Aims And Objectives: To confirm the accuracy of the EASI system compared to the standard 12-lead electrocardiogram, which is the gold standard, in monitoring the two major parameters used in the Coronary Care Units to detect myocardial ischaemia: ST-segment and J-point.
Background: Continuous electrocardiograph monitoring is used in the Coronary Care Units to detect cardiac conduction abnormalities and to show the morphology of electrocardiographic waves and tracts. Its accuracy is essential for efficient nursing vigilance, particularly for monitoring the ST segment and the J-point, in which alterations may indicate the onset of myocardial ischaemia.
Sleep disorders are very common in patients with chronic obstructive pulmonary disease (COPD). However, it is not clear how sleep disorders and quality of life (QoL) affect each other in the different stages of disease progression. This descriptive-correlational study investigated the relationship between QoL, quality of sleep, and degree of disease progression in 102 outpatients with COPD.
View Article and Find Full Text PDFObjectives: This research was conducted with the aim of investigating the accuracy of the shock index (SI) in distinguishing which multiple-trauma patients should be admitted to an intensive care unit (ICU) after treatment in an emergency room (ER).
Background: The SI is an easily obtained indicator, as it corresponds to an arithmetic ratio between the two parameters that are always measured during the first-aid treatment of multiple-trauma patients: heart rate (HR) and systolic blood pressure (SBP). There are many studies examining the SI in the multiple-trauma patients as a possible predictor of the destination unit.
Background: The introduction of a unique therapeutic card represents a valid tool for the containment of adverse events during the treatment process, from prescribing a drug to its administration.
Aims: This article aims to illustrate the development and implementation (through the application of the Deming Cycle) of a computerized STU in a cardiac care setting referring to a Department of Cardiology.
Materials And Methods: A multi-professional team was formed and carried out the following steps: a) analysis of existing clinical documentation highlighting the most critical points with respect to the therapeutic-pharmacological process; b) construction of a computerized STU c) sharing information with every member of the professional group involved, d) implementation of the STU in order to assess the areas of improvement.