Prise en charge du choc hémorragique aux urgences du CHU de Toulouse PDF Download

Author: Serena Donnadieu
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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Book Description
Introduction : le choc hémorragique est un choc hypovolémique secondaire à une perte importante du volume sanguin. Le décès est rapide en l'absence de contrôle de l'hémorragie. Pour cela des recommandations formalisées d'experts éditées en 2014 par la société française d'anesthésie et de réanimation (SFAR) détaillent la prise en charge en aigu du patient en choc hémorragique. Elles dictent des mesures spécifiques de réanimation hémostatique, notamment en termes de transfusion. Nous avons donc décidé d'évaluer nos pratiques de prise en charge du choc hémorragique et de les comparer au gold standard dicté par la SFAR. Méthodes : cette étude rétrospective, observationnelle et monocentrique a été réalisée sur le Centre hospitalier Universitaire (CHU) de Toulouse. Du 01/09/2018 au 01/06/2021, 246 dossiers de patients identifiés comme étant en choc hémorragique à leur admission aux urgences ont été analysés. Le critère de jugement principal était le ratio PFC:CGR dont avaient bénéficié les patients transfusés au SU. Résultats : l'étiologie du choc était médicale pour 204 patients, traumatique pour 42. Seulement 20 patients, soit 9% de l'effectif a reçu un ratio transfusionnel adapté aux recommandations (au minimum 1:2). L'expansion volémique a été bien conduite pour au moins 75% des patients. La nature du soluté répondait aux recommandations pour 100% des patients. Nous avons retrouvé un respect des recommandations dans la moitié des cas pour le monitoring du fibrinogène et moins de 10% pour sa substitution. La recommandation de maintenir une calcémie ionisée dans la norme a été prise en compte dans 13,5% des cas. L'utilisation d'amines n'a été réalisée, conformément aux recommandations, que dans 15% des cas, tout comme l'utilisation de l'acide tranexamique ainsi que la transfusion de plaquettes pour un taux

Author: Jessye Norman
Publisher: Houghton Mifflin Harcourt
ISBN: 0544003403
Category : Biography & Autobiography
Languages : en
Pages : 357

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One of America's most admired and decorated singers tells her inspiring life story, from the segregated south to the world's greatest stages.

Author: Richard Neville
Publisher: Random House
ISBN: 1473574641
Category : True Crime
Languages : en
Pages : 358

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Book Description
***NOW THE SUBJECT OF THE MAJOR BBC TV SERIES *** DISCOVER THE INCREDIBLE TRUE CRIME STORY OF SERIAL KILLER, CHARLES SOBHRAJ, AND THE RACE TO BRING HIM TO JUSTICE Charles Sobhraj remains one of the world's great con men, and as a serial killer, the story of his life and capture endures as legend. Born in Vietnam to a Vietnamese mother and Indian father, Sobhraj grew up with a fluid sense of identity, moving to France before being imprisoned and stripped of his multiple nationalities. Driven to floating from country to country, continent to continent, he became the consummate con artist, stealing passports, smuggling drugs and guns across Asia, busting out of prisons and robbing wealthy associates. But as his situation grew more perilous, he turned to murder, preying on Western tourists dropping out across the 1970s hippie route, leaving a trail of dead bodies and gruesome crime scenes in his wake. First published in 1979, but updated here to include new material, On the Trail of the Serpent draws its readers into the story of Sobhraj's life as told exclusively to journalists Richard Neville and Julie Clarke. Blurring the boundaries between true crime and novelisation, this remains the definitive book about Sobhraj - riveting tale of sex, drugs, adventure and murder.

Author: Gesellschaft für Biologische Chemie. Colloquium
Publisher:
ISBN:
Category : Hormone receptors
Languages : en
Pages : 224

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Author:
Publisher:
ISBN: 9781433820632
Category : Psychoanalysis
Languages : en
Pages :

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"In Relational Psychodynamic Psychotherapy Supervision, guest expert supervisor, Dr. Joan E. Sarnat, demonstrates and discusses this approach to supervision. The goal of relational psychodynamic supervision is to create a more experiential, participatory, and relationship-focused form of supervision, one that not only provides usable psychotherapeutic knowledge and skills, but also facilitates the emotional and relational development that is essential to becoming an effective psychodynamic psychotherapist. In this video, Sarnat and her supervisee engage in a supervisory session, and host Dr. Hanna Levenson interviews them about their work together, exploring the constructs of this model and the nature of the supervisory relationship. In the session, Dr. Sarnat's supervisee conveys that she is frustrated by how her patient is discounting her during the termination phase of therapy. By becoming aware of and working with her own feelings of frustration within the session, Dr. Sarnat demonstrates the art of using a reenactment to help the supervisee deepen her awareness and thereby facilitate the therapy."--

Author: Hugh MacPherson (Ph. D.)
Publisher:
ISBN: 9780443050497
Category : Medical
Languages : en
Pages : 482

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Written by THE leading lights in the field of integrating acupuncture into a Western medical system, this book bridges the gap between the theoretical foundations of acupuncture and its application in a modern Western clinical context. Each case history focuses on the complexities and dilemmas of treatment that are tackled, providing valuable insights by experienced practitioners into the management of a course of acupuncture treatment.

Author: Catherine Barnard
Publisher: Bloomsbury Publishing
ISBN: 184731869X
Category : Law
Languages : en
Pages : 337

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Book Description
The Cambridge Yearbook of European Legal Studies provides a forum for the scrutiny of significant issues in EU Law, the law of the European Convention on Human Rights, and Comparative Law with a 'European' dimension, and particularly those issues which have come to the fore during the year preceding publication. The contributions appearing in the collection are commissioned by the Centre for European Legal Studies (CELS) Cambridge, a research centre in the Law Faculty of the University of Cambridge specialising in European legal issues. The papers presented are at the cutting edge of the fields which they address, and reflect the views of recognised experts drawn from the University world, legal practice, and the institutions of both the EU and its Member States. Inclusion of the comparative dimension brings a fresh perspective to the study of European law, and highlights the effects of globalisation of the law more generally, and the resulting cross fertilisation of norms and ideas that has occurred among previously sovereign and separate legal orders. The Cambridge Yearbook of European Legal Studies is an invaluable resource for those wishing to keep pace with legal developments in the fast moving world of European integration. INDIVIDUAL CHAPTERS Please click on the link below to purchase individual chapters from Volume 13 through Ingenta Connect: www.ingentaconnect.com SUBSCRIPTION TO SERIES To place an annual online subscription or a print standing order through Hart Publishing please click on the link below. Please note that any customers who have a standing order for the printed volumes will now be entitled to free online access. www.hartjournals.co.uk/cyels/subs Editorial Advisory Board: Albertina Albors-Llorens, John Bell, Alan Dashwood, Simon Deakin, David Feldman, Richard Fentiman, Angus Johnston, John Spencer Founding Editors: Alan Dashwood and Angela Ward Ius Commune Prize 2012 Alexandre Saydé wrote Chapter 15 in this volume entitled: 'One Law, Two Competitions: An Enquiry into the Contradictions of Free Movement Law' and we are delighted to announce that he has been awarded the Ius Commune Prize 2012.

Author: H. Ironside
Publisher: Createspace Independent Publishing Platform
ISBN: 9781530704057
Category :
Languages : en
Pages : 224

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Book Description
It was with no definite purpose of writing a series of Notes on the Minor Prophets as a whole, that I first began to take up various books of the twelve, in monthly installments in HELP AND FOOD FOR THE HOUSEHOLD OF FAITH. But after penning some notes on Habakkuk, Jonah, and Obadiah, I found my own soul helped, and an interest developed in the further study of these much-neglected portions of Scriptures, and so took up Hosea and the books following. I have sought to press their practical application as giving important teaching for a remnant people in a day of decline, while not neglecting their dispensational bearing. This, I am persuaded, is what is greatly needed at the present moment. If God be pleased to use the Notes for the stirring of His people's consciences and the comfort of their hearts, the desired end will be realized. H. A. IRONSIDE.

Author: John E Tedstrom
Publisher: Routledge
ISBN: 9780367303211
Category :
Languages : en
Pages : 239

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This book highlights that Soviet economic planners and politicians must come to recognize the need to make fundamental changes, not simply incremental refinements, in the failing Soviet system. It examines the dynamics of the process of perestroika and the complexity of individual economic issues.

Author: D H Lawrence
Publisher: Independently Published
ISBN:
Category :
Languages : en
Pages : 100

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Book Description
"The Ladybird is a long tale or novella by D. H. Lawrence.It was first drafted in 1915 as a short story entitled The Thimble. Lawrence rewrote and extended it under a new title in December 1921 and sent the final version to his English agent on 9 January 1922. It was collected with two other tales, The Captain's Doll and The Fox, and the three novellas were then published in London by Martin Secker in March 1923 under the title The Ladybird and in New York by Thomas Seltzer as The Captain's Doll in April 1923."