The Cheiro-Oral (COS) Syndrome is a rare neurologic condition characterized by sensory disturbances involving the peri-oral area and the upper extremity, typically isolated to the hand or fingers. The thalamus contralateral to the symptomatic side is the brain region most commonly involved. Most cases are caused by ischemic or hemorrhagic strokes, although other structural lesions have been implicated.
View Article and Find Full Text PDFProviding timely and effective care in the emergency department (ED) requires the management of individual patients as well as the flow and demands of the entire department. Strategic changes to work processes, such as adding a flow coordination nurse or a physician in triage, have demonstrated improvements in throughput times. However, such global strategic changes do not address the real-time, often opportunistic workflow decisions of individual clinicians in the ED.
View Article and Find Full Text PDFIntroduction: Emergency physicians may have difficulty removing modern rings made of hard metals such as titanium and tungsten carbide. These metals are exceptionally difficult or impossible to remove using standard ring cutters. Numerous alternative techniques for removal have been described, including the "umbilical tape" or "string technique" and, in the case of tungsten carbide, breaking the ring using locking pliers.
View Article and Find Full Text PDFAcademic emergency medicine can benefit by broadening the way in which scholarship is defined to include teaching, integration of knowledge, application of knowledge to practical clinical problems and as discovery of new knowledge. A broad view of scholarship will help foster innovation and may lead to new areas of expertise. The creation of a scholarly environment in emergency medicine faces the continued challenge of an increasing clinical demand.
View Article and Find Full Text PDFObjective: To determine whether a transport team composed of advanced practice nurses could function as effectively as a physician-nurse team, as measured by patient outcome.
Design: Observational cohort study.
Setting: The interfacility transport team at a tertiary care children's hospital.
Stud Health Technol Inform
November 2004
Background: This study was designed to evaluate the safety of a self-administered triage tool.
Materials: Ninety-five patients older than 14 years who presented to Memorial Hermann Hospital emergency room (ER) with chief complaint of abdominal pain were included in the study. Their ER disposition and final diagnoses were logged into a database.
Objective: To determine the frequency and consequences of vehicular crashes among dedicated pediatric and neonatal transport teams.
Methods: A three-page questionnaire was sent to the transport teams of National Association of Children's Hospitals and Related Institutions (NACHRI) member hospitals. The survey instrument consisted of three sections.