A5040840138- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Trauma and Emergency Care Studies
- Clinical Reasoning and Diagnostic Skills
- Spinal Fractures and Fixation Techniques
- Pelvic and Acetabular Injuries
- Emergency Medicine Education and Research
- Abdominal Trauma and Injuries
Zuyderland Medisch Centrum
2019-2025
Background Insight in characteristics and journey of patients the Acute Care Chain (ACC) who visit Emergency Department (ED) is lacking. Existing studies focus on prespecified (time-sensitive) complex conditions like major trauma stroke, hospital phase. This study provides a representative overview adult ED their through ACC with differences between those without conditions. Methods A prospective 72-hour flash-mob was conducted 2022 across all six EDs province Limburg, Netherlands,...
Research on serious infections/sepsis has focused the hospital environment, while potentially most delay, and therefore possibly best opportunity to improve quality of care, lies in prehospital setting. In this study we investigated phase adult emergency department (ED) patients with an infection.In prospective pilot all (≥18y) a suspected/proven infection, based notes patient's ED chart, were included during 4-week period 2017. Prehospital course, findings, presence sepsis 30-day outcomes...
Hemorrhage is a major cause of death among trauma patients. Controlling the bleeding essential but can be difficult when source remains unidentified. We present 67-year-old healthy male with hypovolemic shock after suicide attempt by jumping from height. Apart bilateral pneumothorax multiple rib fractures, femur fracture and spine computer tomography (CT) revealed closed, degloving injury back, also known as Morel-Lavallée lesion. Hemodynamic instability due to hemorrhage caused lesion in...
Abstract Background For most acute conditions, the phase prior to emergency department (ED) arrival is largely unexplored. However, this prehospital has proven an important part of care chain (ACC) for specific time-sensitive such as stroke and myocardial infarction. patients with undifferentiated complaints, exploration ACC may also offer a window opportunity improvement care. This study aims explore ED emphasis on time in patient experience. Methods Dutch prospective observational study,...
GPs decide which patients with fever need referral to the emergency department (ED). Vital signs, clinical rules, and gut feeling can influence this critical management decision.To investigate vital signs are measured by GPs, whether is associated or feeling.Prospective observational study at two out-of-hours (OOH) GP cooperatives in Netherlands.During 9-day periods, performed their regular work-up aged ≥18 years (≥38.0°C). Subsequently, researchers missing for completion of systemic...