Emergency medicine

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Polytrauma imaging

Professor Ulrich Linsenmaier, a leading expert in emergency radiology, has highlighted the need for clinicians to read image data rapidly in an emergency department if they are to help improve clinical outcomes for polytrauma patients.

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Sepsis – a Global Medical Emergency

The Global Sepsis Alliance (GSA) is urging healthcare providers, patients and policymakers worldwide to treat sepsis as a medical emergency. “Tens of millions of people die from sepsis each year, making it the likely leading cause of death worldwide. Sepsis kills regardless of age, ethnicity, location and access to care,” said Konrad Reinhart, M.D., Chairman of the GSA and director of the…

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Traumatic brain injury: The silent epidemic

Traumatic brain injury (TBI) is one of the world’s biggest public health problems. In the USA, for example, about 1.7 million people sustain TBI every year, costing healthcare $76.5 billion. Yet, the public knows little of the significance of TBI and also it once received the nickname ‘silent epidemic’ by the American Centres for Disease Control and Prevention (CDC).

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The ‘sepsis team’

‘We are all aware of the importance of early diagnosis and rapid appropriate treatment of patients with severe sepsis. Yet, many patients still do not receive satisfactory early management and the application of recent guidelines for sepsis management is still inadequate,’ writes Jean-Louis Vincent MD PhD, from the Intensive Care Department, Erasme Hospital, Université Libre de Bruxelles,…

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Plugging the gaps in Europe?

Professionals back EU-wide action on cross-border health emergencies: A new cross-border Health Security initiative should refine EU preparations for, and response to, health crises ranging from terrorist attacks to SARS epidemics, experts reported at the European Health Forum Gastein. If Europe was to be serious about facing up to major threats a real change of mind-set was of the essence,…

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The benefits of point-of-care ultrasound

Rapid and accurate acquisition of basic diagnostic information through the innovative concept of point of care ultrasound can have significant benefits for patient outcome, costs, reducing mortality and medical-legal risk scenarios. These benefits of point-of-care (POC) ultrasound will be highlighted during a WFUMB session by Italian critical care physician Professor Luca Neri, founder and past…

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Human error – or a fault in the system?

Medication errors sit among the top ten causes of harm to patients. They can, of course, occur in any department, but it’s still a surprise that they happen as frequently in anaesthetics departments, considering anaesthetists’ expertise is in handling tricky medication. However, apparently they are not the fault of the professional, but of the nature of the processes. Report: Karoline…

Critical care outside hospital across UK

The critical care expertise available before a severely injured person can be admitted to hospital is “incomplete, unpredictable, and inconsistent,” shows research published online in Emergency Medicine Journal. Ambulance services are often reliant on volunteer doctors with variable levels of expertise and the availability of specialist doctors is patchy, particularly over evenings or…

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Easy breathe - new tools for prolonged lung support

Often a life-saving intervention, mechanical ventilation also has some serious drawbacks: the need for sedation, the risk of ventilator associated pneumonia, intubation or tracheostomy related complications. In 1972, Donald Hill from Pacific Medical Centre, Los Angeles, reported the first successful long-term mechanical lung assist device with extracorporeal membrane oxygenation (ECMO).

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