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Utility of the History and Physical Exam in Detecting ACS Utility of the History and Physical Exam in Detecting ACS

The history and physical exam are commonly used in the ED to assess chest pain patients for suspected ACS, but how useful are they?Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Emergency Medicine Journal Article Source Type: news

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Authors: Zorbozan O, Pullukçu H, Atalay Şahar E, Karakavuk M, Can H, Tunali V, Döşkaya M, Turgay N, Töz S, Özbilgin A Abstract Malaria is a widespread and life-threatening disease in tropical and subtropical regions. In patients with typical clinical symptoms, malaria is considered as a preliminary diagnosis if there is a travel history to malaria-endemic areas. The basis of the laboratory diagnosis of malaria is the microscopic examination of Giemsa stained smears. On the other hand, the diagnosis and differentiation of Plasmodium species with microscopic examination may have some difficult...
Source: Mikrobiyoloji Bulteni - Category: Microbiology Tags: Mikrobiyol Bul Source Type: research
E, Baydur H Abstract PURPOSE: The study was conducted to investigate the effect of preoperative oral carbohydrate loading on the preoperative discomforts and postoperative complications of patients undergoing elective thyroidectomy. DESIGN: A randomized controlled clinical trial. METHODS: Ninety patients scheduled for thyroidectomy were divided into three groups: (1) those receiving a carbohydrate-rich drink (CHD), (2) those receiving an overnight 5% glucose intravenous infusion, and (3) those fasting from midnight. The preoperative discomforts and postoperative complications of patients were evaluated u...
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
This study compared two blood glucose (BG) point of care sampling methods to determine which is least painful yet accurate. DESIGN: The two-period, two-treatment crossover trial compared the traditional fingertip sampling method to a form of alternative site testing (AST), palm of the hand. METHODS: Subjects received both methods of BG sampling to compare comfort and accuracy. They were randomly assigned to determine which method was used first. Pain rating (0 to 10) and glucose results for both methods were documented. FINDING: Results indicated that pain rating was significantly lower with AST (1.65) ...
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
CONCLUSIONS: There is a need for the development and trial of an evidence based first stage PACU discharge score. PMID: 29157762 [PubMed - in process]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
CONCLUSIONS: Although AT is presented as an inexpensive complementary treatment with a low rate of adverse effects that improves patient satisfaction, it cannot be determined that there is sufficient evidence to conclude its effectiveness as a nonpharmacologic approach to the reduction of postoperative pain intensity. PMID: 29157760 [PubMed - in process]
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery. DESIGN: Systematic review and meta-analysis. METHODS: A comprehensive literature search was made on PubMed, CINAHL, Ovid, ProQuest, ScienceDirect, Scopus, Web of Science, and the Cochrane database between 1995 and 2015. Fourteen randomized controlled trials were included. Data analysis was performed with RevMan software and created the Supplementary Appendix using the GRADE approach. FINDINGS: Meta-analysis showed that preoperative education reduced anxiety scor...
Source: Journal of Perianesthesia Nursing - Category: Nursing Authors: Tags: J Perianesth Nurs Source Type: research
3.5 out of 5 stars Effect of a Single Dose of Oral Opioid and Nonopioid Analgesics on Acute Extremity Pain in the Emergency Department: A Randomized Clinical Trial. Chang AK et al. JAMA 2017;318:1661-1667. Abstract As Dr. Demetrios Kyriacou points out in a must-read editorial accompanying this paper, a growing body of evidence clearly indicates that even short-term opioid use for painful injuries or procedures carries a significant risk of leading to chronic use and potential abuse. We are now realizing the importance of avoiding even limited use of drugs such as oxycodone and hydrocodone in opioid-naive patients...
Source: The Poison Review - Category: Toxicology Authors: Tags: Medical acute pain analgesic emergency department opioid Source Type: news
Hello, I'm a student interested in pursuing pain and had a few questions to ask, if anyone would be so kind to give their insight of any/all of the below! -What is the typical practice of an academic pain physician, and how does it differ from a private doc? -Is it possible to strike a good balance between doing procedures and medical pain management? -Could anyone elaborate on what medical pain management exactly entails? I've had brief exposure to procedural pain via epidurals/SCS, but... Curious about pain medicine practice
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Source Type: forums
Abstract Neuropathic pain increases the risk of cardiovascular diseases including hypertension with the characteristic of sympathetic overactivity. The enhanced tonically active glutamatergic input to the rostral ventrolateral medulla (RVLM) contributes to sympathetic overactivity and blood pressure (BP) in cardiovascular diseases. We hypothesize that neuropathic pain enhances tonically active glutamatergic inputs to the RVLM, which contributes to high level of BP and sympathetic outflow. Animal model with the trigeminal neuropathic pain was induced by the infraorbital nerve-chronic constriction injury (ION-CCI). ...
Source: Neural Plasticity - Category: Neurology Authors: Tags: Neural Plast Source Type: research
Conditions:   Laparoscopic Hysterectomy;   Postoperative Recovery;   Postoperative Pain Interventions:   Drug: Duloxetine;   Drug: placebo Sponsor:   Acibadem University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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