ◽  
Western Hospital ◽  
Acute Medical Unit ◽  
Close Proximity

The Great Western Hospital was opened in 2002. It was built as a PFI hospital, moving services from the old Princess Margaret Hospital situated in central Swindon. The Great Western Hospital is conveniently situated near junction 15 of the M4 and therefore has excellent transport links. The Acute Medical Unit (AMU) was purpose built adjacent to the Emergency Department and in close proximity to Emergency Department Radiology. Details of the Acute Medical Unit layout are summarised in Table 2.

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