Prospective Observational Study of Emergency Airway Management in Emergency Department.

Prospective Observational Study of Emergency Airway Management in Emergency Department. J Med Assoc Thai. 2016 07;99 suppl 4:S131-7 Authors: Srivilaithon W Abstract Background and Objective: In the emergency department (ED), airway management by emergency physicians is becoming more common. The presented study described emergency intubation indications, methods, operator characteristics, success rates, and adverse event rates. Material and Method: Prospective observational study using data collection form was done in the ED of Thammasat University Hospital from September 2012 to August 2015. Data were collected by each physician intubator at the time of each intubation. Results: The author recorded 1,393 encounters underwent intubation in ED. Intubation was ultimately successful in 99.43%. Cardiac arrest (18.95%) and head injury (7.32%) were the most common indication for intubation in medical encounters and trauma encounters, respectively. The overall success rates on the first attempt were 74.66% (95% confidence interval (CI); 72.37-76.94%). Rapid sequence intubation (RSI) was used in 22.47% of all encounters, had success rates on the first attempt of intubation higher than sedation without paralysis (79.55% vs. 66.09%, risk difference 15.93%, 95% CI for difference [8.64-23.23%]; p
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - Category: General Medicine Tags: J Med Assoc Thai Source Type: research

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ConclusionsThe results of this research demonstrated that rotational impact directions should be used to develop new head injury criteria being able to predict CSDM values. However, findings of present research proved that head motion-based brain injury criteria and RBF network can be used to predict FE head model responses with high speed and accuracy.Graphical abstract
Source: IRBM - Category: Biomedical Engineering Source Type: research
BACKGROUND: Many clinical predictive tools have been developed to diagnose traumatic brain injury among children and guide the use of computed tomography in the emergency department. It is not always feasible to compare tools due to the diversity of their ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
INTRODUCTION: The causes of falls and resultant head injuries in people with epilepsy are complex and represent important clinical issues significantly impacting on safety, quality of life and long-term prognosis. A general solution for many years has been...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
ConclusionsIn conclusion, de novo intracranial hemorrhage in control head CT of anticoagulated patients is rare. We propose that these patients may be discharged if the admission CT does not reveal intracranial hemorrhage, providing that they are accompanied by a caregiver and informed about red flags.
Source: European Journal of Trauma and Emergency Surgery - Category: Emergency Medicine Source Type: research
Sports-related concussion, is a serious neurological concern that many adolescent athletes will face during their athletic careers. In some instances, the effects of sports-related head injury are long-lasting. Due to their still-developing brains, adolesc...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Conclusions: We employed a closed-population study to generate AFM incidence, risk and outcome data. Our findings support previous reports of male sex and atopy as risk factors. Interval increase in incidence, predisposing Asian ancestry and history of head injury were unique findings to this study. Overall prognosis was better than prior reports, but recovery was incomplete in several patients.
Source: The Pediatric Infectious Disease Journal - Category: Infectious Diseases Tags: Original Studies Source Type: research
Many clinical predictive tools have been developed to diagnose traumatic brain injury among children and guide the use of computed tomography in the emergency department. It is not always feasible to compare t...
Source: BMC Emergency Medicine - Category: Emergency Medicine Authors: Tags: Research article Source Type: research
ConclusionsSeizure-related head injury, although rare, may have serious consequences. High doses of antiepileptic/antiseizure drugs (AEDs/ASDs) and a prescription for three or more AEDs/ASDs are significant, modifiable, risk factors for head injury. Differentiating confusion due to post-ictal changes or concussion can be challenging. Seizure-related cardiac causes leading to injury due to ictal bradycardia or asystole is under investigated. More research is required to validate the protective benefit of various helmet designs in seizure-related head injury. It is striking that there are no International Standards for prote...
Source: Seizure - Category: Neurology Source Type: research
OBJECTIVE: To evaluate the impact of National Institute for Health and Care Excellence (NICE) head injury guidelines on deaths and hospital admissions caused by traumatic brain injury (TBI). SETTING: All hospitals in England between 1998 and 2017. PARTICIP...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
BrainBox Solutions is the latest company to develop a product for the traumatic brain injury (TBI) detection market. FDA has recognized the Richmond, VA-based company’s efforts and has granted breakthrough device designation for the BrainBox TBI test. The firm said the product is a multi-modality, quantitative test that combines injury-related blood protein biomarkers with computerized neurological assessments. The BrainBox TBI test is composed of a multiplex, fluorescence immunoassay using a panel of in-vitro diagnostic serum measurements, including the biomarkers Glial Fibrillary Acidic Protein (GFAP), ...
Source: MDDI - Category: Medical Devices Authors: Tags: Business Source Type: news
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