Publications by authors named "Steven P Ignell"

Article Synopsis
  • Emergency physicians without specialized EMS training often face ethical dilemmas when assessing a patient's decision-making capacity, especially when patients refuse hospital transport.
  • A modified Delphi method involving 19 expert physicians was used to reach consensus on best practices for evaluating capacity in these situations.
  • Ultimately, the panel established 16 standardized guiding questions and recommendations to enhance the capacity assessment process, with discussions addressing patient concerns and alternative care options.
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Evaluate hemostatic dysfunction in pediatric severe sepsis by thromboelastography (TEG) and determine if TEG parameters are associated with new or progressive multiple organ dysfunction syndrome (NPMODS) or shock, defined as a lactate ≥2mmol/L. We explored the relationship between TEG variables, selective cytokines, and endothelial factors. Prospective observational.

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