A5013866623- French Literature and Poetry
- Linguistics and Discourse Analysis
- French Urban and Social Studies
- Orthopedic Surgery and Rehabilitation
- Political and Social Issues
- French Literature and Critical Theory
- French Historical and Cultural Studies
- Historical and Literary Studies
- Historical and Literary Analyses
- Cultural Insights and Digital Impacts
- Medieval European Literature and History
- Trauma and Emergency Care Studies
- Sepsis Diagnosis and Treatment
- Surgical Sutures and Adhesives
- Shoulder and Clavicle Injuries
- Historical Studies and Socio-cultural Analysis
- Psychoanalysis and Psychopathology Research
- Respiratory Support and Mechanisms
- French Literature and Criticism
- Traumatic Brain Injury and Neurovascular Disturbances
- Burn Injury Management and Outcomes
- Diverse Cultural and Historical Studies
- Medical Malpractice and Liability Issues
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Intensive Care Unit Cognitive Disorders
St Helens and Knowsley Teaching Hospitals NHS Trust
2010-2024
Maison des Sciences de l'Homme
2015-2021
Whiston Hospital
2007-2018
Laboratoire de Linguistique Formelle
2011-2017
Liverpool John Moores University
2010-2014
Université de Poitiers
2007-2009
National Health Service
2006
Salford Royal Hospital
1999
University of Liverpool
1999
Royal Liverpool University Hospital
1999
P001 - Sepsis impairs the capillary response within hypoxic capillaries and decreases erythrocyte oxygen-dependent ATP efflux R. M. Bateman, D. Sharpe, J. E. Jagger, C. G. Ellis P002 Lower serum immunoglobulin G2 level does not predispose to severe flu. Solé-Violán, López-Rodríguez, Herrera-Ramos, Ruíz-Hernández, L. Borderías, Horcajada, N. González-Quevedo, O. Rajas, Briones, F. Rodríguez de Castro, Gallego P003 Brain protective effects of intravenous through inhibition complement...
Objectives Early identification of patients with blood stream infection (BSI), especially bacteraemia, is important as prompt treatment improves outcome. The initial stages severe may be characterised by increased numbers neutrophils in the peripheral and depression lymphocyte count (LC). neutrophil to LC ratio (NLCR) has previously been compared conventional tests, such C-reactive protein (CRP) white cell (WCC), proposed a useful marker timely diagnosis bacteraemia. Methods Data on...
<h3>OBJECTIVES</h3> To determine whether the presence and severity of post-traumatic vomiting can predict risk a skull vault fracture in adults children. <h3>METHODS</h3> Data were analysed relating to consecutive series 5416 patients including children who presented an emergency service United Kingdom during 1 year study period with principal diagnosis head injury. Characteristics studied age, sex, speed impact, level consciousness on arrival, incidence fracture, vomiting. <h3>RESULTS</h3>...
Abstract The action of xylanases on chemical weed pulps was studied in the presence a 1 mM HgCl2 solution. In that medium, encc-cellulases present crude enzyme mixture from Easidicmycete Sporotrichum dimorphosporum were inhibited as shown by soluble sugar analysis end Molecular weight determination carbanilated derivatives enzyme-treated pulps. After enzymatic hydrolysis, although mass loss less than 2% dry material weight, important structural modifications revealed physical property...
Abstract. A 77‐year‐old woman with post‐transfusion purpura failed to respond two 2.5‐litre plasma exchanges albumin as a replacement fluid. However, intravenous infusion of high‐dose human immunoglobulin produced response within 4 h. It is suggested that exchange and transfusion are effective in this condition mainly because they have allowed large doses be infused the form or whole blood.
Inadequate resuscitation of major haemorrhage is an important cause avoidable death in severely injured patients. Early recognition blood loss, control bleeding and restoration circulating volume are critical to the management trauma shock, transfusion components a key intervention. Vital signs may be inadequate determine need for transfusion, regimens targeting vital harmful context uncontrolled bleeding. This article addresses current concepts haemostatic resuscitation. Recent guidelines...
Acute respiratory failure (ARF) is a frequent emergency department (ED) presentation. The definition and common causes of ARF are discussed in this article ED management the condition discussed, using an illustrative case report. paper considers role B-type natriuretic peptide diagnosis non-invasive ventilation (NIV) treatment. Intensive care unit admission denial ARF, although evidence base lacking. Finally, decision-making process described when patient with fails to improve NIV.
The number of people exposed to CS spray presenting accident and emergency departments is on the increase. Its effects, though usually minor short lived, involve several systems can occasionally be life threatening. It therefore important that staff are able manage these patients know when how protect themselves others from further contamination.
Infection with the measles virus causes an unpleasant disease many potentially serious complications. It is predominantly a childhood illness but can affect any age. Measles extraordinarily contagious, immunisation containing vaccine provides comprehensive protection. An international programme of universal from mid-1980s has been very effective; was declared eliminated in USA nearly two decades ago and became rarity other countries high rates uptake. Until recently, this forgotten...
A retrospective review was carried out of the radiographic features 1016 adults admitted to hospital with acute asthma over a 4-year time period. The were classified into five groups: (I) normal, 536 patients (52.9%); (II) compatible obstructive lung disease, 323 (31.8%); (III) complications including infection, segmental or greater atelectasis, one case pneumomediastinum and pneumothorax, 83 (8.2%); (IV) unimportant incidental findings, six cases (0.6%); (V) important findings tuberulosis,...
Head injury outcome is influenced by the initial insult and various pathophysiological changes that take place in posttraumatic phase, some of which may be amenable to intervention. Appropriate measures taken during emergency department management subsequently intensive therapy unit can significantly improve outcome. The primary goal limit secondary brain injury. Early imaging, rather than admission observation for neurological deterioration, reduces time detection life-threatening...
A 64-year-old lady noticed weakness of her thumb within two weeks having developed "shingles" causing vesicular lesions on arm and hand. Clinical neurophysiological testing confirmed a lesion the anterior interosseous nerve. Although motor involvement after herpes zoster infection is recognised, this usually has myotomal distribution; isolated branch peripheral nerve not previously been described.
The Surviving Sepsis Campaign (SSC) was heralded at the 15th annual congress of European Society Intensive Care Medicine in Barcelona 2002 and launched 2004. intention to reduce sepsis mortality by 25% within 5 years implementation evidence-based guidelines—the resuscitation management bundles . third final phase came a close with publication results performance improvement programme December 2009.1 Voluntarily submitted data were analysed on 15 022 patients severe septic shock. outcomes...
This is the third paper on research in accident and emergency medicine. It discusses ethical issues medicine with particular regard to informed consent privacy of subjects patients.
Blood transfusion is a common requirement in the intensive care setting. Improved tissue oxygenation therapeutic objective of for normovolaemic anaemia. However, efficiency with which red blood cells (RBCs) carry oxygen to tissues has been questioned, particularly after prolonged storage. We measured impact on transport variables (base excess, lactate and ScvO 2 ) unit stored RBCs 45 critically ill adults. There were no significant changes these variables, except , increased older units (≥...
Early thrombolytic therapy after acute myocardial infarction is important in reducing mortality. To evaluate a system for in-hospital delays to thrombolysis pain needle and door times were audited major accident emergency (A E) department of district general hospital its coronary care unit (CCU), situated about 5 km away. Baseline performance over six months was assessed retrospectively from notes 43 consecutive patients (group 1) transferred the CCU before receiving thrombolysis....
In this series of articles we aim to stimulate the interest emergency physician treating critically ill patients and promote discussion on critical care in resuscitation room
Whooping cough is a notifiable bacterial respiratory infection caused by Bordetella pertussis . It may produce serious disease, especially in immunocompromised individuals and very young children. The number of reported cases increases the winter months incidence peaks every 4–5 years. However, this periodicity variable inconsistent between different geographical regions. (BPI) be underdiagnosed because its seasonality fact that clinical features indistinguishable from other disorders...
A 35-year-old Malaysian man presented with rapid onset of flaccid quadriparesis associated nausea and vomiting. General blood tests revealed severe hypokalaemia (serum potassium 1.5 mmol/L) hypophosphataemia phosphate 0.29 as a potential cause the paralysis. Arterial gases showed mixed acid base disturbance respiratory alkalosis metabolic acidosis hyperlactataemia. Thyrotoxic periodic paralysis (TPP) was suspected underlying this presentation thyroid function hyperthyroid results (free T4 >...