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Author: Kevin Husson Publisher: ISBN: Category : Languages : fr Pages : 0
Book Description
Contexte : En 2012, les services d'urgences du Nord-Pas-de-Calais ont enregistré 1 117 543 passages, 5,3% concernait une affection de l'appareil respiratoire. Les malades consultant pour un bronchospasme sont particulièrement fragiles. Un retard de prise en charge peut mettre en jeu leur pronostic vital. Le terrain sur lequel survient le bronchospasme conditionne la prise en charge. Les sociétés savantes fournissent des recommandations de prise en charge pour ces étiologies difficiles. En pratique, sont-elles suivies? Méthode : Etude prospective, observationnelle, descriptive, multicentrique, réalisée aux urgences des centres hospitaliers de Douai et Roubaix entre le 12 Février et le 12 Mars 2015. Tous les adultes admis en service d'urgences, présentant une dyspnée expiratoire associée à des sibilants auscultatoires, quel que soit le terrain ou la gravité, étaient inclus dans l'étude. Les praticiens renseignaient sur un questionnaire à choix multiples les caractéristiques du patient, le diagnostic et leur prise en charge thérapeutique. Cette dernière était comparée aux recommandations émises par les sociétés savantes. Résultats : 67 patients ont été inclus, 28 au centre hospitalier de Douai et 39 au centre hospitalier de Roubaix, dont 29 femmes. L'âge moyen des patients était de 62,8 ans ; écarttype 19,8. Les étiologies reconnues comme responsables du bronchospasme aigu ont été une exacerbation de broncho-pneumopathie chronique obstructive dans 46% des cas, 21% un asthme aigu grave. Sur les 67 diagnostics évoqués, 48 faisaient l'objet de recommandations par les sociétés savantes. Les recommandations de prise en charge ont été suivies dans 63% des cas (n=30). Conclusion : Les recommandations de prise en charge des bronchospasmes, quand elles existent, ne sont suivies que dans 63% des cas, ce qui signifie que plus d'un patient sur 3 se présentant aux urgences pour ce motif ne bénéficie pas d'une prise en charge optimale.
Author: Kevin Husson Publisher: ISBN: Category : Languages : fr Pages : 0
Book Description
Contexte : En 2012, les services d'urgences du Nord-Pas-de-Calais ont enregistré 1 117 543 passages, 5,3% concernait une affection de l'appareil respiratoire. Les malades consultant pour un bronchospasme sont particulièrement fragiles. Un retard de prise en charge peut mettre en jeu leur pronostic vital. Le terrain sur lequel survient le bronchospasme conditionne la prise en charge. Les sociétés savantes fournissent des recommandations de prise en charge pour ces étiologies difficiles. En pratique, sont-elles suivies? Méthode : Etude prospective, observationnelle, descriptive, multicentrique, réalisée aux urgences des centres hospitaliers de Douai et Roubaix entre le 12 Février et le 12 Mars 2015. Tous les adultes admis en service d'urgences, présentant une dyspnée expiratoire associée à des sibilants auscultatoires, quel que soit le terrain ou la gravité, étaient inclus dans l'étude. Les praticiens renseignaient sur un questionnaire à choix multiples les caractéristiques du patient, le diagnostic et leur prise en charge thérapeutique. Cette dernière était comparée aux recommandations émises par les sociétés savantes. Résultats : 67 patients ont été inclus, 28 au centre hospitalier de Douai et 39 au centre hospitalier de Roubaix, dont 29 femmes. L'âge moyen des patients était de 62,8 ans ; écarttype 19,8. Les étiologies reconnues comme responsables du bronchospasme aigu ont été une exacerbation de broncho-pneumopathie chronique obstructive dans 46% des cas, 21% un asthme aigu grave. Sur les 67 diagnostics évoqués, 48 faisaient l'objet de recommandations par les sociétés savantes. Les recommandations de prise en charge ont été suivies dans 63% des cas (n=30). Conclusion : Les recommandations de prise en charge des bronchospasmes, quand elles existent, ne sont suivies que dans 63% des cas, ce qui signifie que plus d'un patient sur 3 se présentant aux urgences pour ce motif ne bénéficie pas d'une prise en charge optimale.
Author: Karel Pacak Publisher: John Wiley & Sons ISBN: 0470766387 Category : Medical Languages : en Pages : 184
Book Description
Pheochromocytomas are rare but treacherous catecholamine-producing tumors, which if missed or not properly treated, will almost invariably prove fatal. Prompt diagnosis is, therefore, essential for effective treatment, usually by surgical resection. The manifestations are diverse and the tumor can mimic a variety of conditions, often resulting in either erroneous diagnoses or a delayed diagnosis. Reflecting the recent leaps in understanding this condition, Pheochromocytoma: Diagnosis, Localization, and Treatment provides a comprehensive update on the improvements in the diagnosis, localization, management and treatment of pheochromocytomas – providing you with the latest cutting edge science alongside best clinical practice. Written by the leading names in the field, the text details the significant developments in understanding the genetics and biology of the tumors, coupled with technological advances in the fields of analytical chemistry, genomics, molecular biology and nuclear medicine. The most comprehensive book on pheochromocytoma Provides cutting edge science and clinical guidance Written by the leading names in the field Authors present their recently developed novel biochemical test for the diagnosis of Pheochromocytoma
Author: Jean-Philippe Chippaux Publisher: Krieger Publishing Company ISBN: 9781575242729 Category : Antivenins Languages : en Pages : 0
Book Description
Presenting a synthesis of the principal discoveries on venoms and envenomations, this text describes the paleontology and classification of snakes as well as the biochemistry and toxicology of venoms to explain the theoretical basis of the envenomation and its treatment.
Author: Nathan I. Cherny Publisher: Oxford University Press, USA ISBN: 0199656096 Category : Medical Languages : en Pages : 1281
Book Description
Emphasising the multi-disciplinary nature of palliative care the fourth edition of this text also looks at the individual professional roles that contribute to the best-quality palliative care.
Author: Richard Hain Publisher: Oxford University Press ISBN: 019882131X Category : Medical Languages : en Pages : 535
Book Description
The importance of palliative care for children facing life threatening illness and their families is now widely acknowledged as an essential part of care, which should be available to all children and families, throughout the child's illness and at the end of life. The new edition of the Oxford Textbook of Palliative Care for Children brings together the most up to date information, current knowledge, evidence, and developments of clinical practice in the field. The book is structured into four sections. 'Foundations of Care' describes core issues, the foundations on which paediatric palliative care is based. 'Child and Family Care' looks at different aspects of psychological, social, and cultural care for the sick child or young person, and their family. These chapters cover the time course of the illness, around the time of death and support for the bereaved family. 'Symptom Care' focuses on the uses of medication, specific symptoms, and their management. Finally, 'Delivery of Care' examines practical approaches to care in different environments and the needs of clinicians. Two new editors join the team from Canada and South Africa, reflecting our aims to contribute towards the development of care for children across the world, and to be a resource for both experienced clinicians and those new to the field. Comprehensive in scope, exhaustive in detail, and definitive in authority, this third edition has been thoroughly updated to cover new practices, current epidemiological data, and the evolving models that support the delivery of palliative medicine to children. This includes two new chapters, looking in detail at 'Decision Making' and 'Perinatal Care', and a new section highlighting the emerging importance of 'Palliative Care for Children in Humanitarian Crises'. This book is an essential resource for anyone who works with children worldwide.
Author: Philip A. Pizzo Publisher: Lippincott Williams & Wilkins ISBN: 9780683303995 Category : Medical Languages : en Pages : 849
Book Description
Recommended in the Brandon/Hill selected list of print books and journals for the small medical library - April 2001 & 2003 The Third Edition of this very popular book offers the most authoritative and comprehensive review of the impact of the HIV disease in infants, children, and adolescents.
Author: Justin Amery Publisher: ISBN: 0199567964 Category : Family & Relationships Languages : en Pages : 448
Book Description
Childen's palliative care has developed rapidly as a discipline, as health care professionals recognize that the principles of adult palliative care may not always be applicable to children at the end of life. The unique needs of dying children are particularly evident across Africa, where the scale of the problem is overwhelming, and the figures so enormous that they are barely comprehensible: over 400,000 children in Africa died from AIDS in 2003, and out of the 166,000 children a year diagnosed with cancer, 85% of these are in the developing world. Despite the enormous need, provision of children's palliative care in Africa is almost non-existent, with very few health workers trained and confident to provide care for dying children. The challenges of providing palliative care in this setting are different to those in more developed countries, contending with the shortage of physical and human resources in addition to the vast scope of the care needed. Written by a group with wide experience of caring for dying children in Africa, this book provides practical, realistic guidance by improving access to, and delivery of, palliative care in this demanding setting. It looks at the themes common to palliative care--including communication, assessment, symptom management, psychosocial issues, ethical dilemmas, end of life care, and tips for the professional on compassion and conservation of energy--but always retains the focus on the particular needs of the health care professional in Africa. While containing some theory, the emphasis is on practical action throughout the book. Children's Palliative Care in Africa provides health care professionals working in Africa, and other resource-poor settings, with the confidence, knowledge, and capacity to improve care for the terminally ill child in constrained and demanding environments.
Author: Kevin Husson
Author: Kevin Husson
Author: Sandrine Muller
Author: PASCALINE.. JASCHINSKI JACQUEMIN
Author: Karel Pacak
Author: Jean-Philippe Chippaux
Author: Konrad Bork
Author: Nathan I. Cherny
Author: Richard Hain
Author: Philip A. Pizzo
Author: Justin Amery