Appropriateness of Empirical Antibiotic Therapy for Cervicitis and Urethritis Prescribed in the Emergency Department.

Objectives: Sexually transmitted infections are a prevalent global health care problem. Treatment guidelines have recently been updated as a result of antimicrobial resistance and public health trends. The aim of the study was to assess the appropriateness of empirical antibiotic therapy prescribed for cervicitis and urethritis in the emergency department.

Level of concordance between two risk-assessment models for predicting venous thromboembolism in medical patients at admission.

Objectives: To evaluate the level of concordance between the 2007 PRETEMED guidelines and the 2012 American College of Chest Physicians (ACCP) guidelines in medical patients at admission.

Methods: A cross-sectional, observational and descriptive study was designed and included all adult medical patients admitted from an emergency department. Firstly, patients classified as low-moderate risk and high risk according to PRETEMED were compared to those classified by ACCP as low and high risk.

Usefulness of midregional proadrenomedullin to predict poor outcome in patients with community acquired pneumonia.

Background: midregional proadrenomedullin (MR-proADM) is a prognostic biomarker in patients with community-acquired pneumonia (CAP). We sought to confirm whether MR-proADM added to Pneumonia Severity Index (PSI) improves the potential prognostic value of PSI alone, and tested to what extent this combination could be useful in predicting poor outcome of patients with CAP in an Emergency Department (ED).

Methods: Consecutive patients diagnosed with CAP were enrolled in this prospective, single-centre, observational study.

Predictive factors for mortality in Fournier' gangrene: a series of 59 cases.

Aims: Fournier's gangrene (FG) is the necrotizing fasciitis of the perineum and genital area and presents a high mortality rate. The aim was to assess prognostic factors for mortality, create a new mortality predictive scale and compare it with previously published scales in patients diagnosed with FG in our Emergency Department.

Methods: Retrospective analysis study between 1998 and 2012.

Alpha-Fetoprotein-Producing Extrahepatic Tumor: Clinical and Histopathological Significance of a Case.

Introduction: The serum rise of alpha-fetoprotein (AFP) has been relationed to hepatic tumors. Other than these, such as gastric adenocarcinoma, can present with high levels of this glycoprotein. One rare kind of gastric adenocarcinoma, called hepatoid subtype, has two essential features: hepatoid differentiation in histology and high levels of AFP in serum.

Implementation of a bundle of actions to improve adherence to the Surviving Sepsis Campaign guidelines at the ED.

Purposes: We had previously demonstrated surviving sepsis campaign guidelines had not had enough impact at our Emergency Department.

Basic Procedures: Actions directed to increase the qualification of our staff and residents, to facilitate guidelines divulgation and to improve spatial conditions by creating a High Dependency Unit were implemented as a bundle. The impact of these actions on the achievement of early objectives of the campaign and on mortality was analyzed.

Patient outcomes after noninvasive mechanical ventilation at a high dependency unit of an emergency department.

Objective: To describe the outcome of patients after noninvasive ventilation in a high dependency unit (HDU) of an emergency department (ED). Secondary aims were to define the role of intensive care consultation and to identify variables associated with mortality.

Methods: Observational, prospective 6-month study.

Failure to implement evidence-based clinical guidelines for sepsis at the ED.

Objective: The main objective was to evaluate if consensus "bundle" measures to optimize the treatment of sepsis have been integrated in our routine practice. We also tried to identify variables significantly associated to mortality.

Methods: An observational, unblinded study of those patients who, according to their physicians, met criteria for sepsis under its different stages of severity was conducted.