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results we performed rush on 77 patients. kappa index was 0.71 (p value = 0.000), reflecting acceptable general agreement between initial impression and final diagnosis. for hypovolemic, cardiogenic and obstructive shock, the protocol had an npv above 97% yet it had a lower ppv. for shock with distributive or mixed etiology, rush showed a ppv of 100% but it had low sensitivity. subgroup analysi...

background since 1986, the world health organization (who) has been motivating health sectors to promote clinical and curative services (who, 1986). some emergency departments (eds) have partially achieved this through providing patient health information, screening and early intervention programs, injury prevention, and asthma education. a significant organizational shift is required for eds t...

background: to study the pattern of acute chemical and pharmaceutical poisoning in ahmadabad, gujarat, india. methods: this was a prospective study of patients with chemical and pharmaceutical poisoning who were admitted to the emergency department of civil hospital ahmadabad, from 1st october 2006 to 30th september 2007. socio-demographic details, intention of poisoning, type of poison, durati...

patients and methods this was a randomized double-blinded study conducted on 90 patients (18-65 years old, asa i, ii), who needed intubation following trauma. the patients were randomly divided into three groups, group i, group ii and group iii, who have received alfentanil, fentanyl and sufentanil, respectively. heart rate, blood pressure, saturation of peripheral oxygen and end-tidal carbon d...

conclusions: the results obtained from this study support the idea that the timi and modified timi risk scores might be valuable tools that could be used to stratify the risk of patients with atypical chest pain in the emergency department. results: no significant difference could be observed between both groups regarding demographic characteristics, ejection fraction, left ventricle hypertroph...