The services have been elaborated in the purpose of establishing a contact exchange based on trusting and harmonious relations. Our work is based both on a principle of double commitment and on the lift of anonymity for customers. These requirements are materialized by principles, contacts, and controls.
It may be possible to safely rule out pulmonary embolism PE in patients with low pre-test probability PTP using a higher than standard D-dimer threshold.
Prospective, observational study of consecutive adult patients evaluated for PE in 17 U. D-dimer adjustment based on pre-test probability may result in a reduced need for imaging to evaluate possible PE, with some additional Conclusion proposition de traduction: Aucun Original contributions Introduction: The purpose of this study was to determine the proportion of children undergoing procedural sedation for fracture reduction in the emergency department ED observed to experience negative postdischarge behaviors.
Predictors of negative behaviors were evaluated, including anxiety. This was a prospective cohort study of children receiving intravenous ketamine sedation for ED fracture reduction.
The child's anxiety prior to sedation was measured with the Modified Yale Preoperative Anxiety Scale. Negative behavioral changes were measured with the Post-Hospitalization Behavior Questionnaire 1 to 2 weeks after discharge.
Descriptive statistics and odds ratios ORs were calculated. Chi-square test was used for comparisons between groups. Multivariable logistic regression models evaluated predictors of negative behavioral change after discharge. For children undergoing procedural sedation in the ED, two in five children have high preprocedure anxiety and almost one in four have significant negative behaviors 1 to 2 weeks after discharge.
Highly anxious and nonwhite children have increased risk of negative behavioral changes that have not been previously recognized in the ED setting. Conclusion proposition de traduction: The risk of early seizure recurrences after first unprovoked seizures in children is largely unknown.
We aimed to determine the rate of seizure recurrence within 14 days of first unprovoked seizures in children and identify associated risk factors. Secondarily, we aimed to determine the risk of recurrence at 48 hours and 4 months.
We conducted a secondary analysis of a multicenter cohort study of children 29 days to 18 years with first unprovoked seizures.
Emergency department ED clinicians completed standardized histories and physical examinations. The primary outcome, recurrent seizure at 14 days, and the secondary outcomes, recurrence at 48 hours and 4 months, were assessed by telephone follow-up and medical record review.
For each recurrence time point, we excluded those patients for whom no seizure had recurred but chronic antiepileptic drugs had been initiated. A total of patients were enrolled in the parent study. Of evaluable patients for this secondary analysis, 26 of 6.
Risk of seizure recurrence 14 days after first unprovoked seizures in children is substantial, with younger children at higher risk. Prompt completion of an electroencephalogram and evaluation by a neurologist is appropriate for these children.
Etude observationnelle multicentrique ayant inclue enfants. Aucun Original contribution Introduction: The objective was to test the hypothesis that in-hospital outcomes are worse among children admitted during a return ED visit than among those admitted during an index ED visit.
This was a retrospective analysis of ED visits by children age 0 to 17 to hospitals in Florida and New York in Children hospitalized during an ED return visit within 7 days were classified as "ED return admissions" discharged at ED index visit and admitted at return visit or "readmissions" admission at both ED index and return visits.
In-hospital outcomes for ED return admissions and readmissions were compared to "index admissions without return admission" admitted at ED index visit without 7-day return visit admission.
Among 1, index ED visits to hospitals, 75, were index admissions without return admission, 7, were ED return admissions, and 1, were readmissions. ED return admissions had lower intensive care unit admission rates 1 Generation # 24 > SpECIal ISSuE Lean INTERVIEWS DCNS is on the Lean stream with its Green and Blue spinnaker Lean: from industry to banks, or applying industrial practices to banking SNCF Lean applied to a technical centre to optimise organisation and operating methods in engineering activities Management control: from building a production system to its adoption by the management Hospices.
A propos Admin. Fondateur du site, IDE en pédiatrie, néonat' & urg' pédiatriques Infirmier Sapeur pompier volontaire.
L'anesthésie générale continue à susciter une certaine appréhension chez bon nombre de personnes, même si elle est couramment pratiquée. Doctissimo fait le point sur cette technique désormais banale. The teaching or training of patients concerning their own health needs. - nformation destinée aux chirurgiens cardio-thoraciques, chirurgiens digestifs, cardiologues, pneumologues, néphrologues, gastroentérologues, spécialistes de médecine interne, rhumatologues, urologues, anesthésistes-réanimateurs, dermatologues, neurologues, gynécologues, médecins généralistes, pharmaciens. Opticienne-lunetier-optométriste se déplace dans les EHPAD, sur rendez-vous, pour un service personnalisé. Service personnalisé par une opticienne diplômée, tiers payant sécurité sociale et mutuelle, large choix de montures, lentilles de contact toutes marques, verres de fabrication française, service dédié à la basse vision.
Risk management CISMeF Metaterm * Meta-terms correspond to biological or medical specialty concerned with one or more keywords (or keywords hierarchies), qualifiers, or resource types. Other terms also benefit from this structure, when the topic warrants it, eg education.
Jan 19, · Le Dr Clément Gakuba, secrétaire général du Syndicat National des Jeunes Anesthésistes Réanimateurs (SNJAR), invité sur le plateau du JT 12/13 Basse-Normandie le .
Sep 18, · Michel Cymes entre dans l'ARène et défie les jeunes Anesthésistes Réanimateurs. association pour geston d'un site internet pour les medecins anesthesistes reanimateurs - association pour l'arbitrage international; association sans but lucratif club des jeunes ruette-grandcourt - association sans but lucratif d'aide comptable administrative pedagogique aux ecoles;.