DOCSLIB.ORG

Focus: the Quarterly Newsletter for Physician Office Staff

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Focus: the Quarterly Newsletter for Physician Office Staff LEHie~H-~-'AIL.....EY IIII HOSPJTAI..A:-:10 !Jf.A I:rll :-:IP:IWORK FOCUS Route to: The Quarterly Newsletter for Physician Office Staff Volume 10, Number 1 May, 2001 In This Issue .. Experience the Newest Release of GUI Email Newest Release of GUI Email Page 1 The Information Services Department would like to invite you to experience the newest release of GUI PET Scanning Has Arrived email. This newest version takes minutes to install Page 2 and provides many new enhancements -- all done in response to user requests. GUI email opens the Sleep Disorders Center Relocates door to allow you to keep your existing mail files, Page 2 yet provides you with a Windows-based interface to all the luxuries that come with Windows: Central Scheduling Now Handling Reservations for attachments (Word documents, spreadsheets, MRI and Sleep Disorder Studies at LVH-M pictures), PC composition options (choice of fonts, Page 3 colors, spell check, margins, etc.), archive of your own files off-line if you wish (locally), and printing to Infection Control News local printers (even in color, if one is available to Page 3 you). LastWord Upgrade Information Services would like to especially Page4 welcome on board those of you who are still using the original email display ("Green Screen") and May Daze is Coming! hope you will allow 1/S to bring your PC up to the Page4 best it can be. Some are still using the original version to print to an old nearby Fax machine (via New Telephone Hotlist T###), which is a carryover from the old days of five Pages 5 & 6 to seven years ago when printers weren't as common, and it was your only option to print locally. News from the HIM Department This process requires both outdated hardware and Pages 7-9 software, as well as diminishing vendor support, and is very costly due to its age. Therefore, on June 4, this feature will be deactivated, and you will For Your I nformation- Lehigh Valley Hospita l no longer be able to print emails from the OLD and Health Network has switched back to the version of email. Password Lifetime Option for the network systems. This means that you will be asked to If you are among this group and are still plugging change your password every 90 days. Changing away with the original green screen version and the password helps to ensure that your accounts printing to your old Fax machine, please contact are kept safe, and complies with law and industry either Barrie Borger ([email protected], (61 0) best practices. If you experience any problems 402-5715), or Rob Bortz ([email protected], (610) 402-1482). One of these individuals will while changing your password or if you have any schedule you STAT, ahead of the rest, to replace questions, please contact the Information these old, costly fax prints. Services Help Desk at (610) 402-8303. FOCUS May, 2001 0 Volume 10, Number 1 Page 2 PET Scanning Has Arrived! The relative amount of radiation to a patient from a PET FDG scan is similar to that of a body Positron Emission Tomography (PET) is now computed tomography scan. available at Lehigh Valley Hospital, Cedar Crest & 1-78. CDL Medical Technologies has been PET scans are currently approved by HCFA for the contracted to provide mobile PET services to LVH. following indications: The system that has been chosen is a state-of-the­ art Siemen's dedicated PET scanner which can )> Characterization of solitary pulmonary nodules detect lesions as small as several millimeters. )> Initial staging and follow-up of : Scanning will initially be performed one day per • non-small cell lung cancer week with the potential of expanded services as • colorectal cancer volume builds. • melanoma • Hodgkin's and non-Hodgkin's lymphoma The clinical usefulness of PET will mainly be in the These studies will be interpreted by Nuclear field of oncology. PET is unique in providing Medicine physicians, Robert Rienzo, MD, and functional assessment of the anatomic Kathleen McDonald, MD, who are board certified by abnormalities usually found on CT or MRI scans. both the American Board of Radiology and the Studies indicate that PET may be used as a American Board of Nuclear Medicine. compliment to CT by helping to characterize, as benign or malignant, solitary pulmonary nodules found to be indeterminate on CT. By reducing If you have any questions concerning PET, please contact either Dr. Rienzo or Dr. McDonald in false-positive studies, radiologists can more accurately identify patients for surgical resection Nuclear Medicine at (610) 402-8373. and decrease unnecessary interventions for benign (Some of the information in this article was obtained from the nodules. Oncology Roundtable of the Advisory Board Company of Washington, D.C.) PET is important in tumor staging. For example, in the evaluation of a patient with non-small cell lung cancer, accurate evaluation of the mediastinum is Sleep Disorders Center important for staging and treatment decisions. PET can detect tumors in normal sized lymph nodes Relocates to 17th & Chew and, therefore, more accurately stage patients with lung cancer. PET can improve the sensitivity and On May 1, the Sleep Disorders Center, previously specificity for mediastinal staging of these patients. located at Cedar Crest & 1-78, moved to the fourth floor of Lehigh Valley Hospital at 17'h & Chew. The PET also has been shown to increase accuracy in new laboratory, with improved diagnostic detecting recurrent disease in patients with equipment, has expanded from its previous six colorectal cancer and melanoma. PET can detect beds to 13 beds effectively doubling the ability to small tumor foci in patients with colon cancer with a perform sleep studies. In addition to expanding in rising CEA level and a normal or equivocal CT capacity, the new Center offers significant scan. PET can help stage Hodgkin's and non­ improvements in comfort to patients including a Hodgkin's lymphoma much better than Gallium private bath with a shower in each room, scans. televisions, refreshment center, and attractive "hotel room" decor. For patients' convenience, There are some limitations to PET scanning. valet parking is available at the front entrance of the Although specificity is usually high, inflammatory or hospital. infectious processes may result in false-positive interpretations. Also, PET does not provide the To schedule an appointment, please contact level of precise anatomic localization of tumor Central Scheduling at (610) 402-8378 (TEST). For required for surgical excision or targeted radiation information about sleep studies, please contact the therapy and requires complimentary anatomic Sleep Disorders Center at (610) 402-9777. correlation with CT or MRI. FOCUS May, 2001 0 Volume 10, Number 1 Pagc3 Central Scheduling to Handle Infection Control News Reservations for MRI and Sleep Disorder Studies at LVH-M Animal bites are listed as reportable diseases in the Commonwealth of Pennsylvania. Health care On April 30, the Central Scheduling Department providers are required to immediately report all began handling reservations for MRI and Sleep types of animal bites to their local Health Bureau. Disorder Studies at LVH-Muhlenberg. Previously, This includes all warm-blooded and cold-blooded the individual departments handled the scheduling animals (snakes and other reptiles). Rapid of reservations. This change is part of the reporting of animal bites assists the Health Bureau continuing effort to streamline access to the in helping to identify dangerous animals and services available at LVH-Muhlenberg. removing them from the community, if necessary, or by requiring owners to properly restrain and In order to expedite the scheduling process, please vaccinate pets. Reportable disease forms are have the patient's demographic information, available from the Health Bureau. including their insurance information, available at Allentown Health Bureau the time of the scheduling call. As with the other 1 tests and procedures you order through Central 245 N. 6 h Street Scheduling, this will allow patients to be pre­ Allentown, PA 18102 registered and speed the intake process when they Phone: (61 0) 437-7577 arrive at the hospital. Page: (61 0) 218-3266 Fax: (610) 437-8799 To schedule an MRI or Sleep Disorder Study at LVH-Muhlenberg, please call Central Scheduling at Bethlehem Health Bureau (484) 884-2279, Monday through Friday, from 7 10 E. Church Street a.m. to 7 p.m. Bethlehem, PA 18018 Phone:(610) 865-7087 If you have any questions, comments or concerns Fax: (610) 865-7019 please contact Lisa Coleman, Director, Support ' Services, at (610) 402-8066, or Mark Holtz, Vice Lehigh County PA-DOH President of Operations, at (484) 884-4710. 3730 Lehigh Street Whitehall, PA 18052 Phone:(610) 821-6770 Emergencies: (717) 826-2062 Fax: (610) 821-6564 Reminder- On April 10, notification was If you have any questions regarding this issue, mailed regarding the annual assessment please contact a member of the Infection Control Department at (610) 402-0680. due for 2001 for continued membership in the Gr,eater Lehigh Valley Independent Practice Association, Inc. Each physician Information for the 7th Edition of the member is responsible for one annual Medical Staff Handbook is currently assessment of which is due by $250.00, being compiled. This handy reference for May 9, 2001. members of the Medical Staff includes a list of their office and pager numbers. If you have any questions, please contact If any of your physicians have recently Eileen Hildenbrandt, Coordinator, Lehigh changed their pager numbers, please Valley Independent Practice Association, contact Janet Seifert in Physician Inc., at (610) 402-7423. Relations as soon as possible at (610) 402-8590 to update the information. FOCUS May, 2001 0 Volume 10, Number 1 Page4 LastWord Upgrade May Daze Festival As you may already know, lOX (formerly Sponsored by the Lehigh Valley Hospital Auxiliary PHAMIS) LastWord is being upgraded.
Load more

Recommended publications
  • Health Care Facilities Hospitals Report on Training Visit
    SLOVAK UNIVERSITY OF TECHNOLOGY IN BRATISLAVA FACULTY OF ARCHITECTURE INSTITUTE OF HOUSING AND CIVIC STRUCTURES HEALTH CARE FACILITIES HOSPITALS REPORT ON TRAINING VISIT In the frame work of the project No. SAMRS 2010/12/10 “Development of human resource capacity of Kabul polytechnic university” Funded by UÜtà|áÄtät ECDC cÜÉA Wtâw f{t{ YtÜâÖ December, 14, 2010 Prof. Daud Shah Faruq Health Care Facilities, Hospitals 2010/12/14 Acknowledgement: I Daud Shah Faruq professor of Kabul Poly Technic University The author of this article would like to express my appreciation for the Scientific Training Program to the Faculty of Architecture of the Slovak University of Technology and Slovak Aid program for financial support of this project. I would like to say my hearth thanks to Professor Arch. Mrs. Veronika Katradyova PhD, and professor Arch. Mr. stanislav majcher for their guidance and assistance during the all time of my training visit. My thank belongs also to Ing. Juma Haydary, PhD. the coordinator of the project SMARS/2010/10/01 in the frame work of which my visit was realized. Besides of this I would like to appreciate all professors and personnel of the faculty of Architecture for their good behaves and hospitality. Best regards cÜÉyA Wtâw ft{t{ YtÜâÖ December, 14, 2010 2 Prof. Daud Shah Faruq Health Care Facilities, Hospitals 2010/12/14 VISITING REPORT FROM FACULTY OF ARCHITECTURE OF SLOVAK UNIVERSITY OF TECHNOLOGY IN BRATISLAVA This visit was organized for exchanging knowledge views and advices between us (professor of Kabul Poly Technic University and professors of this faculty). My visit was especially organized to the departments of Public Buildings and Interior design.
    [Show full text]
  • Part B – Health Facility Briefing & Design 55 Coronary Care Unit
    Part B – Health Facility Briefing & Design 55 Coronary Care Unit International Health Facility Guidelines Version 4 May 2014 Table of Contents 55 Coronary Care Unit ................................................................................................................... 3 1 Introduction ............................................................................................................................................... 3 2 Planning ..................................................................................................................................................... 3 3 Design ........................................................................................................................................................ 6 4 Components of the Unit .......................................................................................................................... 10 5 Schedule of Accommodation – Coronary Care Unit ............................................................................ 11 6 Functional Relationship Diagram – Coronary Care Unit ..................................................................... 13 7 References and Further Reading ........................................................................................................... 14 International Health Facility Guidelines © TAHPI Part B: Version 4 2014 Page 2 Coronary Care Unit 55 Coronary Care Unit 1 Introduction Description A Coronary Care Unit (CCU) is a specially staffed and equipped section of a healthcare facility
    [Show full text]
  • LETTERS to the EDITOR Emergent Percutaneous in the Coronary Care Unit and Then Five Pediatric Chest Injuries: Take Days in a Ward, with Good Evolution
    Emergencias 2016;28:136-140 LETTERS TO THE EDITOR Emergent percutaneous in the coronary care unit and then five Pediatric chest injuries: take days in a ward, with good evolution. intervention in submassive On the fifth day, control CT showed care on detecting a heart pulmonary embolism with thrombus resolution and normalization murmur contraindications for of right ventricular function. At 3 systemic thrombolysis months of follow-up the patient was as - Traumatismo torácico en pediatría: ymptomatic and treated with oral anti - atención a la aparición de un soplo coagulation. Tratamiento percutáneo urgente del Percutaneous treatment is an al - To the editor: embolismo pulmonar submasivo ternative to ST in cases of massive con contraindicaciones de A 6 year-old boy was taken to the ED and sub-massive PE with indica - after falling from the fifth floor. Glasgow trombolisis sistémica tions for reperfusion, but with ab - Coma Scale score was 14 points (O3, V5, solute or relative contraindications M6) and vital signs were stable. The pu - To the editor: for ST 1. A purely mechanical, phar - pils were symmetrical and reactive to Pulmonary embolism (PE) has a macological approach (selective re - light. He had bruises and abrasions on broad spectrum of severity from as - the anterior chest wall and extensive bo - lease thrombolytic), or both can be ymptomatic cases to shock or car - ne and soft tissue lesions on the chest. adopted. The procedure is success - diac arrest. Risk stratification is re - Cardiac auscultation indicated a rough ful in 86.5% (massive PE) and commended using the Pulmonary pansystolic, grade 4/6 murmur that soun - 97.3% (sub-massive PE), with rates Embolism Severity Index (PESI).
    [Show full text]
  • Intensive Care Unit Patients
    Revised 2020 American College of Radiology ACR Appropriateness Criteria® Intensive Care Unit Patients Variant 1: Admission or transfer to intensive care unit. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable Usually Appropriate ☢ US chest May Be Appropriate (Disagreement) O Variant 2: Stable intensive care unit patient. No change in clinical status. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable May Be Appropriate (Disagreement) ☢ US chest Usually Not Appropriate O Variant 3: Intensive care unit patient with clinically worsening condition. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable Usually Appropriate ☢ US chest May Be Appropriate (Disagreement) O Variant 4: Intensive care unit patient following support device placement. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable Usually Appropriate ☢ US chest May Be Appropriate (Disagreement) O Variant 5: Intensive care unit patient. Post chest tube or mediastinal tube removal. Initial imaging. Procedure Appropriateness Category Relative Radiation Level Radiography chest portable May Be Appropriate (Disagreement) ☢ US chest Usually Not Appropriate O ACR Appropriateness Criteria® 1 Intensive Care Unit Patients INTENSIVE CARE UNIT PATIENTS Expert Panel on Thoracic Imaging: Archana T. Laroia, MDa; Edwin F. Donnelly, MD, PhDb; Travis S. Henry, MDc; Mark F. Berry, MDd; Phillip M. Boiselle, MDe; Patrick M. Colletti, MDf; Christopher T. Kuzniewski, MDg; Fabien Maldonado, MDh; Kathryn M. Olsen, MDi; Constantine A. Raptis, MDj; Kyungran Shim, MDk; Carol C. Wu, MDl; Jeffrey P. Kanne, MD.m Summary of Literature Review Introduction/Background This publication discusses the utility of chest radiographs and chest ultrasound (US) in the intensive care unit (ICU) setting.
    [Show full text]
  • PART I Nursing Experiences in an Intensive Coronary Care Unit
    Postgraduate Medical Journal (January 1971) 47, 3-4. Postgrad Med J: first published as 10.1136/pgmj.47.543.3 on 1 January 1971. Downloaded from PART I Intensive coronary care Nursing experiences in an intensive coronary care unit ELIZABETH S. MENDELSSOHN S.R.N. Sister-in-charge, Intensive Coronary Care Unit, West Middlesex Hospital, Isleworth, Middlesex Building work with a different house physician and medical We moved into a new Medical Department 2 years team. These moves produce much upset. The delicate ago, but it was not designed to contain a Coronary equipment is unnecessarily bumped about, various Intensive Care Unit. The planning was completed supporting services-porters, telephone operators, 4 years earlier when Coronary Intensive Care Units radiographers and anaesthetists-take some days to were unknown in regional hospitals. Thus, yet adjust to the new location, or a cardiac arrest call routine may misfire from lack of realization of the again, a hospital building has been outdated as soon Protected by copyright. as completed. change of siting of resuscitation equipment. In my In our building it has been possible to adapt a personal opinion I have no doubt that a Coronary corner of the general ward with a spare nursing Intensive Care Unit should remain in one place and station opposite a four-bed bay and two single rooms be supported by a proper allocation of medical staff. adjacent. Extra wiring has been installed to supply six electrical sockets per bed. Although workable, Nursing staff this arrangement entails noise and disturbance due These are all Staff Nurses or senior students who to being part of the busy thoroughfare to the general have requested to work on the Unit.
    [Show full text]
  • MOH Pocket Manual in Critical Care
    MOH Pocket Manual in Critical Care MOH Pocket Manual in Critical Care TABLE OF CONTENTS INTRACRANIAL HEMORRHAGE 9 ISCHEMIC STROKE9 10 TRAUMATIC BRAIN INJURY11 11 CNS INFECTION15 12 STATUS EPILEPTICUS18 13 GUILLIAN-BARˊ́RÉ SYNDROME21 14 MYASTHENIA GRAVIS23 15 HYPERTENSIVE CRISIS26 16 ACUTE CORONARY SYNDROME29 17 VENTICULAR TACHYCARDIA 35 18 SUPRAVENTRICULAR TACHYCADIA39 19 BRADYARRHYTHMIAS42 20 HEART FAILURE 43 21 SHOCK 45 22 ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE 23 PULMONARY DISEASE48 STATUS ASTHMATICUS 24 ACUTE RESPIRATORY DISTRESS SYDROME 25 PNEUMONIA 26 PULMONARY EMBOLISM 27 CHEST TRAUMA 28 MECHANICAL VENTILATION 29 GASTROINTESTINAL BLEEDING 30 VARICEAL BLEEDING 40 3 MOH Pocket Manual in Critical Care ACUTE LIVER FAILURE ALF 50 HEPATIC ENCEPHALOPATHY 60 ACUTE PANCREATITIS 80 ACUTE MESENTERIC ISCHEMIA (BOWEL ISCHEMIA) 81 INTESTINAL PERFORATION/OBSTRUCTION 82 COMPARTMENT SYNDROMES 83 ACUTE RENAL FAILURE 84 RHABDOMYOLYSIS 85 DISSEMINATED INTRAVASCULAR COAGULATION (DIC) 86 SICKLE CELL CRISIS 87 SEPTIC SHOCK 88 ANAPHYLAXIS 89 SEVERE MALARIA 90 TETANUS 91 HYPERNATRAEMIA 92 HYPONATRAEMIA 93 HYPERKALAEMIA 101 HYPOKALAEMIA 102 HYPERGLYCEMIC HYPEROSMOTIC STATE (HHS) 103 HYPOGLYCEMIADKA 104 THYROTOXIC CRISIS 105 MYXEDEMA COMA 106 DISORDERS OF TEMPERATURE CONTRO 107 OPIOID POSITIONING 108 ORGANOPHOSPHATE POISONING 109 4 MOH Pocket Manual in Critical Care PARACETAMOL POISONING 110 INHALED POISONING CO 150 ALCOHOL TOXICITY 151 REFERENCES 125 ALPHAPITICAL DRUG INDEX 335 5 MOH Pocket Manual in Critical Care Intracranial hemorrhage Overview • The pathological accumulation of blood within the cranial vault) may occur within brain parenchyma or the surround- ing meningeal spaces. Intracerebral hemorrhage accounts for 8-13% of all strokes and results from a wide spectrum of disor- ders. Intracerebral hemorrhage is more likely to result in death or major disability than ischemic stroke or subarachnoid hem- orrhage.
    [Show full text]
  • Pattern of Admission and Outcome of Patients Admitted Into the Intensive Care Unit of University of Nigeria Teaching Hospital Enugu: a 5‑Year Review
    [Downloaded free from http://www.njcponline.com on Tuesday, September 08, 2015, IP: 197.88.83.90] Original Article Pattern of admission and outcome of patients admitted into the Intensive Care Unit of University of Nigeria Teaching Hospital Enugu: A 5‑year review FA Onyekwulu, SU Anya Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu State, Nigeria Abstract Objective: The objective was to determine the pattern of admission and outcome of patients in the Intensive Care Unit (ICU) of University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria. Materials and Methods: A retrospective review of all patients admitted into the general ICU at UNTH from 2008 to 2012. Data were collected from the ICU admission and discharge registers, and data analysis was done using Microsoft Excel 2007. Results: A total of 766 patients were admitted during the period, consisting of 501 (65.4%) males and 265 (34.6%) females. Ages ranged from 1‑day to 89 years with a mean age of 38.2 ± 18.2 years. The most common cases admitted were neurosurgical patients of which there were 316 (41.2%). Patients admitted as a result of critical incidents in anesthesia formed the lowest number of cases admitted 10 (1.3%). Of the 316 neurosurgical cases, 224 (70.9%) were due to severe traumatic brain injury (TBI). An overall admission of 92.4% (207) was for severe TBI due to motor‑vehicular accident (MVA). The average length of stay was <24 h to 72 days with a mean of 4.9 ± 3.2 days. A total of 16.7% (128) patients received invasive mechanical ventilation during their stay in ICU.
    [Show full text]
  • Full Paper In
    Characteristics, management process, and outcome ORIGINAL ARTICLE of patients suffering in-hospital cardiopulmonary arrests in a teaching hospital in Hong Kong CME HY Yap Thomas ST Li Objectives To examine the demographics, process indicators of adult in- KS Tan hospital cardiopulmonary arrest resuscitation, and outcomes in YS Cheung a teaching hospital in Hong Kong. PT Chui Design Retrospective study. Philip KN Lam Setting A university-affiliated tertiary referral hospital with 997 acute Desmond WL Lam adult beds in Hong Kong. YF Tong Patients Those who suffered a cardiopulmonary resuscitation event, as MC Chu documented in retrieved records of all in-patients during the PN Leung inclusive period January 2002 to December 2005. Gavin M Joynt Results There were 531 resuscitation events; the mean (standard deviation) age of the corresponding patients was 70.7 (15.4) years. Most (83%) occurred in non-monitored areas and most (97%) were cardiopulmonary arrests. The predominant initial rhythm was asystole (52%); only 8% of patients had ventricular tachycardia/fibrillation. All the resuscitations were initiated by on-site first responders. The median times from collapse to arrival of the resuscitation team, to defibrillation, to administration of adrenaline, and to intubation were: 5 (interquartile range, 2-6) minutes, 5 (1-7) minutes, 5 (3-10) minutes, and 9 (5-13) minutes, respectively. The overall hospital survival (discharge) rate was 5%. The survival rate was higher among patients in monitored areas (9 vs 4%, P=0.046), among patients with isolated respiratory arrests (61 vs 3%, P<0.001), primary ventricular tachycardia/fibrillation arrests (13 vs 4%, P<0.001), shorter interval times from collapse to medication (1.5 vs 5 min, P=0.013), and longer interval times to intubation (12 vs 8 min, P=0.013).
    [Show full text]
  • Coronary Care Unit Objectives
    Coronary Care Unit Objectives Knowledge • Understand the indications for, interpretation of, and risks of the common cardiovascular testing modalities: ECG, CXR, CT scan, myocardial serum marker interpretation for ACS, echocardiography, cardiac catheterrization, and electrophysiologic testing • Understand the risk factors for CAD and their impact on clinical presentation, prognosis, and treatment options. • Understand the spectrum of disease from silent ischemia to acute coronary syndrome in the coronary vasculature, and from claudication to limb loss in the peripheral vasculature • Understand the diagnostic and prognostic evaluation of valvular insufficiency and stenosis (AS, AR, MS, MR, TR) as well as the role of medical treatment and considerations for angiographic evaluation, treatment, and surgical intervention. • Understand the etiology, work-up, medical treatment, and prognostic evaluation of patients with congestive heart failure. • Become familiar with the treatment of endstage heart failure and cardiogenic shock (including medical, surgical, and mechanical interventions). • Understand the indications for and long-term care of patients undergoing orthotopic heart transplantation. • Be familiar with the evaluation of pulmonary hypertension and understand the medical, surgical, and intravascular treatment options for primary pulmonary hypertension. • Appreciate the spectrum of congenital heart disease, know the clinical presentation of the uncorrected adult patient, and understand the most common complications of corrected congenital lesions. • Review the most common collagen vascular diseases (Marfan's, Scleroderma, Sjogren's) and rheumatologic disorders (SLE, RA) affecting the cardiovascular system. • Be familiar with the post-operative care of patients undergoing coronary artery bypass grafting, valvular repair or replacement, and aortic aneurysm repair. Skills • Recognize physical exam findings associated with common structural and valvular abnormalities, including AS, AI, MS, MR, VSD, IHSS, and TR.
    [Show full text]
  • Monitoring Requirements in Patients with Acute Myocardial Infarction
    Postgrad Med J: first published as 10.1136/pgmj.46.536.380 on 1 June 1970. Downloaded from Postgraduate Medical Journal (June 1970) 46, 380-387. Monitoring requirements in patients with acute myocardial infarction A. A. JENNIFER ADGEY J. F. PANTRIDGE Research Fellow Physician-in-Charge Cardiac Department, Royal Victoria Hospital, Belfast, Northern Ireland Summary the deaths from myocardial infarction occur outside The majority of deaths from myocardial infarction hospital (Spiekerman et al., 1962; Kuller, Lilienfeld occur soon after the onset of symptoms. The mobile & Fisher, 1966), and there is little doubt that most scheme described allows intensive care to commence of these deaths are due to ventricular fibrillation. in the patient's own home or at the site of infarction Yet the median time between onset of symptoms and and thus reduces the interval between the onset of admission to a hospital coronary care unit is more symptoms and the initiation ofintensive care. Monitor- than 8 hours (Fig. 1, curve B) (McDonald, 1968). ing is continued during transport and following admis- The Belfast study (McNeilly & Pemberton, 1968) sion to the hospital coronary care unit. showed that of 901 individuals who had a fatal The major impact of therapy on the mortality from coronary attack in the year surveyed, only 414 acute myocardial infarction will result from the detec- reached hospital; 109 were dead on arrival. Experi- tion and correction of rhythm disturbances. ence in North London (Nixon, 1968) showed that of the patients who died within the first 24 hr of THE MAJORITY of deaths from acute myocardial myocardial infarction, 47% did so before an ambu- copyright.
    [Show full text]
  • Ten Years of Intensive Care in Victoria (2001–02 to 2010–11) Victorian Intensive Care Data Review Committee
    Ten years of intensive care in Victoria (2001–02 to 2010–11) Victorian Intensive Care Data Review Committee 1 Ten years of intensive care in Victoria (2001–02 to 2010–11) Victorian Intensive Care Data Review Committee To receive this publication in an accessible format phone 03 9096 8163 using the National Relay Service 13 36 77 if required, or email: [email protected] Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. © State of Victoria, July 2014 This work is licensed under a Creative Commons Attribution 3.0 licence (creativecommons.org/ licenses/by/3.0/au). It is a condition of this licence that you credit the State of Victoria as author. Except where otherwise indicated, the images in this publication show models and illustrative settings only, and do not necessarily depict actual services, facilities or recipients of services. This work is available at: http://docs.health.vic.gov.au/docs/doc/Ten-years-of-intensive-care-in- Victoria-2001-02-to-2010-11 Job no: 1401010 Acknowledgements This report has been compiled by the Australian and New Zealand Intensive Care Society (ANZICS) Centre for Outcome and Resource Evaluation (CORE), the Northern Clinical Research Centre, and Project Health, for the Victorian Department of Health. The project working group comprised: • Fiona Landgren, Project Health • Sue Huckson, ANZICS • Shaila Chavan, ANZICS • Anastasia Hutchinson, Northern Clinical Research Centre • John Santamaria, Intensivist, St Vincent’s Hospital; Chair, Victorian Intensive Care Data Review Committee (VICDRC) • David Pilcher, ANZICS, Intensivist, Alfred Health • Graeme Duke, VICDRC, Intensivist, Eastern Health • Michael Langley, Department of Health.
    [Show full text]
  • ABSTRACT (Content)
    ABSTRACT (Content) International Congress on Critical Care Medicine: Systems, Technology & Management October 17 - 18, 2018 Tehran, Iran International Congress on Critical Care Medicine: Systems, Technology & Management (ICCCMSTM) Oral Presentation Presenter Title Page Authors Seyed Hossein Evolutional technologies in icu Ardehali 26 Dr. Mohammad A look at the future horizons of critical care 27 Fathi medicine Niloofar Gilani Visible systemic issues in hospitals’ critical care 28 Larimi departments Dr Mehran Pain management in icu setting Kouchek 30 Implementation of antimicrobial stewardship Dr. Mehran Lak 31 program (ams) Eva K Lee Transforming healthcare in multiple fronts 33 Dr Nader Medical error & adverse event in critical care Markazi 35 Moghaddam medicine: application of gtt The effect of family-based care on increasing the Samaneh satisfaction of family members of patients Mirzaei 37 admitted to special care units Zahra Mohammadi Prenatal regionalization network modeling 39 Daniali Improving icu patients to access ct scan Parisa Moodi services: a simulation based analytics of 40 resources (code: 1069) Masoud The role of evidence in intensive care decision- 41 Mousavinasab making Atabak Najafi Variable ventilation stochastic or physiologic 45 Mihammad Local patient registry, global patient impact Farzad Rashidi 47 18 www.ic3med.ir October 17 - 18, 2018 Shahid Beheshti University International Conference Center, Tehran, Iran Oral Presentation Presenter Title Page Authors Mohammad Palliative care medicine in icu, what is possible
    [Show full text]