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June  2016

Volume 3  Issue 2  

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Original Research  

Comparison of NIHSS Scores Determined by Emergency Physicians and Neurologists using Pre-Hospital Telemedicine Device  

Riadh TFIFHA, Cindy TISSIER, Pierre-Yves COLOMBIN, Ludwig-Serge AHO-GLELE, Marie HERVIEUBEGUE, Yannick BEJOT, Marc FREYSZ* 

The management of acute stroke requires a rapid but appropriate clinical assessment of the patient’s neurologic deficit. This study investigates the comparative efficiency of emergency physicians and neurologists to determine the National Institute of Health Stroke Scale (NIHSS) score, the main tool for assessing the severity of a stroke and guiding possible subsequent fibrinolysis.

 

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Research Article  

Does Emergency Department Measured Cardiac Output Predict Organ Failure at 48 Hours? A Pilot Study  

Anisa J N JAFAR*, Cornelia JUNGHANS, Chun Shing KWOK, Chrissie HYMERS, Kerri J MONK5, Ed GOLD, Tim R HARRIS

Cardiac performance is predictive of mortality in a wide range of conditions, including syncope, cardiac failure and sepsis. Cardiac output (CO) is the major determinant of oxygen delivery and the prime focus for resuscitation. Physiological scores (track and trigger systems) in use in the UK Emergency Departments (EDs) were developed for ward, not ED use. Data is conflicted as to whether morbidity and mortality are  improved by the medical response to physiological scores. This is discussed further in our linked publication.

 

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Clinical Research  

Appropriateness of Antibiotic Prescription for Upper Respiratory Tract Infections in Emergency Department in Bahrain  

Jameela Al Salman*, Khadija Farookh, Sughra Alawi, Ebtihal Alyusuf, Eman Albasri, Shurooq Almarzooq, Fatema Alnashaba, Ali Alahmed, Zahra Ali2 Rawdha Fardan, Khatoon Alzaimoor

Upper respiratory tract infection (URTI) is one of the common presentations of the medical field, where acute pharyngitis –for example- account for 1-2% of diagnosis in Accident and Emergency department. URTI is a general term used to  describe infections of respiratory tract up to the bronchus. It includes the common cold, otitis media, pharyngitis, tonsillitis, and tracheobronchitis.

 

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Case Report  

Anaphylactic Shock Diagnosed with Bedside Abdominal Ultrasonography and Computerized Tomography  

AMansur Kürşad Erkuran, Serhat İldeş, Arif Duran*, Tarık Ocak

A comatose patient otherwise normal with no clues of medical history is a predicament not easy to solve. A wide range of diseases including severe infections, intracranial pathologies, drug overdose and many other shock reasons should be ruled out. Focused abdominal sonography in trauma (FAST) has settled down as a routine emergency practice. However, it may also help physicians to guide the diagnosis in cases of severe shock with unknown cause.

 

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