Publications by authors named "P J Pugh"
Background Rapid treatment of ST-elevation myocardial infarction (STEMI) patients with primary percutaneous coronary intervention (PCI) significantly reduces morbidity and mortality rates. Recent studies emphasize the importance of reducing total ischemic time, making first-medical-contact-to-balloon (FMCTB) time a key performance indicator. To improve FMCTB times in patients brought to the Emergency Department (ED) by Emergency Medical Services (EMS), we implemented a "Direct to Lab" (DTL) workflow during the following conditions: weekday daytime hours, when the lab is fully staffed, and for hemodynamically stable STEMI patients presenting via EMS.
View Article and Find Full Text PDFAims: Stroke is the most debilitating outcome of atrial fibrillation (AF). The use of implantable loop recorders increases the detection of AF episodes among patients with embolic stroke of undetermined source. The significance of device-detected AF, or subclinical AF, is unknown.
View Article and Find Full Text PDFArticle Synopsis
- Nutritional management is crucial for infants and toddlers with chronic kidney disease (CKD) to support growth and prevent developmental issues, extending through puberty when nutritional needs increase significantly.
- Inadequate nutrition during childhood can hinder potential adult height and contribute to neurodevelopmental abnormalities, while obesity prevalence in CKD children highlights the need for effective nutritional strategies to combat metabolic syndrome.
- The review emphasizes the importance of integrating clinical practice recommendations for managing the nutritional needs of children with CKD (ages 1-18) and advocates for collaboration between physicians and pediatric kidney dietitians to ensure tailored care for optimal growth and development.
Background: Support groups for people with Implantable Cardioverter Defibrillators (ICDs) are widely used, however, it is not clear what people with ICDs gain from a support group or what format they should take.
Objectives: The aim of the present study is to define the perceived benefit of ICD support groups and develop practical recommendations for group format.
Methods: 14 individuals with ICDs were interviewed using a semi-structured interview guide.