To inform ongoing contingency planning, hospital staff conducted a cross-sectional survey of patients' needs in the event of a full-facility evacuation of a tertiary oncology center. Both outpatients and inpatients were included. Of the total of 269 patients, 76.6 percent were able to evacuate by walking out of the hospital and be transported sitting. Only 30 patients needed evacuation by an ambulance. Assessment of the lowest acceptable level of care after evacuation revealed that 66.5 percent of the patients could be discharged to their own home, including 40.8 percent of all inpatients. Due to the need to continue specialized cancer treatment, fewer patients could be transferred to other hospitals than found in previous studies of general acute care hospitals.
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http://dx.doi.org/10.5055/jem.0626 | DOI Listing |
J Trauma Acute Care Surg
January 2025
From the Department of Orthopedic Surgery (I.F., S.B., M.T., D.P., R.B., N.G.), Chaim Sheba Medical Center at Tel Hashomer, Tel Aviv University Faculty of Medicine, Tel Aviv, Israel.
Background: Combat-related injuries have evolved in urban warfare because of close-contact engagements and high-energy blast injuries, with rapid medical evacuation improving survival rates. This study analyzes injury patterns and outcomes in the Gaza conflict, emphasizing the need to optimize trauma care protocols in modern combat environments, particularly because of the unique proximity of conflict zones to tertiary trauma centers.
Methods: A retrospective study was conducted at a single center involving 189 patients evacuated by helicopter to a Level I tertiary trauma center.
Asian J Neurosurg
December 2024
Neurosurgery Department, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Rev Bras Ginecol Obstet
November 2024
Universidade Estadual de Campinas CampinasSP Brazil Universidade Estadual de Campinas, Campinas, SP, Brazil.
Objective: Evaluate the risk factors for the development of post-molar gestational trophoblastic neoplasia.
Methods: Retrospective cohort study with 320 women with gestational trophoblastic disease (GTD) followed in a tertiary hospital from January 2005 to January 2020. Data referring to the women's sociodemographic profile, clinical, laboratory and treatment aspects and types of GTD were analyzed.
Eur J Case Rep Intern Med
October 2024
Respiratory Department, Barnsley District General Hospital, Barnsley, UK.
Unlabelled: A man in his 30s with no previous medical history presented to the emergency department with acute dyspnoea. His chest X-ray (CXR) showed a massive left-sided pneumothorax, and a 12Fg post-intercostal drain (ICD) was inserted. Twenty-four hours later there was evidence of blood in the drain, and he had a significant haemoglobin drop of 44 g/l in only one day.
View Article and Find Full Text PDFFertil Steril
November 2024
Obstetrics, Gynecology, and Reproductive Sciences Department, Minimally Invasive Gynecology Division, University of Miami, Miller School of Medicine, Miami, Florida.
Objective: To describe the technique of embryofetoscopy performed with 5Fr instruments with targeted evacuation of the gestational sac followed by a visual dilatation and curettage (D&C) using the hysteroscopic tissue removal system for the management of first trimester missed abortion in a patient with uterine septum.
Design: Video case-report.
Setting: University tertiary-care hospital.
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