Treatment of carbon monoxide poisoning in Germany : A retrospective single center analysis.

CONCLUSION: Commonly known sources (fire, charcoal grills) aside, many poisonings by smoking a hookah were observed. This study highlights the importance of considering CO poisoning as a differential diagnosis when encountering patients, especially of younger age, with non-specific neurological symptoms, as well as the importance of early initiation of treatment. A direct correlation between CO-Hb values (whether measured noninvasively or by invasive BGA) and the initial symptoms could not be demonstrated. In total, substantial time expired between the diagnosis and start of treatment of patients transported to a primary care hospital compared to those transported directly to the HEC. Although analysis showed adequate treatment with oxygen in the preclinical interval, administration of oxygen during primary hospital stay showed room for improvement. Introducing a national CO poisoning register and uniform treatment guidelines could improve in-house clinical processes. Multicenter studies are needed to close the gaps identified in the quality of care in Germany. PMID: 30789991 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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We report the case of a patient referred to us after multiple unsuccessful paranasal sinus operations who presented with enophthalmos and a resultant migratory keratitis with a suspected diagnosis of silent sinus syndrome. Preservation of the orbit was no longer feasible. After five years without a definitive diagnosis, we ascertained that this was a case of IgG4-related disease. DISCUSSION: IgG4-related disease represents an important element in the differential diagnosis of chronic advanced diseases of the orbit and paranasal sinuses. The diagnosis should be considered in the case of unclear ...
Source: HNO - Category: ENT & OMF Tags: HNO Source Type: research
Authors: Teixeira JC, Jackson PJ Abstract Distinguishing between central and peripheral causes of vertigo can be challenging not only in an acute setting but also in chronic settings. A thorough review of systems and physical exam can assist providers in differentiating central versus peripheral etiologies and the need for urgent imaging. In this case, a 47-year-old man presented with vertigo, right-sided hearing loss, right-sided headache, and right-sided facial pain that began 4 weeks before while the patient was on a cruise ship. His physical exam findings were notable for anisocoria with right pupil 3.5 an...
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
I recall some of the current students and residents at MCW telling me at the interview that it's a bit of a workhorse program, even though a couple residents there said they really loved it. What's the story on this program? It seems to have some good stats in terms of research dollars, case numbers, etc., but it never seems to garner as much praise among Midwestern programs. The story I often hear is that the hours can be pretty bad, there's a lot of commuting, call schedule is rough... MCW Lifestyle?
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Publication date: Available online 15 February 2020Source: Trends in Anaesthesia and Critical CareAuthor(s): Ulrich Braun, Karl Günther Wiese, Hans-Albert Merten, Arnd TimmermannAbstractNoma (Cancrum oris) is an infectious acute disease that is prevalent in Africa, Asia and the American continent. This condition develops as a consequence of deficient nutrition. It is acquired by children between the ages of 1 and 7, and the children who contract it can die from sepsis within 2 weeks. The estimated mortality rate is in the range of 85%. The survivors have disfigurements of the face, massive scarring, open access to the...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Publication date: Available online 15 February 2020Source: Trends in Anaesthesia and Critical CareAuthor(s): Sima Patel, Andrea Estevez, Nicholas Nedeff, Jose Gascon, Ilde LeeAbstractAcross the United States (U.S.), very few centers exist with an intensive care unit (ICU) solely dedicated to obstetrics (OB) and gynecology (GYN) patients. The management of obstetric patients, who are admitted to a general intensive care unit, can often be accompanied by a fair share of apprehension owing to the intricacy of care. Rather than discussing common obstetric emergencies and their management, we would like to call attention to bas...
Source: Trends in Anaesthesia and Critical Care - Category: Anesthesiology Source Type: research
Authors: Augstburger E, Héron E, Abanou A, Habas C, Baudouin C, Labbe A Abstract Ischemic optic neuropathies are among the leading causes of severe visual acuity loss in people over 50 years of age. They constitute a set of various entities that are clinically, etiologically and therapeutically different. Anatomically, it is necessary to distinguish anterior and posterior forms. From an etiological point of view, the diagnosis of the arteritic form due to giant cell arteritis requires emergent management to prevent blindness and even death in the absence of prompt corticosteroid treatment. When this diagnosi...
Source: Journal Francais d Ophtalmologie - Category: Opthalmology Tags: J Fr Ophtalmol Source Type: research
About one in seven people lives with what's ranked as the second-most debilitating disease on the planet, but experts say research into its causes and treatments is dramatically underfunded.
Source: Health News: CBSNews.com - Category: Consumer Health News Source Type: news
About one in seven people live with what's ranked the second-most debilitating disease on the planet, right after back pain: migraine. Though the causes are unclear, migraine is a serious neurological disease that often runs in families. But the malady is not often taken seriously, in part because the headaches, sensitivity to light and sound, nausea, dizziness, and a host of other symptoms affect three times as many women as men. Correspondent Susan Spencer talks with migraine expert Dr. William Young; Linda Porter, of the National Institute of Neurological Disorders and Stroke, about migraine research; Katherine Foxhall,...
Source: Health News: CBSNews.com - Category: Consumer Health News Source Type: news
More than 100 Germans evacuated from the hard-hit Chinese city of Wuhan, the epicenter of a new coronavirus outbreak, were set to end their prescribed 14-day quarantine period on Sunday
Source: ABC News: Health - Category: Consumer Health News Tags: Health Source Type: news
Abstract Carbon monoxide (CO) poisoning is the primary cause for access to emergency department (ED) services for more than 50,000 persons in Europe and the USA every year. CO poisoning diagnosis is based on multiple factors and is usually confirmed by high carboxyhemoglobin (COHb) levels in the blood. We conducted a systematic evaluation of literature to investigate the usefulness of COHb as a biomarker of environmental CO exposure. We conducted an electronic search in Medline, Embase, and the Cochrane Library databases. We selected studies reporting high or low environmental CO concentrations, as well as COHb le...
Source: Environmental Science and Pollution Research International - Category: Environmental Health Authors: Tags: Environ Sci Pollut Res Int Source Type: research
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