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Journal articles on the topic 'Mortality. Medical emergencies. Medical care'

Author: Grafiati

Published: 4 June 2021

Last updated: 1 February 2022

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1

Touray, Sunkaru, Baboucarr Sanyang, Gregory Zandrow, and Isatou Touray. "Incidence and Outcomes after Out-of-Hospital Medical Emergencies in Gambia: A Case for the Integration of Prehospital Care and Emergency Medical Services in Primary Health Care." Prehospital and Disaster Medicine 33, no. 6 (2018): 650–57. http://dx.doi.org/10.1017/s1049023x1800105x.

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AbstractBackgroundThe Gambia is going through a rapid epidemiologic transition with a dual disease burden of infections and non-communicable diseases occurring at the same time. Acute, time-sensitive, medical emergencies such as trauma, obstetric emergencies, respiratory failure, and stroke are leading causes of morbidity and mortality among adults in the country.ProblemData on medical emergency care and outcomes are lacking in The Gambia. Data on self-reported medical emergencies among adults in a selection of Gambian communities are presented in this report.MethodsA total of 320 individuals

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Valeev, Z. G., V. G. Belyakov, and L. Y. Salyahova. "Analysis of in-hospital stage of emergency medical care and 24-hour mortality in emergency patients." Kazan medical journal 94, no. 1 (2013): 111–14. http://dx.doi.org/10.17816/kmj1782.

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Aim. To reveal the management defects of timely and sufficient emergency care provision at emergency patient admission. Methods. The mortality among the adult Kazan city inhabitants who were urgently admitted to Municipal Emergency Hospital was examined in a retrospective cohort study. The retrospective analysis of in-patients medical charts, ambulance accompanying talons and autopsy protocols of 543 patients who has succumbed during the first 24 hours after being admitted to Municipal Emergency Hospital №1 Kazan, Russia since January 1st, 2009 to December 31, 2011, was performed, emergency me

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Isaeva, I. V. "Routing of aero-medical evacuation in the regions of the Russian Federation." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 4 (December 13, 2020): 69–75. http://dx.doi.org/10.25016/2541-7487-2020-0-4-69-75.

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Relevance. In accordance with the Decree N 254 of the President of the Russian Federation dated June 06, 2019 “About strategy of the public health development in the Russian Federation up to the year 2025”, one of the primary challenges of public health is providing access to medical care for every citizen irrespective of his/her location in the country. Patients with life-threatening acute conditions should get emergency medical care within so-called “golden hour”, with selecting optimal routes to the appropriate specialized medical centres as soon as possible. In Russia, this can be realized

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Gumenyuk, S. A., A. M. Shchikota, and I. V. Pogonchenkova. "Providing Emergency Medical Care at the Prehospital Stage to Patients With Acute Myocardial Infarction and Acute Ischemic Stroke in Moscow: the Role of the Aviation Medical Teams of the Emergency Medical Care Center (Territorial Center of Disaster Medicine)." Russian Sklifosovsky Journal "Emergency Medical Care" 10, no. 1 (2021): 161–67. http://dx.doi.org/10.23934/2223-9022-2021-10-1-161-167.

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The increase in the number of patients with complications of cardiovascular diseases and the need for early diagnosis of such complications and the early initiation of treatment already at the prehospital stage leads to an increasing need for more frequent use of helicopter medical equipment, as well as for equipping aviation medical teams with highly qualified specialists. The formation of a network of vascular invasive centers in the Moscow region, modern equipment and its use in air ambulance conditions require constant improvement of skills among medical workers. All this undoubtedly leads

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Bahadur, B. Rao, Prabhadevi Kodey, Jeevitha Tanniru, and Suhasini Tirumala. "Study of outcome of obstetric emergencies admitted to intensive care unit." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (2018): 2909. http://dx.doi.org/10.18203/2320-1770.ijrcog20182905.

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Background: Critically ill obstetric patients pose challenges to the intensive care unit team due to their altered physiology as well as due the presence of the foetus and safety of both the mother and the foetus is of paramount importance.Methods: All antenatal and postnatal cases within 42days of delivery requiring ICU admission from October 2014 to September 2016. Detailed history taken and outcome noted. Results were subjected to statistical evaluation using SSP software.Results: (n=75): obstetric reasons (n=51, 68%) of which 21(28%) had PPH and 17(22.6) had hypertensive disorders of pregn

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Nkpozi, MO, BU Adukwu, UN Onwuchekwa, JA Chikezie, and C. Aluka. "Profile and Outcome of Medical Emergencies in a Teaching Hospital in the Commercial City of Aba, Southeast Nigeria." Journal of BioMedical Research and Clinical Practice 3, no. 3 (2020): 415–21. http://dx.doi.org/10.46912/jbrcp.167.

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Medical conditions present at the Accident and Emergency (A&E) or Emergency Department (ED) very often. Outcome of medical emergencies depends, among other factors, on the age of patients, gender, socioeconomic factors, medical conditions, their severity, time of patients' presentations, quality of care/treatment given and the available resources (manpower and facilities) in the A&E. There is a paucity of published literature on medical emergencies outcome in Aba, Southeast Nigeria. This study, therefore, set out to bridge this gap in knowledge. This was a 1-year observational study in

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Leite, Carine, Eduardo Neubarth Trindade, Leonardo Wagner Grillo, and Manoel Roberto Maciel Trindade. "Gastrointestinal emergency care during the COVID-19 pandemic: rapid communication." Revista da Associação Médica Brasileira 66, no. 9 (2020): 1187–89. http://dx.doi.org/10.1590/1806-9282.66.9.1187.

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SUMMARY OBJECTIVE: Social distancing during the COVID-19 pandemic has been associated with a decrease in the search for medical care. High-risk patients have avoided hospital environments fearing infection. We hypothesize that there was also a decrease in the search for medical care related to gastrointestinal emergencies. The aim of this study is to evaluate the frequency of consultations for severe gastrointestinal emergencies during and before the months of the pandemic. METHODS: This was a transversal study. The inclusion criteria were cases of consultation in the emergency department for

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Rojas-Suarez, José, Niza Suarez, and Oier Ateka-Barrutia. "Developing obstetric medicine training in Latin America." Obstetric Medicine 10, no. 1 (2017): 16–20. http://dx.doi.org/10.1177/1753495x16684708.

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Maternal mortality is an important indicator of health in populations around the world. The distribution of maternal mortality ratio globally shows that middle- and low-income countries have ∼99% of the mortality burden. Most countries of Latin America are considered to be middle- or low-income countries, as well as areas of major inequities among the different social classes. Medical problems in pregnancy remain an important cause of morbidity and mortality in this region. Previous data indicate the need for a call to action for adequate diagnosis and care of medical diseases in obstetric car

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Terp, Sophie, Brandon Wang, Elizabeth Burner, Sanjay Arora, and Michael Menchine. "Penalties for Emergency Medical Treatment and Labor Act Violations Involving Obstetrical Emergencies." WestJEM 21.2 March Issue 21, no. 2 (2020): 235–43. http://dx.doi.org/10.5811/westjem.2019.10.40892.

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Introduction: The Emergency Medical Treatment and Labor Act (EMTALA) was intended to prevent inadequate, delayed, or denied treatment of emergent conditions by emergency departments (ED). While controversies exist regarding the scope of the law, there is no question that EMTALA applies to active labor, a key tenet of the statute and the only medical condition – labor – specifically included in the title of the law. In light of rising maternal mortality rates in the United States, further exploration into the state of emergency obstetrical (OB) care is warranted. Understanding civil monetary pe

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Ramana Rao, G., H. Rajanarsing Rao, G. Reddy, and M. Prasad. "Epidemiological study on cardiac emergencies in Indian states having GVK Emergency Management and Research Institute services." Journal of Social Health and Diabetes 04, no. 02 (2016): 121–26. http://dx.doi.org/10.4103/2321-0656.187999.

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Abstract Background: Emergency medical service (EMS) is critical for the healthcare system as it saves lives by providing care immediately. Rapid access to medical care after a major cardiovascular event decreases morbidity and mortality. GVK Emergency Management and Research Institute (GVK EMRI) is a pioneer in emergency management services operated as a public private partnership (PPP) with various state governments. GVK EMRI coordinates medical, fire, and police-related emergencies through a single toll-free number, 108, across 15 states and 2 union territories of India. Material and Method

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Yarema, V. I., E. Kh Barinov, and I. V. Osipova. "Medical expert assessment of defects in the provision of medical care for emergency surgical abdominal pathology." Hirurg (Surgeon), no. 9-10 (September 13, 2020): 72–80. http://dx.doi.org/10.33920/med-15-2005-07.

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The article presents a literature review on the assessment of defects and medical care, as well as the prevention of defects and conflict situations that arise during the treatment of patients with emergency surgical abdominal pathology. Unfortunately, mortality among urgent surgical patients and diseases of the abdominal organs is in the leading positions among all causes of death, despite the improvement of diagnostic methods, the emergence of new medical equipment and drugs, as well as the developed standards of approaches to the treatment of this category of patients. The paper presents st

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Prasad, Dipali, Huma Nishat, Bhawana Tiwary, Swet Nisha, Archana Sinha, and Neeru Goel. "Review of obstetrical emergencies and fetal out come in a tertiary care centre." International Journal of Research in Medical Sciences 6, no. 5 (2018): 1554. http://dx.doi.org/10.18203/2320-6012.ijrms20181467.

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Background: Obstetric emergencies can occur suddenly and unexpectedly. Obstetrics is unique in that there are two patients to consider and care for, a mother and a baby or fetus. Identification and referral of high risk pregnancies are an integral part of maternal and child health services. Timeliness and appropriateness can reduce the incidence of obstetric emergencies. Present study was carried out to know the incidence, nature and outcome of obstetric emergencies.Methods: Retrospective study of obstetric emergencies admitted to Obstetrics and Gynaecology department of Indira Gandhi Institut

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Scallan, Nicholas James, D. D. Keene, J. Breeze, T. J. Hodgetts, and P. F. Mahoney. "Extending existing recommended military casualty evacuation timelines will likely increase morbidity and mortality: a UK consensus statement." BMJ Military Health 166, no. 5 (2020): 287–93. http://dx.doi.org/10.1136/bmjmilitary-2020-001517.

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IntroductionFuture conflicts may have limited use of aviation-based prehospital emergency care for evacuation. This will increase the likelihood of extended evacuation timelines and an extended hold at a forward hospital care facility following the completion of damage control surgery or acute medical interventions.MethodsA three-round Delphi Study was undertaken using a panel comprising 44 experts from the UK armed forces including clinicians, logisticians, medical planners and commanders. The panel was asked to consider the effect of an extended hold at Deployed Hospital Care (Forward) from

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Sowunmi, C. O., A. O. Olajide, O. Olorunfemi, O. M. Iwaola, and O. F. Adeyemo. "Enhancing Knowledge of Traditional Birth Attendants for the Identification of Selected Labor Emergencies." African Journal of Health, Nursing and Midwifery 4, no. 3 (2021): 1–14. http://dx.doi.org/10.52589/ajhnm-hl0bdmzj.

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Objectives: In Nigeria, the number of professional midwives available for care of pregnant women and their babies is inadequate; hence, most pregnant women are attended to by Traditional Birth Attendants (TBAs). Studies show that TBAs have poor knowledge of how to identify obstetrics complications. Aim: To determine the effectiveness of a training program on enhancing the knowledge of TBAs in the identification of some selected labor emergencies. Materials and Methods: An experimental research design was conducted with probability sampling to select sample size (n = 111 TBAs). A modified, stru

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Borisov, V. S., S. A. Gumenyuk, A. V. Sachkov, V. I. Potapov, V. G. Teryaev, and N. A. Karasev. "The Structure and Organization of Medical Care for Victims With Thermal Trauma in Emergency Situations." Russian Sklifosovsky Journal "Emergency Medical Care" 10, no. 1 (2021): 181–86. http://dx.doi.org/10.23934/2223-9022-2021-10-1-181-186.

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INTRODUCTION Based on the Ministry of Emergency Situations data megapolises note an annual increase of the emergency situations (ES). The increase of an urban population in Russia up to 73% results in considerable human victims in big cities due to thermal injuries among others.THE AIM of the present research is to analyze the structure of ES victims and the efficiency of the organization of a medical care for victims with thermal injuries in Moscow in 2016–2018.MATERIAl AND METHODS We have held a retrospective analysis of 113 cases of patients of a Burn Center of Sklifosovsky Research Institu

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Needham, Heather, Elizabeth Ferguson, Darcie Takemoto, and Sindhu Idicula. "Emergency Management in Eating Disorders." Adolescent Psychiatry 9, no. 2 (2020): 135–41. http://dx.doi.org/10.2174/2210676609666190730093039.

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Aims and Scope:: Eating disorders commonly present during the adolescent and young adult years, and are complex in that they are a group of psychiatric diagnoses with medical complications. Methods:: The diagnosis of an eating disorder can often go undetected while a patient is being evaluated for organic causes of weight loss. Anorexia nervosa, in particular, has the highest mortality rate of any psychiatric diagnosis. In the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5), there are several diagnoses that are classified as eating or feeding disorders. Conclusion:: T

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B., Meenakshi, Shantaraman K., Indhumathi M., and Arumugapandian S. Mohan. "Clinical profile and outcomes of snake bite poisoning in a tertiary care centre in South Tamilnadu." International Journal of Basic & Clinical Pharmacology 6, no. 2 (2017): 418. http://dx.doi.org/10.18203/2319-2003.ijbcp20170341.

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Background: Snake-bites are well-known common medical emergencies in many parts of the world. In India 46,000 people are dying every year from snakebites. However, the true scale of mortality and morbidity from snake-bite remains uncertain. This study analyses the clinical profile and outcomes of the snake bite poisoning in patients admitted to this centre.Methods: This cross sectional study analyses the data of 150patients admitted to the Intensive Medical Care Unit of Tirunelveli Medical College Hospital with the history of snake bite between April and September of 2015 as available in their

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Lilley, Rebbecca, Brandon de Graaf, Bridget Kool, et al. "Geographical and population disparities in timely access to prehospital and advanced level emergency care in New Zealand: a cross-sectional study." BMJ Open 9, no. 7 (2019): e026026. http://dx.doi.org/10.1136/bmjopen-2018-026026.

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ObjectiveRapid access to advanced emergency medical and trauma care has been shown to significantly reduce mortality and disability. This study aims to systematically examine geographical access to prehospital care provided by emergency medical services (EMS) and advanced-level hospital care, for the smallest geographical units used in New Zealand and explores national disparities in geographical access to these services.DesignObservational study involving geospatial analysis estimating population access to EMS and advanced-level hospital care.SettingPopulation access to advanced-level hospita

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Atanasov, Petar Yordanov, Maria Georgieva Moneva-Sakelarieva, Yozlem Ali Kobakova, et al. "COVID-19 as a concomitant diagnosis and the emergencies behind COVID-19 mask – a real challenge that requires a multidisciplinary view of the patient." Pharmacia 68, no. 3 (2021): 603–6. http://dx.doi.org/10.3897/pharmacia.68.e71287.

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The etiological cause of Coronavirus infection, which has captured the attention of almost the whole world at the moment, is SARS-CoV2. The clinical picture of coronavirus infection varies from asymptomatic to severe respiratory infection with manifestations of respiratory failure, the development of respiratory distress syndrome and even death. Already in the first months of the coronavirus pandemic in the United States there was a serious decline in the number of patients seeking medical care in the Emergency Department (49.3%) compared to 2019. There is evidence of increased mortality durin

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Mohr, John, Michelle Peninger, and Luis Ostrosky-Zeichner. "Infection Control in Intensive Care Units." Journal of Pharmacy Practice 18, no. 2 (2005): 84–90. http://dx.doi.org/10.1177/0897190004273569.

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For patients in intensive care units, the development of an infection is associated with an increase in morbidity, mortality, and cost. These infections are largely preventable through the implementation of infection control programs. Infection control programs must focus on 3 general strategies: (1) prevention of health care-associated infections, (2) containment of pathogens that pose a health risk and/or are resistant to routine antibiotics, and (3) development of strategies to limit the emergence of resistant microorganisms through optimal and appropriate antimicrobial utilization. The pur

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Loria-Castellanos, Jorge, Juan Manuel Rocha-Luna, and Guadalupe Márquez-Ávila. "Reanimation Unit Experience of a Second-Level Hospital in Mexico City." Prehospital and Disaster Medicine 21, no. 4 (2006): 242–48. http://dx.doi.org/10.1017/s1049023x00003770.

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AbstractObjectives:The objectives of this study were to determine the clinical characteristics of patients who presented to the Reanimation Unit (RU) of a second-level hospital during one year, and the number and type of emergency procedures performed.Methods:A cross-sectional study was designed that enrolled all patients >15 years of age who presented to the RU from 01 January through 31 December 2003. The age, gender, diagnosis, site of origin, and disposition of each patient was recorded, as well as the distribution by time of day, the number and type of emergency procedures performed, c

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Malviya, Ajay, Ashfaque Hussain, Hitesh P. Bulchandani, Girish Bhardwaj, and Subhash Kataria. "A comprehensive study on acute non-traumatic abdominal emergencies." International Surgery Journal 4, no. 7 (2017): 2297. http://dx.doi.org/10.18203/2349-2902.isj20172785.

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Background: Abdominal pain is one of the most common reasons for visit to the emergency room. Acute appendicitis is the commonest cause. An accurate diagnosis is essential for the correct treatment, which in many cases will prevent the death of the patient. Mainstay of diagnosis is history and physical examination. If this information is inadequate to establish a diagnosis and urgent or immediate operation is unnecessary, the periodic re-examination helps document the progression of the disease and often avoids unnecessary surgical intervention. Today the combination of improved diagnostic pro

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Goudard, Yvain, C. Butin, C. Carfantan, et al. "The 7th French Airborne Forward Surgical Team experience of surgical support to the population of a low-income country: a prospective study on 341 patients with short-term follow-up." Journal of the Royal Army Medical Corps 164, no. 6 (2018): 423–27. http://dx.doi.org/10.1136/jramc-2018-000952.

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BackgroundThe 7th Airborne Forward Surgical Team (FST) has deployed to Chad in 2015 and 2016, in support of French military forces. Humanitarian surgical care is known to represent a significant part of the surgical activity in such missions, but to date limited data have been published on the subject.MethodsAll surgical patients from a civilian host population treated by the FST during these missions have been prospectively included. Indications, operative outcomes and postoperative outcomes were evaluated.ResultsDuring this period, the FST operated on 358 patients. Humanitarian surgical care

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Seetlani, Naresh Kumar, Khalid Imran, Pooja Deepak, et al. "Upper GI bleeding: Causes, morbidity and mortality in admitted patients at Tertiary Care Hospital of Karachi." Professional Medical Journal 26, no. 11 (2019): 1916–24. http://dx.doi.org/10.29309/tpmj/2019.26.11.3224.

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Objectives: Acute upper gastrointestinal bleed is one of the most common emergencies. Despite advancement in the medical field, gastrointestinal bleeding still carries significant mortality and fiscal burden on healthcare system. At present, limited data is available on the predictors of morbidity and mortality associated with acute upper gastrointestinal bleeding in our part of the country. Study Design: Descriptive analytical study. Setting: Medical wards of Civil Hospital Karachi. Period: From January 2018 to June 2018. Material and Methods: 260 patients of 12 years and above with complaint

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Saha, R., and P. Gautam. "Obstetric Emergencies: Feto-maternal Outcome at a Teaching Hospital." Nepal Journal of Obstetrics and Gynaecology 9, no. 1 (2014): 37–40. http://dx.doi.org/10.3126/njog.v9i1.11186.

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Aims: This study was done to know the pattern of obstetric emergencies and its influence on maternal and fetal outcome. Methods: A descriptive study was carried out in the department of obstetrics and gynecology at Kathmandu Medical College Teaching Hospital from 1st June 2013 to 31st May 2014. Cases were categorized as early pregnancy emergencies (ruptured ectopic pregnancy, complications of abortion), ante-partum emergencies and intra-partum emergencies (antepartum haemorrhage, preeclampsia, eclampsia, preterm prelabor rupture of membranes, rupture uterus), post-partum emergencies (postpartu

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Ara, Anjum, Indu Chawla, Rasika Agarwal, and Bangali Manjhi. "Clinical study on presentation and management of ectopic pregnancies in a tertiary care centre." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 1 (2019): 173. http://dx.doi.org/10.18203/2320-1770.ijrcog20196015.

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Background: Ectopic pregnancy means pregnancy outside the normal uterine cavity. It is the leading cause of maternal morbidity and mortality in first trimester. Early diagnosis and timely intervention can significantly improve the outcomes.Methods: Retrospective observational study done in the department of obstetrics and gynecology ABVIMS and Dr. RML hospital, New Delhi from January 2016 to March 2019. Case records of 76 patients of confirmed ectopic pregnancy were retrieved and studied from the medical record section. The main aims were to see the clinical presentation, mode of diagnosis, pr

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Arpana, Anju, Rashmi B. M., and Latha V. "Maternal outcomes among emergency obstetric admissions at a tertiary care teaching hospital in Chitradurga, South India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 12 (2018): 4906. http://dx.doi.org/10.18203/2320-1770.ijrcog20184938.

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Background: The maternal mortality is a vital index of the quality and efficiency of obstetric services prevailing in a country. The obstetric emergencies are unexpected occurrences during pregnancy or puerperium requiring immediate attention. Obstetric emergencies can either happen suddenly or they can develop as a result of complications that are not properly identified, monitored or managed. These emergencies, to a large extent, are preventable. The purpose of this study was to understand the contributing factors of obstetric emergencies, their clinical presentation, management and maternal

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Srinivas, G., Y. S. Aashik, and Manoj Muthalik. "Study of the pattern, intent behind and outcome of acute poisoning in a tertiary care centre." International Journal of Advances in Medicine 8, no. 1 (2020): 103. http://dx.doi.org/10.18203/2349-3933.ijam20205472.

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Background: Acute poisoning is one of the major medical emergencies with significant morbidity and mortality. Appropriate planning, prevention and management techniques can be designed by knowing the nature, severity and outcome of acute poisoning cases. Most of the poisoning is due to the intention of deliberate self-harm. This study aimed to study the pattern and outcome of acute poisoning and the intent behind poisoning. Methods: This is a cross sectional study which included 100 acute poisoning cases in a tertiary care hospital. The study includes data regarding age, sex, time elapsed afte

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Erler, T. "Pediatric resuscitation, emergencies in pediatrics. Various infusion methods for children." Infusion & Chemotherapy, no. 3.2 (December 15, 2020): 97–99. http://dx.doi.org/10.32902/2663-0338-2020-3.2-97-99.

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Background. Medical care for premature babies in Germany is divided into two levels. Perinatal centers of the first level provide care for infants with body weight at birth <1500 g. Perinatal centers of the second level provide care for children whose body weight exceeds 1500 g. In order to be included in the list of first level institutions, the hospital must, among other, be able to pick up children from other institutions in the surrounding region. Mobile incubators are used for this purpose. Such an incubator is a kind of a mobile intensive care unit. In some cases, the incubator is del

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Grama, Alina, Cornel Olimpiu Aldea, Lucia Burac, et al. "Etiology and Outcome of Acute Liver Failure in Children—The Experience of a Single Tertiary Care Hospital from Romania." Children 7, no. 12 (2020): 282. http://dx.doi.org/10.3390/children7120282.

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Background: Acute liver failure (ALF) is a rare disease, associated with high mortality, despite optimal medical therapy without emergency liver transplantation. Knowing the possible cause of ALF plays a vital role in the management, as the child could benefit from effective specific therapies in emergencies. Methods: We have analyzed the etiology and outcome of ALF in children followed-up in a tertiary care hospital between January 2012–December 2018. The patients were grouped into different age categories: neonates (0–1 month), infants (1–12 months), children (1–14 years), and teenagers (14–

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O'Rielly, Connor, Joshua Ng-Kamstra, Ania Kania-Richmond, et al. "Surgery and COVID-19: a rapid scoping review of the impact of the first wave of COVID-19 on surgical services." BMJ Open 11, no. 6 (2021): e043966. http://dx.doi.org/10.1136/bmjopen-2020-043966.

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ObjectivesTo understand how surgical services have been reorganised during and following public health emergencies, particularly the first wave of the COVID-19 pandemic, and the consequences for patients, healthcare providers and healthcare systems.DesignA rapid scoping review.SettingWe searched the MEDLINE, Embase and grey literature sources for documents and press releases from governments and surgical organisations or associations.ParticipantsStudies examining surgical service delivery during public health emergencies including COVID-19, and the impact on patients, providers and healthcare

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Das, Karuna Kanta, Sasindra Kumar Das, and Dhritimala Das. "A prospective study on maternal near miss cases at a tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 1 (2019): 300. http://dx.doi.org/10.18203/2320-1770.ijrcog20196038.

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Background: Pregnant women’s health status is not only reflected by mortality indicators alone hence the concept of Severe Acute Maternal Morbidity (SAMM) is appropriate for present health providing system. It helps to evaluate the quality of obstetric care in a particular institute. The main objectives of the study were to find a) Incidence of MNMM; b) Disorders underlying MNMM; c) Socio-demographic variables among MNMM; d) Facilities and skills needed to handle these near miss situations.Methods: A prospective hospital-based study was conducted in the department of obstetrics and gynaecology

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Evdokimov, V. I., and K. A. Chernov. "Disaster medicine: object of study and scientometric analysis of domestic scientific articles (2005–2017)." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 3 (September 28, 2018): 98–117. http://dx.doi.org/10.25016/2541-7487-2018-0-3-98-117.

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Relevance.Despite the decrease in the absolute indicators of emergencies, accidents and catastrophes, and the reduction of related injuries in Russia, there is still a high level of mortality and injuries associated with the impact of external causes, surpassing similar indicators in the leading countries of the world. Therefore, research to optimize the provision of first aid and emergency medical care to the injured is needed.Intention.To conduct a content analysis of domestic articles within the branch of knowledge “Disaster Medicine. Service of Disaster Medicine” and to reveal their scient

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Machado, Caridad, Theodore G. Barlows, Wallace A. Marsh, Yamile Coto-Depani, and Gary Dalin. "Pharmacists on the Emergency Cardiopulmonary Resuscitation Team: Their Responsibilities, Training, and Attitudes." Hospital Pharmacy 38, no. 1 (2003): 40–49. http://dx.doi.org/10.1177/001857870303800113.

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Pharmacist involvement on the cardiopulmonary resuscitation (CPR) team is associated with lower mortality rates. Despite this finding, pharmacists respond to cardiopulmonary emergencies in only 32% of institutions. The objective of this study was to determine the responsibilities and training of pharmacists as CPR team members and to assess their attitudes toward this role. A total of 1290 adult, acute-care hospitals were randomly surveyed nationwide. A total of 1108 questionnaires were received from 40% (517/1290) of institutions surveyed. Thirty-seven percent (189/517) of the institutions in

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Agrawal, Puneet, and M. Zaid Imbisat. "Our experience with enteric ileal perforation: a retrospective study at a tertiary care centre in northern India." International Surgery Journal 6, no. 12 (2019): 4318. http://dx.doi.org/10.18203/2349-2902.isj20195179.

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Background: Typhoid fever is one of major causes of intestinal perforation in India and is one of the common surgical emergencies for which intervention is required. The study aims to evaluate the clinical presentation, operative findings, outcome of surgical procedures, postoperative complications and associated mortality among the patients managed for typhoid ileal perforation in a tertiary care hospital.Methods: This was a retrospective study evaluating the patients who were operated for typhoid ileal perforation peritonitis in FH Medical College, Agra, UP, India between April 2017 and Sept

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Shulyak, Ekaterina V. "The development of health care in Siberia in the 18th — first half of the 19th century." Tyumen State University Herald. Humanities Research. Humanitates 5, no. 2 (2019): 121–32. http://dx.doi.org/10.21684/2411-197x-2019-5-2-121-132.

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Development of health care of Siberia in the 18<sup>th</sup>&nbsp;— first half of the 19<sup>th</sup> century was closely connected with economic and political development of the Russian state. Before the medical personnel emergence in Siberia its population received medication only in the form of folk remedies. Development of its territory, insanitary conditions of life of Siberians, constant contingent of exiled to the indigenous people, and severe climate contributed to the spread of such diseases as smallpox, syphilis, and others.<br> The first medical ins

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Phillips, Susan, and Glenn Kaplan. "Drug Therapy in Neonatal Sepsis." Journal of Pharmacy Practice 2, no. 1 (1989): 28–35. http://dx.doi.org/10.1177/089719008900200105.

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Despite the remarkable technological advances in neonatal intensive care, bacterial infections continue to be a significant cause of neonatal morbidity and mortality. The clinical manifestations of sepsis are frequently subtle and nonspecific. Progression of the disease is rapid and mortality continues to be high. Antimicrobial therapy must be instituted as soon as possible after symptomatic and high risk infants are identified. Empiric broad spectrum antibiotic therapy is initiated to cover the most likely pathogens that are etiologic in neonatal sepsis. Pathogen specific therapy is guided by

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Li, Timmy, Courtney M. C. Jones, Manish N. Shah, Jeremy T. Cushman, and Todd A. Jusko. "Methodological Challenges in Studies Comparing Prehospital Advanced Life Support with Basic Life Support." Prehospital and Disaster Medicine 32, no. 4 (2017): 444–50. http://dx.doi.org/10.1017/s1049023x17000292.

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AbstractDetermining the most appropriate level of care for patients in the prehospital setting during medical emergencies is essential. A large body of literature suggests that, compared with Basic Life Support (BLS) care, Advanced Life Support (ALS) care is not associated with increased patient survival or decreased mortality. The purpose of this special report is to synthesize the literature to identify common study design and analytic challenges in research studies that examine the effect of ALS, compared to BLS, on patient outcomes. The challenges discussed in this report include: (1) choi

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Kishore R., Venkata Ravi, K. Ashwin, and S. B. Vasanth Kumar. "An observational study on peritoneal fluid bacteriology in cases of gastrointestinal perforations, antibiotic management and outcome in tertiary care center." International Surgery Journal 7, no. 2 (2020): 385. http://dx.doi.org/10.18203/2349-2902.isj20200292.

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Background: Perforative peritonitis is one of the most common surgical emergencies in India. Perforation of the intestines results in the potential for bacterial contamination resulting in peritonitis.Methods: A total of 65 patients (January 2018 to Dec 2018) who presented with features of perforative peritonitis admitted to various surgical units of PES institute of medical sciences, Kuppam were included in this study. The following study was conducted to analyze bacteriology of peritoneal fluid, to assess antibiotic sensitivity pattern, to assess its impact on morbidity, mortality pattern in

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Partridge, R., D. B. Bouslough, L. Proano, S. Soliai-lemusu, F. Avegalio, and A. Anesi. "(P1-21) Medical Disaster Relief after the 2009 American Samoan Tsunami: Lessons Learned." Prehospital and Disaster Medicine 26, S1 (2011): s105—s106. http://dx.doi.org/10.1017/s1049023x11003530.

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BackgroundTsunamis most commonly occur in the “Ring of fire” in the Pacific due to frequency of earthquakes and volcanic activity. Damaging tsunamis occur 1–2 times yearly. On September 29, 2009, an earthquake on the Pacific floor caused a tsunami that struck American Samoa, Samoa and Tonga, with only 20 minutes warning.ObjectiveTo evaluate the disaster response in American Samoa by emergency medical services (EMS), the territorial hospital, and the Department of Health.MethodsA retrospective review of EMS logs, public health records, hospital emergency department charts, and key-informant int

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Vellipuram, Cruz-Flores, Chaudhry, et al. "Comparative Outcomes of Respiratory Failure Associated with Common Neuromuscular Emergencies: Myasthenia Gravis versus Guillain–Barré Syndrome." Medicina 55, no. 7 (2019): 375. http://dx.doi.org/10.3390/medicina55070375.

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Background and objectives: Myasthenia gravis (MG) and Guillain–Barré Syndrome (GBS) are autoimmune neuromuscular disorders that may present as neuromuscular emergencies requiring mechanical ventilation and critical care. Comparative outcomes of these disease processes, once severe enough to require mechanical ventilation, are not known. In this study, we compared the patients requiring mechanical ventilation in terms of in-hospital complications, length of stay, disability, and mortality between these two disease entities at a national level. Materials and Methods: Mechanically ventilated pati

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Dogjani, Agron. "Management of Trauma Patient in the Hospital Settings." Albanian Journal of Trauma and Emergency Surgery 2, no. 2.2 (2018): 12–13. http://dx.doi.org/10.32391/ajtes.v2i2.2.155.

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Introduction: Trauma can be defined as a ‘blunt or penetrating external force exerted on the body resulting in injury’. Traumatic injury is a leading cause of death globally among persons under the age of 45 years. Over 5 million deaths occur each year as a result of injuries, representing 9% of the world's mortality. Non-fatal injuries are among the leading global cause of emergency department (ED) visits, hospitalizations, and long-term morbidity, accounting for a large part of health systems workload. Although road injuries, falls and self-harm are the top three causes of injury burden glob

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Crippen, Cristina J., Steven J. Hughes, Sugong Chen, and Kevin E. Behrns. "The Impact of Interhospital Transfers on Surgical Quality Metrics for Academic Medical Centers." American Surgeon 80, no. 7 (2014): 690–95. http://dx.doi.org/10.1177/000313481408000725.

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The emergence of pay-for-performance systems pose a risk to an academic medical center's (AMC) mission to provide care for interhospital surgical transfer patients. This study examines quality metrics and resource consumption for a sample of these patients from the University Health System Consortium (UHC) and our Department of Surgery (DOS). Standard benchmarks, including mortality rate, length of stay (LOS), and cost, were used to evaluate the impact of inter-hospital surgical transfers versus direct admission (DA) patients from January 2010 to December 2012. For 1,423,893 patients, the case

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MONT’ALVERNE, Francisco José Arruda, Fabrício Oliveira LIMA, Raul Gomes NOGUEIRA, et al. "Management of acute stroke and urgent neurointerventional procedures during COVID-19 pandemic: recommendations on the Scientific Department on Cerebrovascular Diseases of the Brazilian Academy of Neurology, Brazilian Society of Cerebrovascular Diseases and Brazilian Society of Neuroradiology." Arquivos de Neuro-Psiquiatria 78, no. 7 (2020): 440–49. http://dx.doi.org/10.1590/0004-282x20200053.

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ABSTRACT Introduction: Although the 2019 severe acute respiratory syndrome coronavirus 2 infection (SARS-CoV-2, COVID-19) pandemic poses new challenges to the healthcare system to provide support for thousands of patients, there is special concern about common medical emergencies, such as stroke, that will continue to occur and will require adequate treatment. The allocation of both material and human resources to fight the pandemic cannot overshadow the care for acute stroke, a time-sensitive emergency that with an inefficient treatment will further increase mortality and long-term disability

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Irmiter, Cheryl, Italo Subbarao, Jessica Nitin Shah, Patricia Sokol, and James J. James. "Personal Derived Health Information: A Foundation to Preparing the United States for Disasters and Public Health Emergencies." Disaster Medicine and Public Health Preparedness 6, no. 3 (2012): 303–10. http://dx.doi.org/10.1001/dmp.2012.21.

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ABSTRACTBackground: In the days following a disaster/public health emergency, there is great effort to ensure that everyone receives appropriate care and lives are saved. However, evacuees following a disaster/public health emergency often lack access to personal health information that is vital to receive or maintain quality care. Delayed treatment and interruptions of medication regimens often contribute to excess morbidity and mortality following a disaster/public health emergency. This study sought to define a set of minimum health information elements that can be maintained in a personal

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Daddenavar, Vikas M., Pramod Mirji, and Ishwar Kalburgi. "Clinical study of acute intestinal obstruction in tertiary care centre." International Surgery Journal 4, no. 9 (2017): 2903. http://dx.doi.org/10.18203/2349-2902.isj20173704.

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Background: Acute intestinal obstruction is one of common abdominal emergencies and is associated with significant morbidity and mortality, especially if it progresses to bowel ischemia. The aim of this study is to analyse various modes of presentation of acute intestinal obstruction in both children and adult age group, etiopathogenesis, various therapeutic modalities of treatment and to accomplish operative management and anticipate the post-operative complication.Methods: Fifty consecutive patients of all age groups presenting with acute intestinal obstruction were admitted in SN Medical Co

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Burkle, Frederick M., Jason W. Nickerson, Johan von Schreeb, et al. "Emergency Surgery Data and Documentation Reporting Forms for Sudden-Onset Humanitarian Crises, Natural Disasters and the Existing Burden of Surgical Disease." Prehospital and Disaster Medicine 27, no. 6 (2012): 577–82. http://dx.doi.org/10.1017/s1049023x12001306.

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AbstractFollowing large-scale disasters and major complex emergencies, especially in resource-poor settings, emergency surgery is practiced by Foreign Medical Teams (FMTs) sent by governmental and non-governmental organizations (NGOs). These surgical experiences have not yielded an appropriate standardized collection of data and reporting to meet standards required by national authorities, the World Health Organization, and the Inter-Agency Standing Committee's Global Health Cluster. Utilizing the 2011 International Data Collection guidelines for surgery initiated by Médecins Sans Frontières,

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Glomb, Nicolaus W., Adeola A. Kosoko, Cara B. Doughty, et al. "Needs Assessment for Simulation Training for Prehospital Providers in Botswana." Prehospital and Disaster Medicine 33, no. 6 (2018): 621–26. http://dx.doi.org/10.1017/s1049023x18001024.

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AbstractBackgroundIn June 2012, the Botswana Ministry of Health and Wellness (MOHW; Gaborone, Botswana) initiated a national Emergency Medical Services (EMS) system in response to significant morbidity and mortality associated with prehospital emergencies. The MOHW requested external expertise to train its developing workforce. Simulation-based training was planned to equip these health care providers with clinical knowledge, procedural skills, and communication techniques.ObjectiveThe objective of this study was to assess the educational needs of the pioneer Botswana MOHW EMS providers based

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Moser, G. A. S., D. C. M. Aguiar, B. C. Franciscon, J. F. Lima, and F. B. Haag. "The rescue of the polytraumatized victims due to violence in transit in the city of Chapecó-SC: the “golden hour”." Scientific Electronic Archives 13, no. 7 (2020): 102. http://dx.doi.org/10.36560/1372020940.

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Trauma is considered the third cause of death, being understood as a disease with endemic character in modern society is not only affecting the field of public health, but also, the socio-political society. According to the Advanced Trauma Life Support - ATLS, in emergencies, the first hour, called the "Golden Hour" (Golden hour), this is the moment in which more deaths occur. However, this is also the time for more if you can avoid them. This study aimed to understand how the pre-hospital care and hospital conducted both by the Fire Department of the west of SC, and by nurses from the emergen

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S., Manjunatha, Harsha T. N., and Damayanthi H. R. "A study of maternal near miss at a district teaching hospital: a retrospective observational study." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 4 (2018): 1421. http://dx.doi.org/10.18203/2320-1770.ijrcog20181328.

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Background: Maternal health is an integral part of health care system. Maternal mortality is an indicator of maternal health and health care delivery system. Severe morbid conditions require comprehensive approach. Hence the concept of Maternal Near Miss (MNM) has emerged. The data of maternal near miss helps to reduce the maternal death and helps to achieve the goals related to reduce the maternal mortality rate of the country as well as the world and to improve the quality of life of the woman population by a quality care. Objectives of present study were to identify and analyze the strategi

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